LEARNING OBJECTIVES

Compare and contrast historical dogma in fistula management with current treatment strategies
Identify three strategies to optimize and pre-habilitate patients prior to surgery
Determine the optimal nutrition therapy regimen for the patient with a high output fistula

PRESENTERS AND TOPICS
Historical Fistula Management and New Treatment Strategies/Protocols
Erin Vanzant, MD, Assistant Professor and Associate Trauma Director, Department of Surgery, College of Medicine, University of Florida, Gainsville, FL

Surgical Pre-habilitation and Optimization for the Fistula Patient
Robert Martindale, MD, PhD, Professor of Surgery; Medical Director for Hospital Nutrition Services, Department of General Surgery, Oregon Health and Science University, Portland, OR

Review of ASPEN-FELANPE Clinical Guidelines on Nutrition Support of Adult Patients with Enterocutaneous Fistula
Jose Ignacio Diaz-Pizarro Graf, MD, MS, Professor of Surgery and Clinical Nutrition, Department of General Surgery, Anáhuac University and Hospital Angeles Lomas, Mexico City, Mexico

Nutrition Assessment and Management of the Most Frail/Complex Patients with Fistula
Malissa Warren, RD, Advanced Clinical Nutrition Support Dietitian, Department of Nutrition and Food Service, Portland VA Health Care System; Department of Surgery, Oregon Health and Science University, Portland, OR

Moderator
Martin Rosenthal, MD, FACS, Associate Professor of Trauma, Acute Care Surgery, and Critical Care; Director of Abdominal Wall Reconstruction and Intestinal Rehab (UFAIR) Service, Department of Surgery, College of Medicine, University of Florida, Gainsville, FL