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Session 2: Optimising home nutrition support and intestinal rehabilitation

Tuesday, April 27, 2021
10:05 - 11:10

Speaker

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Dr Cara Dunne
Consultant Gastroenterologist St James's Hospital and CHI, IrSPEN Director

Home nutrition and intestinal failure in Ireland - how far have we come?

10:10 - 10:25

Biography

• Dr Cara Dunne graduated with an honors degree in Biochemistry from UCD in 1996 and went on to study medicine in the Royal College of Surgeons in Ireland and graduated with honors in 2004. • She did her early training in Beaumont hospital and through the gastroenterology Spr training scheme went on to work in Beaumont, St Vincent’s, St James’s and the Mater. • She was awarded her PhD by NUI in 2013 in “Mitochondrial Instability in Stage II Colorectal Cancer Functional Validation of Prognostic markers Involved in Early Staged Colorectal Cancer” • Since 2017 she has worked as a consultant gastroenterologist at St James’s. Since 2019 she joint appointed to Our Lady’s Hospital Crumlin and St James’s Hospital to develop a transition and adolescent program for young people with chronic intestinal failure on home parenteral nutrition and patients with IBD. Her research interests are inflammatory bowel disease (Ulcerative Colitis and Crohns Disease) and complex nutrition. She is a member of the ISG, ECCO and ESPEN and a director of IrSPEN. She is chair of the nutrition subgroup for the National Program for Gastroenterology and Hepatology.
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Dr David Sawbridge
Consultant Gastroenterologist, Cork University Hospital

Practical tips for the management of small bowel syndrome in 3 case studies

10:25 - 10:40

Abstract

Practical tips for the management of small bowel syndrome in 3 case studies (David Sawbridge)

Short Bowel Syndrome (SBS) is defined as <200cm small intestine remaining in functional use. It is the most common cause of Intestinal Failure and is a major cause of morbidity for those suffering from the condition. Optimal management of SBS requires an MDT approach and is likely to involve a combination of enteral and parenteral support mechanisms, such as Home Parenteral Nutrition. Here, I will use 3 cases to highlight key clinically-relevant points synthesised from international consensus opinion, propose how these may be of relevance to your management of such patients and suggest how they might integrate into the “SNAP” approach to the assessment and management of SBS.

Biography

David Sawbridge graduated from Christ's College, Cambridge, with a degree in Anglo-Saxon, Norse and Celtic but, being surprised to find that studies on 8th Century Mercian Kingship did not have immediate real-world application, he undertook his MBChB at Edinburgh University. He completed his specialist training in Gastroenterology in Liverpool and Salford, including fellowships in IBD (inspired by King Alfred of Wessex – clearly a case of IBD) and Clinical Nutrition/Intestinal Failure. He currently works in these areas as a Consultant Gastroenterologist in Cork University Hospital, with research interests in the interaction between IBD, Nutrition and the gut microbiome.
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Ms Arún Fenton
Senior Dietitian, St James's Hospital

Optimising the discharge plan and supporting the HPN patient

10:40 - 10:55

Biography

Arún graduated from TCD/DIT BSc. Human Nutrition and Dietetics 20 years ago (2001). She has spent the past 14 years working as a medical oncology dietitian at St. James’s hospital. During this time Arún has been involved in discharge planning and managing circa 80 patients with intestinal failure due to malignancy who required home parenteral nutrition. She has also managed numerous patients with similar diagnoses who required home IV fluid and electrolyte replacement therapy. She has been a dietitian representative on various home parenteral nutrition projects at national level.

Chair

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Cara Dunne
Consultant Gastroenterologist St James's Hospital and CHI, IrSPEN Director


Host

Kelsey Harte O'Brien
Abbey Conference & Events

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