As the GI tract is the food processing organ for all that enters, it is no surprise that alterations in GI function and physiology, either because of surgery or an underlying disease state, can result in a serious decline in one's nutritional 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 session will present five GI topics. Three are known to contribute to nutritional compromise, yet are poorly understood, resulting in poor recognition and treatment. Two continue to be hampered by misconceptions. In each presentation, current evidence, diagnostics where appropriate, and practical solutions will be presented.

LEARNING OBJECTIVES

Describe the clinical presentation and treatment of both protein losing enteropathy (PLE) and small intestinal bacterial overgrowth
Recognize nutritional emergencies (e.g., refeeding syndrome and Wernicke's) and how to treat them
Discuss the variation in post-PEG feeding in the United States and the many myths surrounding jejunal feeding practices

FACULTY AND TOPICS
Diagnosis and Management of Protein Losing Enteropathy: A Case Based Approach
John K. DiBaise, MD, FACG, FASPEN, Professor of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ

Post-PEG feeding and Management: Do's, Don'ts, and Don't Knows
John Fang, MD, Professor of Medicine; Chief, Division of Gastroenterology and Hepatology, University of Utah Hospital and Huntsman Cancer Institute, Salt Lake City, UT

Nutritional Emergencies: Refeeding Syndrome and Wernicke's Encephalopathy in Gastric Bypass
Kelly O'Donnell, MS, RD, CNSC, Surgery Nutrition Support Dietitian, UVA Health, Charlottesville, VA

Challenges in Diagnosis and Treatment of Small Intestinal Bacterial Overgrowth (SIBO)
Andrew Ukleja, MD, AGAF, CNSP, Assistant Professor of Medicine, Division of Gastroenterology, Harvard Medical School/Beth Israel Deaconess Medical Center, Boston, MA

Jejunal Feeding Myths, Physiology, and Clinical Experience
Carol Rees Parrish, MS, RDN, GI Nutrition Support Specialist, Department of Nutrition Services, UVA Health, Charlottesville, VA

MODERATOR
Carol Rees Parrish, MS, RDN