Listen: Managing Enteral Patients & Peptide Feeds with Marie Watson

This webinar had the focus on the use of fibre supplements' in the nutritional management of patients with acute illness. The speaker, Nirouz Zarroug, discussed the impact of clinical decisions related to patient care.Note that : At the time of recording the webinar, Nirouz was working as a Clinical Specialist Dietitian at the Royal Liverpool University Hospital. She is currently employed as a Medical & Scientific Affairs Dietitian at Nestlé Nutrition and Health.

A Retrospective Study Join the discussion on this retrospective study results and get more in-depth data on the outcome measures. INFORMATION FOR HEALTHCARE PROFESSIONAL USE ONLY. Compleat paediatric is a food for special medical purposes for use under medical supervision.

This real-world evidence study explores the results from a multi-centre retrospective study of children who have switched to a tube feed containing food-derived ingredients. Read the publication, or watch our webinar where speakers discuss the positive outcomes and the potential impact they might have on local guidelines or day to day clinical practice.

Information for healthcare professional use onlyThis presentation by Dr Graeme O’Connor, research dietitian, discusses the effects of a low-energy, partially hydrolysed enteral formula on children with severe neurological impairments, aimed at managing weight gain and gastrointestinal symptoms.Graeme shared an overview of a multicentre retrospective study conducted in the UK regarding nutritional needs for children with neurological impairments.The use of a low-energy, partially hydrolysed formula aimed to manage weight gain while maintaining micronutrient levels. Thus, helping to overcome challenges with using standard concentration enteral formulas and weight gain in this vulnerable patient group.Graeme also discusses children in this cohort who experience greater gastrointestinal symptoms, complicating nutritional intake and weight management.Results of this study indicated improvements in gastrointestinal symptoms and controlled weight gain following the formula switch.Graeme shares the importance of recognising the impact on the health economics of simplifying feeding processes for families managing complex dietary needs.Watch the full presentation to learn more about the use of low-energy, partially hydrolysed enteral formula for children with severe neurological impairments.To learn more about nutritional considerations for children with neurological impairment, watch this webinar.

This session is part of the webinar 'Fibre Maze – Influence on Gut Health and GI disorders'. In this session Dr. Graeme discusses the barriers to meet nutrition requirements in an acute clinical setting plus a case study presentation.

Information for Healthcare Professional Use OnlyThe video with Stephanie Wakefield, specialist dietitian, discusses the nutritional challenges faced by a patient undergoing enteral feeding post-oesophagectomy, highlighting complications and dietary adjustments throughout his recovery journey.Highlights of this video case study include:The patient experienced significant complications post-surgery, including delayed feeding and extensive weight loss.Dietary management included transitioning from high-energy feeds to peptide feeds due to gastrointestinal issues.A chyle leak was identified, complicating nutritional support and necessitating a shift to a medium chain triglyceride (MCT), containing peptide feed then a low-fat diet once he started taking oral diet.The importance of tailored nutritional strategies to meet individual patient needs and monitor overall health was emphasised.  To learn more about the clinical evidence for food-derived ingredients in enteral nutrition formulas, you may be interested in watching episode 2 of the round table discussion series. Followed by episode 3 on the practical considerations for the future of home enteral feeding including the use of blended diets.

Information for Healthcare Professional Use OnlyThe roundtable discussion is chaired by Stephanie Wakefield, specialist dietitian and she is joined by a panel of expert dietitians in the field of enteral nutrition.The roundtable discusses trends and challenges in home enteral feeding, particularly focusing on formula with food-derived ingredients and patient care impacts.Highlights of the panel discussion include:Changing Practices: The discussion highlights the evolving landscape of home enteral feeding, emphasising the increased use of formula with food-derived ingredients in medical nutrition.Discharge Challenges: Participants note difficulties in patient discharges due to limited nursing home options for Nasogastric (NG) tube patients, leading to prolonged hospital stays.Parental Role: Parents play a crucial role in managing children’s feeding solutions, often blending food to meet dietary needs and improve symptoms.Cost Considerations: Budget constraints and the costs of blended diets and formulas with food-derived ingredients present significant challenges for families and healthcare providers.Future Preparations: The roundtable anticipates increasing adult patients transitioning from paediatric services, necessitating preparation for blended diets and food-derived feeds.This roundtable discussion is part of a 3-part video series.  Watch episode 2 of the series on the clinical evidence for formula with food-derived ingredients in medical nutrition.Episode 3 of the series discusses the future of home enteral tube feeding. Chairperson: Stephanie Wakefield, Specialist Upper GI Dietitian and Lecturer in Human Nutrition & Dietetics, Newcastle Upon Tyne Hospitals, Newcastle UniversitySpeakers: Adrian Gilson, Band 7 Community Nutrition Support DietitianJamie Leung, Lewisham Healthcare NHS Trust, Department of PaediatricsKaren Voas-Wootton, Glan Clwyd Hospital, Adult Team LeadKirsty Capper, Chester Adult Community, Adult Team LeadHannah Meanwell, Nottingham Hospital, Adult HEF Dietitian

Information for Healthcare Professional Use OnlyWatch the roundtable discussion chaired by specialist dietitian, Stephanie Wakefield and a panel of expert home enteral feeding dietitians. The discussion explores practical considerations for home enteral feeding, focusing on the economic challenges, the impact of blended diets, and the need for improved patient information.Highlights of the roundtable discussion include:Economic difficulties limit access to blended diets, especially for families affected by the cost-of-living crisis.Nutritional recommendations may include expensive ingredients, creating additional financial burdens for patients.Transitioning from standard feeds to blended diets can be challenging due to costs and the need for specialised equipment.Patients often benefit psychologically from having options, underscoring the importance of choice in feeding methods.A lack of robust patient information resources necessitates better support and collaboration among healthcare professionals.This roundtable discussion is part of a series, watch episode 1 and episode 2 to learn more about blended diets and enteral nutrition. Chairperson:Stephanie Wakefield, Specialist Upper GI Dietitian and Lecturer in Human Nutrition & Dietetics, Newcastle Upon Tyne Hospitals, Newcastle UniversitySpeakers:Adrian Gilson, Band 7 Community Nutrition Support DietitianJamie Leung, Lewisham Healthcare NHS Trust, Department of PaediatricsKaren Voas-Wootton, Glan Clwyd Hospital, Adult Team LeadKirsty Capper, Chester Adult Community, Adult Team LeadHannah Meanwell, Nottingham Hospital, Adult HEF Dietitian

Information for Healthcare Professional Use OnlyIn this video, paediatric dietitian, Kathryn Simpson, discusses her positive experiences with Peptamen Junior 1.5 oral nutritional supplement in a clinical trial involving paediatric patients.Highlights of the video include:Overview of an acceptability and tolerability trial for the Peptamen Junior 1.5 supplement, aiming to improve patient feeding tolerance and weight gain.Case studies of trial participants showed significant benefits, including increased oral intake and decreased reliance on tube feeding for patients with complex medical needs.Eight families participated in the trial demonstrating patient acceptance, no adverse gastrointestinal symptoms, and improved quality of life.Families expressed eagerness for the product’s availability, highlighting its potential to transform nutritional support for children.Acceptability and tolerability trials are an important step in demonstrating clinical effectiveness and safety of products for enteral nutrition.Note: Peptamen Junior 1.5 is a Food for Special Medical Purposes for the dietary management of disease related malnutrition in patients with malabsorption and/or maldigestion. Must be used under medical supervision.

Information for Healthcare Professional Use OnlyThis short video explains how IgE-mediated and non-IgE-mediated cow’s milk allergies (CMA) present differently in infants, emphasising the importance of recognising symptom patterns across body systems for accurate diagnosis and management.HighlightsIgE-mediated CMA causes rapid onset symptoms, typically affecting the skin (hives, redness, swelling), gut (oral itching, nausea, vomiting, diarrhoea), and respiratory system (hay fever-like symptoms). Severe cases may result in anaphylaxis.Non-IgE-mediated CMA results in delayed symptoms, often across multiple systems:- Skin: Persistent eczema, redness, itching.- Gut: Vomiting, reflux, loose stools ("poonamis"), soft stool constipation, blood in stool, and anal redness.- Growth: Severe cases may show faltering growth (poor weight/height gain).Respiratory symptoms are not typically recognised by National Institute for Clinical Excellence (NICE) for non-IgE CMA, but Milk Allergy in Primary Care (MAP) guidelines acknowledge congestion in affected infants.Multiple symptoms across systems—rather than a single isolated sign—are a hallmark of non-IgE-mediated CMA. You may also be interested in this webinar about CMA diagnosis and management.IMPORTANT NOTICE:We believe that breastfeeding is the ideal nutritional start for babies and we fully support the World Health Organisation’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with continued breastfeeding up to two years of age.We also recognise that breastfeeding may not be an option due to certain medical conditions. Parents should only feed infant formula for special medical purposes under supervision of a healthcare professional after full consideration of all feeding options, including breastfeeding. Continued use has to be assessed by the healthcare professional in relation to the baby's progress bearing in mind any social and financial implications for the family. Infant formula should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health.

Information for Healthcare Professional Use OnlyThis short video answers the question ‘Can a mother still breastfeed an infant with cows’ milk allergy?’. The video outlines best practices for breastfeeding infants with cow's milk allergy (CMA), emphasising that breast milk remains the preferred feeding option, even when CMA is present.HighlightsBreast milk is recommended as the first choice for all infants, including those with CMA.If an infant shows symptoms potentially linked to breast milk, the mother can try a milk-free diet.Symptom resolution during maternal milk elimination supports CMA diagnosis.Nutritional needs—especially calcium, vitamin D, and iodine—must be maintained during maternal milk exclusion.If the infant tolerates breast milk despite a CMA diagnosis, the mother does not need to remove milk from her diet.You may also be interested in learning about weaning in infants with CMA.IMPORTANT NOTICE:We believe that breastfeeding is the ideal nutritional start for babies and we fully support the World Health Organisation’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with continued breastfeeding up to two years of age.We also recognise that breastfeeding may not be an option due to certain medical conditions. Parents should only feed infant formula for special medical purposes under supervision of a healthcare professional after full consideration of all feeding options, including breastfeeding. Continued use has to be assessed by the healthcare professional in relation to the baby's progress bearing in mind any social and financial implications for the family. Infant formula should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health.

Information for Healthcare Professional Use OnlyIn this webinar Paediatric Dietitian, Sophie Rawlings, presents best practices for diagnosing and managing cow’s milk protein allergy (CMPA) in infants, with a focus on practical, evidence-based approaches in community settings.Highlights of the webinar include:Overview of IgE and non-IgE mediated food allergies and typical symptoms.Discussion of risk factors, including family history and environmental influences.Importance of allergy-focused history and elimination diets in diagnosis.Use of tools like BSACI and Milk Allergy in Primary Care i(MAP) guidelines to support accurate CMPA identification.Management strategies including breastfeeding advice and use of extensively hydrolysed or amino acid formulas where appropriate.Guidance on when to refer to secondary care or allergy centres.An explanation of Birmingham’s CMPA care pathway and dietetic triage process.Watch the full webinar to learn more about the appropriate management of cow’s milk allergy.IMPORTANT NOTICE:We believe that breastfeeding is the ideal nutritional start for babies and we fully support the World Health Organisation’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with continued breastfeeding up to two years of age.We also recognise that breastfeeding may not be an option due to certain medical conditions. Parents should only feed infant formula for special medical purposes under supervision of a healthcare professional after full consideration of all feeding options, including breastfeeding. Continued use has to be assessed by the healthcare professional in relation to the baby's progress bearing in mind any social and financial implications for the family. Infant formula should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health.Download Certificate