Graeme O'Connor (United Kingdom)
Great Ormond Street Hospital
Dietetics
Dr O’Connor completed his BSc (Hons) in Physiology before commencing a postgraduate degree in Dietetics, graduating 2002. He went on to specialise in Paediatric Dietetics and joined Great Ormond Street Hospital for Children in 2008, specialising in eating disorders and Intensive Care. In 2010 he started a PhD at the Institute of Child Health, investigating energy intake and the refeeding syndrome – the results of this study changed national and European guidelines. Dr O’Connor’s Post-Doctoral research includes monitoring gut inflammation in infants with cardiac defects and intestinal microbiomes and short chain fatty acids in intensive care. Dr O’Connor also holds an honorary position at the Institute of Child Health University College London in the department of Infection, Immunity and Inflammation.

Moderator of 1 Session

 Congress Calendar
AHP Course

ABSTRACT SESSION - (BEST 8 ABSTRACTS)

Session Type
AHP Course
Date
Wed, 17.05.2023
Room
Hall K2
Session Time
13:30 - 14:30
Session Icon
Ticket Needed
Chair(s)

Presenter of 3 Presentations

 Congress Calendar

New trends of using real food-based formula in various conditions, experience from clinical practice in UK (ID 2030)

Session Name
PARALLEL INDUSTRY SYMPOSIUM 05 (NOT INCLUDED IN THE MAIN EVENT CME/CPD CREDIT)
Session Type
Industry
Date
Fri, 19.05.2023
Session Time
10:45 - 11:45
Room
Hall G
Presenter
Lecture Time
11:20 - 11:35

Q&A (ID 2031)

Session Name
PARALLEL INDUSTRY SYMPOSIUM 05 (NOT INCLUDED IN THE MAIN EVENT CME/CPD CREDIT)
Session Type
Industry
Date
Fri, 19.05.2023
Session Time
10:45 - 11:45
Room
Hall G
Presenter
Lecture Time
11:35 - 11:45

N-O013 - INTERMITTENT BOLUS VERSUS CONTINUOUS FEEDING IN CHILDREN RECEIVING AN ENTERAL FORMULA WITH FOOD DERIVED INGREDIENTS: A NATIONAL MULTICENTRE RETROSPECTIVE STUDY (ID 25)

Session Name
PARALLEL SESSION NUTRITION - ABSTRACT SESSION 01
Session Type
Nutrition
Date
Thu, 18.05.2023
Session Time
15:45 - 17:45
Room
Hall C
Presenter
Lecture Time
16:55 - 17:05

Abstract

Objectives and Study

In the paediatric population interest is growing in the use of a blended diet for the management of feeding intolerances. It is perceived to be better tolerated compared to commercially available whole protein enteral formulas. The medical nutrition industry have responded to this cultural shift in adopting blended diets and developed an enteral tube feed Compleat ® Paediatric that contain 14% food ingredients, 1g Fibre/ 100ml.

Another perceived factor believed to have an impact on feed tolerance relates to the mode in which nutrition is delivered in relation to intermittent bolus or continuous enteral feeding. This study aimed to evaluate the tolerance of different feeding modes (intermittent bolus/ continuous/ combination) in children who are fed with an 'enteral formula with food derived ingredients'.

Methods

Data was collected by paediatric dietitians from dietetic records over a month period on children who had switched to an enteral formula with food derived ingredients. Data was inputted to a Microsoft form to capture the impact of varying modes of feeding (intermittent bolus/continuous/ combination) on gastrointestinal and anthropometric outcomes.

Results

Forty-three children were recruited between March 2021 to July 2021 across four National Health Service Trusts. Children who were continuously fed saw the greatest reported improvement in retching, abdominal pain and loose stools. Children who were fed intermittent bolus reported the greatest increase in weight (p-value 0.003). Over 90% of dietitians reported nutritional goals were achieved after switching from a standard formula to an enteral formula with food-derived ingredients for both continuous and intermittent bolus feeding; children who were fed continuously reported the highest achievement to meet dietitian’s nutritional goals.

Conclusions

'Enteral formulas with food derived ingredients' are well tolerated and effective in achieving weight gain and meeting dietetic goals whether delivered continuously or as intermittent bolus feed. The clinical situation will determine the most appropriate and effective feeding mode.

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