Neurological Disorders

This case study discusses the management of a patient with Motor Neurone Disease, who developed reflux and regurgitation on commencing gastrostomy bolus feeding. Despite the use of various enteral and oral feeds, his symptoms persisted, and he lost approximately 8% of his body weight in 9 months. After commencing Peptamen® AF, a 100% whey peptide formula with 50% of fat fr...

A 22 year old gentleman, diagnosed with cerebral palsy (a neurological condition that is specifically caused by problems in the part of the brain responsible for controlling muscles), was referred to the Dietetic department.1 He also had a differential diagnosis of Inflammatory Bowel Disease (IBD), which is the general term used to describe ulcerative colitis a...

Mitochondrial myopathy is a neuromuscular disease caused by damage to the mitochondria. These are small, energy-producing structures that work as the cell’s power plant. The cells most affected are nerve cells in the brain and muscle as they require a lot of energy. The symptoms of mitochondrial myopathy include: Muscle weakness (including respiratory muscle) or exer...

It is well known that traumatic brain injury (TBI) increases the body’s metabolic response.1,2 This increased metabolic response leads to hyperglycemia, protein wasting and an increased energy demand, thus adequate nutrition support is vital for recovery.2-4 Adequate nutrition has been a clinical challenge for decades as poor feed tolerance; due to increased gastric resi...

THE PEPTAMEN® FAMILY IS SUPPORTED BY OVER 50 PUBLICATIONS. WE HAVE SELECTED FOUR KEY SUPPORTING EVIDENTIAL PIECES, SPECIFICALLY FOR PAEDIATRICS TO SHARE WITH YOU IN DETAIL, AS WELL AS HIGHLIGHTS FROM OUR RANGE OF CLINICAL EVIDENCE.

A patient with complex feeding issues could not gain weight or reduce the episodes of vomiting, despite trying numerous feeds, until Peptamen® Junior Advance was initiated. Thereafter, his symptoms improved and his family reported improvements in his daily quality of life. Introduction. Patient X is a 4 year old boy who is exclusively gastrostomy fed. He has been under th...

This case study presents a four year old child, newly diagnosed with acute lymphoblastic leukaemia (ALL), who experienced significant intolerance to feeds as a result of his intense treatment regimen, largely chemotherapy. ALL is a cancer of the blood. It is the most common cancer in children, accounting for around one third of cases. Five hundred children are diagnose...

This case study presents a child with severe neurodisabilities and gastrointestinal disease. Many children with cerebral palsy require enteral feeding to ensure adequate nutritional intake to meet nutritional requirements for growth and development, due to aspiration risk with oral intake due to dysphagia and/or gastro-oesophageal reflux disease.1 Hirschsprung’s disea...

A child (Child M) born premature at 33 weeks and 4 days with a complex secondary diagnosis that included GORD, failure to thrive, IUGR, vitamin D resistant rickets, abnormal vocal cords and chronic lung disease. All of which resulted in the need for increased nutritional requirements. This case study discusses the different feeds that were used to manage the complex feeding ...

In this video, Jacqui Griffiths, MND Dietitian from Leeds MND Care Centre discusses the management of a patient with Motor Neurone Disease, who developed reflux and regurgitation on commencing gastrostomy bolus feeding. Despite the use of various enteral and oral feeds, his symptoms persisted, and he lost approximately 8% of his body weight in 9 months. After commencing Peptamen® AF, a 100% whey peptide formula with 50% of fat from MCT, his symptoms resolved and his weight stabilised. He continues to tolerate enteral feeding well after 8 months on his new feed and reports his quality of life has improved.

In this video, Elaine Mealey, Community Paediatric Dietitian from Whittington Health HNS, discusses the importance of E-learning and presents our BDA accredited CPD E-learning module which Nestle Health Science have created in collaboration with Elaine as part of our wider CPD programme.

Amanda Wall, Paediatric Dietitian and Nadia Aslam, Adult Dietitian, discuss the transition of patients from paediatric to adult HEF services.

Paula Hynd, from the Wellcome Trust for Mitochondrial Research in Newcastle discusses the disease area and its importance for dietitians, the role dietitians play in the management of patients and how dietitians can impact patient care.

Dr Anton Emmanuel provides a thought-provoking update on the relationship between the brain and the gut. Drawing on his extensive experience in neurogastroenterology, and exploring emerging research in the field, he provides expert insight in to this evolving-discipline. The pathophysiology of gastrointestinal dysfunction in neurological disorders, such as Multiple Sclerosis, is examined.

Dr Nikhil Sharma explores the role of the gut microbiome in neurological disorders, and offers fascinating insight into his forthcoming research involving faecal microbiota transplantation in motor neurone disease.

Ella Segaran provides her perspective on gastrointestinal dysfunction in acute neurological disorders, focusing on critically ill traumatic brain injured patients. By drawing on her own experience as well as appraising the current evidence base, she offers practical solutions for improving the nutritional care of this vulnerable patient group.

Karen Green is well known in dietetics for her contribution to the Manual of Dietetic Practice and BDA Best Practice Guidelines on Parkinson’s disease. In this lecture, she explores the impact of Parkinson’s disease on the gut, including the management of gastroparesis, constipation and small intestinal bacterial overgrowth.

Vitamin D status in the UK is a hot topic. Hayley Kuter a paediatric home enteral tube feed dietitian at Royal Manchester Children’s Hospital has a keen interest in vitamin D and was invited to provide us with an overview of vitamin D, risk factors for deficiency in neuro-disability and an update on SACN guidelines on vitamin D. Hayley also walks us through her recent study report on vitamin D status of gastrostomy fed children with special needs.

Gerard Minor, is a physician assistant specialising in paediatric gastroenterology and nutrition in Florida. He has carried out a study using Peptamen Jr that was presented at the NASPGHAN conference, Feb 2016, and published in the journal of Global Paediatric Health. Gerard spoke at our ND study day in May 2016 and we recorded his presentation.