Clinicians everywhere struggle with to care for the diverse array of patients with GI disorders. Patients with gastrointestinal (GI) diseases are at risk for compromised nutrition status. Alterations in GI function and physiology, either because of surgery or an underlying disease state, can result in a serious decline in one's nutrition status and quality of life. Understanding GI disorders and the tools available for their diagnosis and treatment allows the clinician to design an appropriate nutrition regimen and provide the best care to patients. This 2022-2023 lecture series will include presentations of common or very complex GI topics by clinicians who have worked at the bedside with these patients, and hence developed knowledge and skills that are not always in the textbook. Topics to be presented include: 

1. Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease
   
2. Nutritional Aspects of Gastroparesis
   
3. Feeding the Patient with an Injured Pancreas
   
4. The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding
   

Each session will be moderated by the course director and GI nutrition support expert, Carol Rees Parrish, MS, RDN. 

Overall Course Learning Objectives 

1. Summarize details involved in the nutritional care of patients with GI disorders.  
   
2. Identify reliable resources to explore more information regarding nutrition support and GI nutrition as it relates to various GI disease states.
   
3. Differentiate appropriate drugs and their dosing for specific GI disease states.
   
4. Improve collaboration between gastroenterologists and nutrition professionals.

Supported in part by
Baxter

2022–2023 Series

Date: Tuesday, November 8, 2022
Time: 3:00–4:00 PM ET

Topic: Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease

Faculty: Dejan Micic, MD, Assistant Professor of Medicine, Department of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition University of Chicago Medicine, Chicago, IL

Moderator: Carol Rees Parrish, MS, RDN, GI Nutrition Support Specialist, Charlottesville, VA

Learning Objectives:

1. Discuss the prevalence of inflammatory bowel disease (IBD) and the impact of diet and the environment on disease development.
   
2. Provide evidence-based rationale for the role of diet in the management of IBD.
   
3. Formulate a practical algorithm for nutrition assessment and repletion of nutritional status in the patient with IBD.
   

UAN: JA0002345-0000-22-135-L01-P 
CE Credit: 1 hour

Date: Wednesday, December 7, 2022
Time: 3:00–4:00 PM ET

Topic: Nutrition Aspects of Gastroparesis

Faculty: Andrew Ukleja, MD, AGAF, Assistant Professor of Medicine, Harvard Medical School, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA

Moderator: Carol Rees Parrish, MS, RDN, GI Nutrition Support Specialist, Charlottesville, VA

Learning Objectives:

1. Explain both the underlying mechanisms of gastroparesis as well as how to diagnose gastroparesis.
   
2. Summarize available medical therapy and surgical options for refractory gastroparesis.
   
3. Select the best nutrition interventions for patients with gastroparesis.
   

UAN: JA0002345-0000-22-136-L01-P
CE Credit: 1 hour

Date: Thursday, January 12, 2023  
Time: 3:00–4:00 PM ET

Topic: Feeding the Patient with an Injured Pancreas

Faculty: Ross Buerlein, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology Section of Interventional/Advanced Endoscopy, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN, GI Nutrition Support Specialist, Charlottesville, VA

Learning Objectives:

1. Differentiate between mild and severe acute pancreatitis and describe the differences in downstream complications.
   
2. Identify the complications from pancreatitis that might impact tube feeding (type and location of feeding).
   
3. Predict when, and describe why, enteral feeding may be unsuccessful in acute severe pancreatitis.

UAN: JA0002345-0000-23-013-L01-P
CE Credit: 1 hour

Date: Wednesday, February 8, 2023
Time: 3:00–4:00 PM ET

Topic: The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding

Faculty: Carol Rees Parrish, MS, RDN, GI Nutrition Support Specialist, Charlottesville, VA; Andrew P. Copland, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN, GI Nutrition Support Specialist, Charlottesville, VA

Learning Objectives:

1. Recognize barriers to effective enteral nutrition (EN) delivery in the hospitalized patient.
   
2. Dispel myths surrounding EN intolerance by discussing GI physiology in the context of EN delivery.
   
3. Develop a systematic approach to identify the commonly missed causes of EN intolerance in order to improve enteral feeding delivery.

UAN: JA0002345-0000-23-014-L04-P
CE Credit: 1 hour