When whole protein feeds are not tolerated

Webinar Objectives:
This webinar  looked at  When whole protein feeds are not tolerated – a practical approach to indications and management of specialised  feeds in paediatrics. The focus of this webinar was to understand more around: The gut-brain axis, what is intolerance & factors to consider when managing children with GI intolerance The use of amino acid and extensively hydrolysed / semi-elemental formulas outside of cow’s milk allergy – results from HOPA study, UK A follow up podcast was produced to tackle questions raised during the webinar that were unable to be answered in the session itself. See below for more information:
This podcast follows up successful webinar we hosted. We  had a lot of questions that couldn’t be answered in the session itself. Here we explore themes such as use of eHF vs AA in CMA and tube feeding, food administration and the role of the blended as well as others. See below for specific questions and their times: Question – Time 1. Does the classification ‘Amino acid based’ and ‘extensively hydrolysed’ automatically mean that the product is suitable for children with CMA? 2:14 2. When would you recommend starting a child with an amino acid based formula vs an extensively hydrolysed formula when they are being tube fed? 3:15 3. Should we be using more blended diet for general gut health as well as an alternative to EHF/AAF? 4:48 4. If you have a child who is stunted, do you use the normal range for age for assessing nutritional blood results or would you use the normal range for height age? 9:52 5. Is there any evidence to suggest child should routinely be swapped to an eHF when they have antibiotic related diarrhea? 11:47 6. Duding Covid-19 the access to health care services has been reduced. What is your best advice to nutritional management at home? 15:06 7. What is the role of pre – and probiotics in tube fed children? 18:14 8. Use of PPI and the impact on nutritional management- what are the considerations? 22:16 9. How does bowel resection affect the gut brain axis?  Particularly if there has been resection involving the large bowel/removal of the large bowel? 29:46 10. If you say that the receptors for flavour in the mouth influence the working of the GI/gut, is it then also true that if you have less flavor ability to taste (for example during chemo), this also reduces the working of the GI/gut? 31:29 11. If we have the choice to feed via tube continuously, or intermittently via bolus. Which form of feeding would you recommend in which situations and why? 34:05 12. Do you think there is any role of oral/smell priming of gut before feeding in preterm children or children with neurodisability who are tube fed? 38:01 13. It’s interesting that if we eat outside of our biological eating time, digestion will take longer. Could you please explain it? 40:51 14. We see in anorexia nervosa a delayed gastric emptying and a disturbed bowel movements. It is a problem in refeeding. What is the reason for it and is there any practical advice to manage it? 43:08
Home > Webinars > Webinars > When whole protein feeds are not tolerated

When: 8th July 2020

Chair and Host:
Chris Smith
Registered Dietitian, Clinical Lead, and Senior Paediatric Dietitian, Royal Alexandra Children’s Hospital, Brighton, United Kingdom.

Speakers

Dr. Rosan Meyer
Paediatric Dietitian Honorary Senior Lecturer, Imperial College, London UK - Visiting Professor KU Leuven, Belgium.
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Prof. Nikhil Thapar
Director of Gastroenterology, Hepatology and Liver Transplant, Queensland Children’s Hospital, Brisbane, Australia.
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Webinar Objectives:

This webinar  looked at  When whole protein feeds are not tolerated – a practical approach to indications and management of specialised  feeds in paediatrics. The focus of this webinar was to understand more around:
  • The gut-brain axis, what is intolerance & factors to consider when managing children with GI intolerance
  • The use of amino acid and extensively hydrolysed / semi-elemental formulas outside of cow’s milk allergy – results from HOPA study, UK

A follow up podcast was produced to tackle questions raised during the webinar that were unable to be answered in the session itself. See below for more information:

This podcast follows up successful webinar we hosted. We  had a lot of questions that couldn’t be answered in the session itself. Here we explore themes such as use of eHF vs AA in CMA and tube feeding, food administration and the role of the blended as well as others. See below for specific questions and their times:

Question – Time

1. Does the classification ‘Amino acid based’ and ‘extensively hydrolysed’ automatically mean that the product is suitable for children with CMA? 2:14
2. When would you recommend starting a child with an amino acid based formula vs an extensively hydrolysed formula when they are being tube fed? 3:15
3. Should we be using more blended diet for general gut health as well as an alternative to EHF/AAF? 4:48
4. If you have a child who is stunted, do you use the normal range for age for assessing nutritional blood results or would you use the normal range for height age? 9:52
5. Is there any evidence to suggest child should routinely be swapped to an eHF when they have antibiotic related diarrhea? 11:47
6. Duding Covid-19 the access to health care services has been reduced. What is your best advice to nutritional management at home? 15:06
7. What is the role of pre – and probiotics in tube fed children? 18:14
8. Use of PPI and the impact on nutritional management- what are the considerations? 22:16
9. How does bowel resection affect the gut brain axis?  Particularly if there has been resection involving the large bowel/removal of the large bowel? 29:46
10. If you say that the receptors for flavour in the mouth influence the working of the GI/gut, is it then also true that if you have less flavor ability to taste (for example during chemo), this also reduces the working of the GI/gut? 31:29
11. If we have the choice to feed via tube continuously, or intermittently via bolus. Which form of feeding would you recommend in which situations and why? 34:05
12. Do you think there is any role of oral/smell priming of gut before feeding in preterm children or children with neurodisability who are tube fed? 38:01
13. It’s interesting that if we eat outside of our biological eating time, digestion will take longer. Could you please explain it? 40:51
14. We see in anorexia nervosa a delayed gastric emptying and a disturbed bowel movements. It is a problem in refeeding. What is the reason for it and is there any practical advice to manage it? 43:08

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