Presentations from Dietetic management and pancreatic cancer

Nutritional assessment – Helen Webster, Oncology Team Lead – Dietetics (UGI & HPB Specialist and Non Medical Prescriber), Ninewells Hospital, Dundee

Pancreatic exocrine insufficiency and pancreatic enzyme replacement therapy – Ciara O’Beirne, Upper GI & HPB Surgical Dietitian, Cardiff and Vale UHB

Nutritional management – Chloé McMurray, Senior HPB Dietitian, Nutrition & Dietetics, North Tees and Hartlepool NHS Foundation Trust

Type 3c diabetes – Michaela Lamont, Clinical Lead Specialist Diabetes Dietitian, Community Nutrition and Dietetics, Belfast Health & Social Care Trust

During the event, some of the questions were responded to via message. You can see these in this document. The other questions were responded to live which you can see in the video recording.

• 09.00 – 09.10: Welcome and introduction – Nicci Murphy, Pancreatic Cancer Specialist Nurse, Pancreatic Cancer UK
• 09.10 – 09.55: Nutritional assessment – Helen Webster, Oncology Team Lead – Dietetics (UGI & HPB Specialist and Non Medical Prescriber), Ninewells Hospital, Dundee
• 09.55 – 10.40: Pancreatic exocrine insufficiency and pancreatic enzyme replacement therapy – Ciara O’Beirne, Upper GI & HPB Surgical Dietitian, Cardiff and Vale UHB
• 10.40 – 10.50: Break
• 10.50 – 11.40: Nutritional management – Chloé McMurray, Senior HPB Dietitian, Nutrition & Dietetics, North Tees and Hartlepool NHS Foundation Trust
• 11.40 – 11.45: Break
• 11.45 – 12.25: Type 3c diabetes – Michaela Lamont, Clinical Lead Specialist Diabetes Dietitian, Community Nutrition and Dietetics, Belfast Health & Social Care Trust
• 12.25 – 12.55: Complex cases – your opportunity to share anonymous cases in advance for the dietitians to discuss approaches on the day
• 12.55 – 13.00: Close

Nutritional assessment:

• Overview of cachexia, sarcopenia, malnutrition and frailty
• Malabsorption and how this impacts on cachexia, sarcopenia, malnutrition and frailty
• Factors affecting nutritional status
• How to assess nutritional status – calculating nutritional requirements and functional tests and tools
• Assessing for vitamin deficiency
• Prehabilitation

Pancreatic exocrine insufficiency (PEI) and pancreatic enzyme replacement therapy (PERT):

• PEI – Causes, consequences, symptoms and diagnosis
• PERT – Who needs it, what it does, how to take it effectively and titrating the dose; focus on enteral feeding, troubleshooting and differential diagnosis

Nutritional management:

• Managing appetite loss
• Diet fortification and oral nutritional supplements
• Enteral feeding
• Stent dietary advice
• Surgery – including pre- and post-surgery
• Chemotherapy
• Small intestinal bacterial overgrowth (SIBO)
• Bile acid malabsorption (BAM) / Bile acid diarrhoea (BAD)
• Dumping syndrome

Type 3c diabetes

• Overview of type 3c diabetes
• How it impacts on nutrition

This session is suitable for all healthcare professionals treating and supporting people with pancreatic cancer, no matter your level or role. It is particularly relevant for dietitians and nursing roles, as well as student dietitians and nurses.