Minutes from BSG Small Bowel and Nutrition Committee
Friday 3rd November 2006
10.30am
BSG Office
1. Present:
David Sanders (Chairman)
Jeremy Woodward (Secretary)
Mark McAlindon
Peter Watson
Julian Walters
Ian Fellows
2. Apologies:
Alistair McKinley
Alan Shand
Simon Gabe
3. Membership:
Alan Shand, Simon Gabe and Mark McAlindon - term expires
end March 2006. 3 vacancies advertised. If less than three nominated candidates can
we retain an existing member?
JW
4. Minutes of last meeting: No matters raised. Minutes approved.
5. Small Bowel nutrition symposium 2007 28th March– Educating RITA in
clinical nutrition. Five short (twenty minute) talks to run through without a
break. Panel discussion to be held at the end rather than individual questions.
Chaired by David Sanders and Jeremy Woodward
Talks to be as follows:
0900 – 0920 Dr Jeremy Nightingale: ‘Fighting for Funding and Feeding: Lessons
in nutrition support’
0920-0940 Dr Mike Stroud: ‘The impact of NICE guidance on clinic nutrition
practice and training’
0940-1000 Dr Shailesh Karanth: ‘The SpR perspective of training in clinical
nutrition’
1000-1020 Dr Ian Fellows: ‘A Curriculum in Clinical Nutrition’
1020-1040 Dr Ian Forgacs: ‘Can the Nutrition curriculum be delivered?’
1040-1100 – Panel Discussion
1100 – end and coffee
6. Combined surgical/nutrition symposium 2007
This has been led by the surgical section and we are very glad that they have taken
on board our suggestions for speakers.
6. Free papers/posters – free papers to be chaired by David Sanders and Peter
Watson. Posters round – Jeremy Woodward and Ian Fellows – nutrition.
Julian Walters and Mark McAlindon - small bowel.
Discussion of prizes - may cause some confusion given the grading for plenary
posters and free papers. There was agreement on a prize for both the best small
bowel poster and the best nutrition poster – no prize for free papers (it was
considered that selection for oral presentation was a suitable accolade in itself).
Prizes to be presented at the free paper session. £100 each. Ian Fellows to
provide a scoring sheet.
7. Symposium 2008 – Given that the surgical section is running a joint
symposium with nutrition in 2007, the proposed symposium on problems after
intestinal resection may need to be put off to another year. Coeliac disease has
been proposed as a topic.
Suggested topics:
Links with primary care – Roger Jones
Complications (bones) – Julian Walters
Management overview
Difficult issues in diagnosis and treatment
Refractory disease – Chris Mulder?state of the art
Genetics – David Van Heel
When is it celiac disease? When should it be treated? Should people be screened for
celiac disease? Is malignancy a problem? How should patients be followed up? Will
a gene for celiac disease be identified? Grey cases? Ethics? (Richard Logan).
8. Joint symposium with paediatric section – also in 2008.
Transitional care: Artificial nutrition (PEG fed children etc), eating disorders,
clinical psychology input. Cystic fibrosis? – does this fit into artificial nutrition
support. Obesity in adolescents. JW to liaise with the paediatric section.
9. BAPEN medical - a request to contribute to a postgraduate training day.
Needs an approach to the education committee – how do we input our requests
for this? DS to liaise with education committee.
10. Symposium 2009 – problems after intestinal resection. Broader overview
needed. ?Denise Robertson hyperinsulinaemic post colectomy. Short bowel.
Stones. Bile salt malabsorption.
11. Future ideas for symposia – new techniques and technologies. Evolution of
small bowel imaging and therapy?
Obscure GI bleeding?
IBS,
prebiotics/probiotics.
12. Joint symposium with RCPath – Aim for Thursday 15th November (of the
dates suggested). 30 minutes - Julian Walters has a keen interest in this area –
would do the clinician’s perspective. Suggestions include Gordon Brydon
(Edinburgh) on bile acid malabsorption. A speaker on celiac abs – David
Onsworth, Bristol. Alternatives to faecal fat testing. Breath tests. Perhaps
run on the basis of specific diseases. Who authored the recent GUT editorial –
breath tests?
Micronutrient measurement – Ian fellows/pathologist?
Pancreatic function – faecal elastase etc. ?pathologist. Faecal tests – David
Sanders. JW to communicate with Lance Sanders
13. Guidelines:
Coeliac – rejected by GUT. Would be acceptable for BSG guidelines.
David Sanders will edit and recirculate.
Capsule endoscopy and enteroscopy: Duncan Loft has replied from
the Clinical Services and Standards Committee. MM in the process of
making the necessary alterations and John Morris currently is working
on this as well. Combining the capsule and enteroscopy aspects are
considered to be a strong aspect.
Pseudo-obstruction: Jeremy Nightingale currently working on this
with Jeremy Powell Tuck. Await further information on this at
present.
14. Reports from other committees:
RCP – JW: A major focus on education in the medical school/pre-reg and
postgraduate training. Liaison with the expert groups on HRG allocation to
ensure proper allocation of funding.
BAPEN - IF: Again educational focus across the multidisciplinary spectrum
and a drive on malnutrition. NICE guidelines, national inequalities in
malnutrition.
AUDIT – JW to approach AM for a report.
IT – JW to approach GS for a report.
HIFNET – a move towards developing a network approach for HPN in
England – making slow but positive progress with engagement from the DH.
15. Next meeting: at BSG in March