Didactics Archive

Definitions, Classification, Prognosis of Intestinal Failure (IF)
Session Date
Session Date: 
May 4, 2021
Didactic
Didactic: 
Doug Seidner, MD, Cleveland Clinic
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Provide the accepted definition for chronic IF
  2. Describe approach to classification of IF
  3. Relate classification to prognosis of IF
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Pediatric Intestinal Failure: The Long View
Session Date
Session Date: 
March 9, 2021
Didactic
Didactic: 
Simon Horslen, MD, FRCP, Seattle Children’s Hospital, Seattle
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the evolution of intestinal rehabilitation
  2. Describe current outcomes for intestinal failure
  3. Describe anticipated developments in pediatric intestinal failure
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Hospitalizations in Short Bowel Syndrome Patients
Session Date
Session Date: 
March 2, 2021
Didactic
Didactic: 
Tausif Siddiqui, MD, Cleveland Clinic
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Analyze the trend of increasing hospitalizations in patients with short bowel syndrome (SBS) in the United States over a decade
  2. Identify the leading causes for hospital admissions in SBS patients
  3. Summarize the financial burden of hospitalizations in SBS patients
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Central Venous Cather-Related Infections in Patients on Long-Term Parenteral Nutrition
Session Date
Session Date: 
February 16, 2021
Didactic
Didactic: 
Simon Lal, MBChB, FRCP, PhD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 

  1. Describe the prevalence of central venous cather-related infections (CRBSI) in chronic intestinal failure CIF

  2. Describe approaches to reducing incidence of CRBSI in CIF
  3. Discuss management of CRBSI in CIF
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Current Status of Pediatric Intestinal Transplantation
Session Date
Session Date: 
February 9, 2021
Didactic
Didactic: 
George Mazariegos, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the current role for intestinal transplantation in children
  2. Describe types of intestinal transplant procedures in children
  3. Discuss the outcomes of pediatric intestinal transplantation
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Palliative HPN in the UK Before and During COVID
Session Date
Session Date: 
February 2, 2021
Didactic
Didactic: 
Antje Teubner, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe HPN decision making in the palliative patient cohort in the UK
  2. Explain the practice of remote discharge examples in the UK
  3. Summarize palliative HPN management throughout the COVID pandemic
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Medical Management of Intestinal Failure
Session Date
Session Date: 
January 19, 2021
Didactic
Didactic: 
Tim Vanuytsel, MD, PhD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the medical management of intestinal failure
  2. Discuss the position of growth factor use in SBS-IF
  3. Outline outcomes of intestinal failure
Watch Full Didactic
Current Status of Growth Factor Use in Children
Session Date
Session Date: 
January 12, 2021
Didactic
Didactic: 
Beth Carter, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Summarize overall outcomes in children with GLP-2
  2. Outline the approach to use of GLp-2 analogs in children with SBS-IF
  3. Discuss real-world experience with GLP-2 use in pediatric patients with SBS-IF
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Inequities in SBS Care in Europe
Session Date
Session Date: 
January 5, 2021
Didactic
Didactic: 
Stephane Schneider, MD, PhD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Understand the management of SBS care in Europe
  2. Describe differences in  SBS care in different geographies
  3. Understand approaches to developing IF expertise across Europe
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Surgical Approach to Inoperable Desmoid Tumors Including Transplantation
Session Date
Session Date: 
December 15, 2020
Didactic
Didactic: 
Kishore Iyer, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Clinical and anatomic impact of inoperable desmoid tumors at the root of the mesentery
  2. Surgical approach to inoperable desmoid tumors
  3. Role of intestinal transplantation for desmoid tumors
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Revisiting Indications for Pediatric Intestinal Transplant
Session Date
Session Date: 
December 8, 2020
Didactic
Didactic: 
Yaron Avitzur, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Understand current indications for pediatric intestinal transplantation
  2. Understand current outcomes for different types of intestinal transplan
  3. Determine limitations of current intestinal transplant indications.
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Clinical Significance of Pathological Small Bowel Dilatation
Session Date
Session Date: 
November 3, 2020
Didactic
Didactic: 
Mikko Pakarinen, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Identify and validate the measurement of small bowel caliber in short bowel syndrome (SBS)
  2. Compare and contrast the relationship between bowel dilatation and parenteral nutrition complications
  3. Summarize the relationship between bowel dilatation and enteral autonomy.
Watch Full Didactic
Management of Adult Patients with Severe Chronic Small Intestinal Dysmotility
Session Date
Session Date: 
October 20, 2020
Didactic
Didactic: 
Jeremy Nightingale, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Define the spectrum of functional disorders leading to intestinal failure (IF)
  2. Explain the diagnosis of pseudo-obstruction
  3. Develop a plan to manage  management of functional IF
Watch Full Didactic
Diagnosis and Management of Pseudo-Obstruction and Functional Intestinal Failure in Children
Session Date
Session Date: 
October 13, 2020
Didactic
Didactic: 
Nikhil Thapar, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 

  1. Evaluate the spectrum of functional disorders leading to IF in children

  2. Define the diagnosis of pseudo-obstruction in children

  3. Develop a plan to manage functional IF in children

Watch Full Didactic
Overview of Intestinal Failure
Session Date
Session Date: 
October 6, 2020
Didactic
Didactic: 
Kishore Iyer, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Relate type of intestinal failure to prognosis
  2. Understand central-venous catheter related infection
  3. Understand IFALD
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Establishing a National Intestinal Failure Service: Lessons from New Zealand
Session Date
Session Date: 
September 15, 2020
Didactic
Didactic: 
Helen Evans, MD and Amin Roberts, MD (Hosts of CIRTA 2021)
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Summarize the evolution of a new national intestinal failure service
  2. Describe the  steps in establishing a national intestinal failure service
  3. Summarize early outcomes for a new national intestinal failure service
Watch Full Didactic
Enteral Autonomy and Survival in Pediatric Intestinal Failure
Session Date
Session Date: 
September 8, 2020
Didactic
Didactic: 
Biren Modi, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the current survival rate in pediatric IF
  2. Predict the likelihood of enteral autonomy in pediatric IF
  3. Discuss the impact of enteral autonomy in pediatric IF
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Role of Interventional Radiology in Intestinal Failure
Session Date
Session Date: 
September 1, 2020
Didactic
Didactic: 
Rahul Patel, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the radiological evaluation of loss of venous access
  2. Describe percutaneous techniques to regain central venous access
  3. Discuss role of percutaneous intervention in avoiding multivisceral transplant for complicated porto-mesenteric venous thrombosis
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Experience with the Acute Intestinal Stroke Unit in Paris
Session Date
Session Date: 
August 18, 2020
Didactic
Didactic: 
Olivier Corcos, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the evolution of acute mesenteric ischemia
  2. Plan the appropriate multi-disciplinary management of acute mesenteric ischemia
  3. Outline outcomes of multi-disciplinary management of acute mesenteric ischemia
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Predicting Enteral Autonomy in Pediatric Intestinal Failure
Session Date
Session Date: 
August 11, 2020
Didactic
Didactic: 
Paul Wales, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Summarize overall outcomes in children with intestinal failure
  2. Outline the likelihood of enteral autonomy in children with IF
  3. Predict the potential for enteral autonomy in pediatric patients with IF
Watch Full Didactic
Intestinal Failure: Lessons from Latin America (Part 2)
Session Date
Session Date: 
August 4, 2020
Didactic
Didactic: 
Gabriel Gondolesi, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Understand the development of intestinal transplants in Argentina
  2. Describe outcomes of ITX in under-resourced geographies
  3. Understand approaches to developing IF expertise in emerging geographies
Watch Full Didactic
Managing Type 2 Intestinal Failure: the SNAP approach
Session Date
Session Date: 
July 21, 2020
Didactic
Didactic: 
Simon Lal, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the pathogenesis of Type 2 IF
  2. Select management priorities for Type 2 IF, using the SNAP approach
  3. Summarize the outcomes for type 2 IF
Watch Full Didactic
State of Pediatric Intestinal Failure in 2020
Session Date
Session Date: 
July 14, 2020
Didactic
Didactic: 
Valeria Cohran, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Explain the evolution of pediatric intestinal rehabilitation
  2. Identify current treatments for pediatric intestinal failure (IF)
  3. Discuss current outcomes for pediatric IF
Watch Full Didactic
Intestinal Failure: Lessons from Latin America
Session Date
Session Date: 
June 16, 2020
Didactic
Didactic: 
Gabriel Gondolesi, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Understand the prevelance of SBS/IF treatments in South America
  2. Describe outcomes of IF in under-resourced geographies 
  3. Understand approaches to developing IF expertise in emerging geographies 
Watch Full Didactic
Quality of Life in Home Parenteral Nutrition and Short Bowel Syndrome
Session Date
Session Date: 
June 2, 2020
Didactic
Didactic: 
Marion Winkler, RD, PhD, FASPEN
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Evaluate quality of life (QoL) in intestinal failure and HPN patients
  2. Use qualitative approaches to study QoL of intestinal failure patients
  3. Summarize outcomes for current QoL studies in IF
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Principles of Intestinal Failure Management: The Patient with High Stoma Output
Session Date
Session Date: 
May 19, 2020
Didactic
Didactic: 
Jeremy Nightingale, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the clinical features of patients with SBS-IF and jejunostomies
  2. Discuss the steps in medical treatment of the high output stoma patient
  3. Summarize current outcomes in this group of patients
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Nutritional Rehabilitation: How Do We Wean Parenteral Nutrition?
Session Date
Session Date: 
May 5, 2020
Didactic
Didactic: 
Carol Parrish, MS, RDN
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. List the clinician's role in preparing a patient for PN weaning.
  2. Identify the clues that may suggest it is time for a weaning trial.
  3. Discuss the nutrition and hydration weaning options available to clinician and patient.
Watch Full Didactic
Educating the Patient and Caregiver for Transitioning to Home Parenteral Nutrition (HPN)
Session Date
Session Date: 
April 21, 2020
Didactic
Didactic: 
Dejan Micic, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the principles of preparing to discharge patients on PN
  2. Implement best practices for teaching patients/ care-providers how to manage HPN
  3. Describe best practices for prevention of common PN complications
Watch Full Didactic
Transitioning the PN Patient to the Home and Monitoring PN in the Home Setting
Session Date
Session Date: 
April 7, 2020
Didactic
Didactic: 
Vanessa Kumpf, PharmD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Articulate the steps in preparing a patient for home parenteral nutrition (HPN)
  2. Describe the steps for safe discharge on HPN
  3. Develop a plan for laboratory monitoring of patients on HPN
Watch Full Didactic
Who Needs Parenteral Nutrition and When?
Session Date
Session Date: 
March 17, 2020
Didactic
Didactic: 
Carol Semrad, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 

  1. Identify indications for commencing parenteral nutrition (PN)

  2. Identify contraindications to commencing PN

  3. Analyze clinical, financial and social constraints to commencing PN

Watch Full Didactic
Current Status of Intestinal Transplant
Session Date
Session Date: 
February 18, 2020
Didactic
Didactic: 
Kishore Iyer , MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Determine the current and expanding indications for intestinal transplantation for SBS/IF
  2. Describe the  choice of allograft organs in intestinal transplant
  3. Summarize outcomes for intestinal transplantation in the modern era
Watch Full Didactic
Growth Factors Beyond Teduglutide
Session Date
Session Date: 
February 4, 2020
Didactic
Didactic: 
Palle Jeppesen, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the principles of growth factor therapy in intestinal adaptation using teduglutide as the prototype growth factor
  2. Summarize results of recent Phase 2 trials with long-acting growth factors in intestinal failure
  3. Explain the future landscape for growth factor therapy in intestinal failure
Watch Full Didactic
Real World Experience with Teduglutide: Lessons Learned
Session Date
Session Date: 
January 21, 2020
Didactic
Didactic: 
Francisca Joly, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the use of growth factors in SBS/IF
  2. Identify contraindications to use of growth factors in SBS/IF
  3. Analyze current real-world experience with use of growth factor therapy in SBS/IF
Watch Full Didactic
Probiotics and Intestinal Adaptation
Session Date
Session Date: 
January 7, 2020
Didactic
Didactic: 
Kelly Tappenden, PhD, RD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the interplay of probiotics and intestinal adaptation
  2. Summarize the role of short chain fatty acids and diet in intestinal adaptation
  3. Identify current areas of research in intestinal adaptation
Watch Full Didactic
Psychosocial Challenges in IF and Transplant
Session Date
Session Date: 
December 17, 2019
Didactic
Didactic: 
Mary Brosnan, LCSW
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Identify the psycho-social determinants of outcome in patients with intestinal failure
  2. Describe the support mechanisms required for patients with IF
  3. Summarize the need for psycho-social support in overall care of patients with short bowel syndrome and/or IF
Watch Full Didactic
Intravenous Access and Complications of Parenteral Nutrition in Intestinal Failure Patients
Session Date
Session Date: 
December 3, 2019
Didactic
Didactic: 
Donald Kirby, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the principles of managing central venous access in patients on long term PN
  2. Evaluate catheter-related complications in patients receiving  long term PN
  3. Manage catheter-related, PN complications
Watch Full Didactic
Diagnosing and Managing Intestinal Failure Associated Liver Disease (IFALD)
Session Date
Session Date: 
November 19, 2019
Didactic
Didactic: 
Alan Buchman, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Describe the syndrome of liver dysfunction in patients with intestinal failure on PN
  2. List steps utilized in the diagnosis of IFALD
  3. Summarize the principles of managing IFALD and recent developments
Watch Full Didactic
The Value of Patient Education and Support in Intestinal Failure
Session Date
Session Date: 
November 5, 2019
Didactic
Didactic: 
Joan Bishop, Oley Foundation
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  1. Identify community resources available for patient support and education for patients with intestinal failure
  2. Enumerate the benefits to patients of association with a patient support group
  3. Identify opportunities for peer-to - peer support for patients in the community
Watch Full Didactic
Indications and Outcomes for Intestinal Transplant
Session Date
Session Date: 
September 3, 2019
Didactic
Didactic: 
Jang Moon, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  • Determine the current and expanding indications for intestinal transplantation for short bowel syndrome/intestinal failure (SBS/IF)
  • Describe the choice of allograft organs in intestinal transplant
  • Summarize outcomes for intestinal transplantation
Watch Full Didactic
Surgery for Intestinal Failure
Session Date
Session Date: 
August 20, 2019
Didactic
Didactic: 
Antonino Morabito, MD, FRCS
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  • Describe conventional surgical principles in preventing/managing short bowel syndrome/intestinal failure (SBS/IF)
  • Summarize specialized surgical procedures in SBS/IF
  • Evaluate outcomes for intestinal lengthening procedures
Watch Full Didactic
New Growth Factors in Management of Intestinal Failure
Session Date
Session Date: 
August 6, 2019
Didactic
Didactic: 
Lauren Schwartz, MD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  • Describe the use of growth factors in SBS/IF
  • Identify contraindications to use of growth factors in SBS/IF
  • Summarize the results of growth factor therapy in SBS/IF
Watch Full Didactic
Medical Management of Intestinal Failure
Session Date
Session Date: 
July 16, 2019
Didactic
Didactic: 
Kelly Tappenden, PhD, RD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  • Describe the role of medical management of short bowel syndrome/intestinal failure (SBS/IF)
  • Identify when to use anti-diarrheals in SBS/IF
  • Determine the appropriateness of using growth factor therapy in overall medical management of SBS/IF
Watch Full Didactic
Nutritional Management of SBS/IF
Session Date
Session Date: 
June 18, 2019
Didactic
Didactic: 
Maria Karimbakas, RD
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  • Describe the diet principles that have been successful in the management of short bowel syndrome/intestinal failure (SBS/IF)
  • Determine when to utilize oral rehydration solutions in SBS/IF
  • Evaluate the outcomes of dietary management in overall care of SBS/IF
Watch Full Didactic
Clinical and Laboratory Monitoring for Parenteral Nutrition
Session Date
Session Date: 
June 4, 2019
Didactic
Didactic: 
Marion Winkler, PhD, RD, Rhode Island Hospital, Brown University, Rhode Island
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  • Monitor patients on long-term parenteral nutrition (PN)
  • Evaluate laboratory data of patients receiving long-term PN
  • Recognize and manage PN complications
Watch Full Didactic
Prescribing PN 101 and Transitioning to HPN
Session Date
Session Date: 
May 21, 2019
Didactic
Didactic: 
Vanessa Kumpf, Pharm D, Vanderbilt University Medical Center, Nashville
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  • Identify the indications for commencing parenteral nutrition (PN)
  • Describe the principles of prescribing and monitoring PN
  • Analyze the appropriate time and principles for transitioning a patient on PN to the home setting
Watch Full Didactic
Recognizing Intestinal Failure
Session Date
Session Date: 
May 7, 2019
Didactic
Didactic: 
Douglas Seidner, MD, Vanderbilt University Medical Center, Nashville
At the end of this activity, participants will be able to
At the end of this activity, participants will be able to: 
  • Define and differentiate between intestinal failure (IF) and short bowel syndrome (SBS)
  • Identify the types of IF based on pathophysiology
  • Summarize outcomes for IF
Watch Full Didactic