Medical Nutrition Therapy

FNCE 2018

194. Combating the Short Gut Demons: The Devil Is in the Details

Monday, October 22
1:30 PM - 3:00 PM
CE: 1.5

Session Level 3 - Advanced

Short gut, also called short bowel syndrome (SBS), is a profound malabsorptive disorder associated with malnutrition, dehydration, and myriad other co-morbidities, the aftermath of which results in a greatly reduced quality of life and enormous health care costs. Managing the SBS patient demands an understanding of gastrointestinal anatomy, physiology, nutrition, and pharmacology, as well as a great deal of time to coordinate the dietary, fluid, and pharmacotherapy management required for these complicated patients. Many SBS patients can thrive with careful attention to details. This session will equip the registered dietitian nutritionist (RDN) with an understanding of the best practice for management of SBS patients. Resources will also be provided for those who would like more in-depth assistance to care for patients with this challenging condition. Along with the physician, the RDN plays a crucial and central role in the care of these complex patients.

Learning Objectives:

Learning Need Codes:

  • 5220 - Gastrointestinal disorders (disease/disorder)
  • 3070 - Pharmacological, drug/nutrient, herbal interaction
  • 5440 - Enteral and parenteral nutrition support (nutritional care)

Carol Parrish, MS, RDN

Carol Rees Parrish has 36 years of clinical experience; the past 26 of which have been spent specializing in nutrition support and GI disorders at the University of Virginia Health System (UVAHS) Digestive Health Center. Carol founded the Medicine Nutrition Support Team in 1991, developed the GI Nutrition Clinic, and is the co-founder of the UVAHS Nutrition Support Traineeship, Weekend Warrior, and Webinar educational programs. She has been the nutrition series editor for the journal, Practical Gastroenterology, since 2003 publishing over 175 articles since taking the position. She has numerous abstracts, publications, book chapters, and given well over 300 GI & nutrition support presentations at the local, state, regional, national, and international level. Carol’s passion in GI and nutrition support includes taking care of patients with short bowel syndrome/malabsorptive syndromes, high output ostomy states, nutrition support, pancreatitis, gastroparesis, and many others.

Presentation(s):

Send Email for Carol Parrish

Kate Willcutts

Kate has a BA in Biology, a MS in Nutrition from KSU and a doctorate in clinical nutrition from Rutgers. She is a CNSC and practiced specifically in the area of surgical nutrition support for 20+ years at the University of Virginia Hospital. She is the clinical nutrition manager at her facility. Her publications include: nutrition chapters in nursing and surgical textbooks, articles on indirect calorimetry, enterocutaneous fistulas, ostomies, critical care nutrition, and perioperative nutrition. Her doctoral work, “Early oral feeding as compared to traditional timing of oral feeding after upper gastrointestinal surgery: A systematic review and meta-analysis” was published in the Annals of Surgery. She is the editor for Support Line, the newsletter for the DPG – Dietitians in Nutrition Support.

Presentation(s):

Send Email for Kate Willcutts

Andrew Copland, MD

Dr Copland is an Assistant Professor in the GI division at the University of Virginia where his clinical practice focuses on small bowel diseases including management of challenging nutrition cases and short bowel syndrome. This practice emphasizes close collaboration with a robust nutrition support team including dieticians and pharmacists. He has recently published on some of these experiences in Practical Gastroenterology focusing particularly on the use of medication management and the use of trophic agents in short bowel syndrome.

Presentation(s):

Send Email for Andrew Copland

Carol Parrish, MS, RDN

Carol Rees Parrish has 36 years of clinical experience; the past 26 of which have been spent specializing in nutrition support and GI disorders at the University of Virginia Health System (UVAHS) Digestive Health Center. Carol founded the Medicine Nutrition Support Team in 1991, developed the GI Nutrition Clinic, and is the co-founder of the UVAHS Nutrition Support Traineeship, Weekend Warrior, and Webinar educational programs. She has been the nutrition series editor for the journal, Practical Gastroenterology, since 2003 publishing over 175 articles since taking the position. She has numerous abstracts, publications, book chapters, and given well over 300 GI & nutrition support presentations at the local, state, regional, national, and international level. Carol’s passion in GI and nutrition support includes taking care of patients with short bowel syndrome/malabsorptive syndromes, high output ostomy states, nutrition support, pancreatitis, gastroparesis, and many others.

Presentation(s):

Send Email for Carol Parrish


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194. Combating the Short Gut Demons: The Devil Is in the Details

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