ESPEN The European Society for Clinical Nutrition and Metabolism

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ESPEN The European Society for Clinical Nutrition and Metabolism ESPEN Education and Clinical Practice Committee 18 th ESPEN Course of Clinical Nutrition and Metabolic Care October 6-12, 2011 Vilnius, Lithuania Lithuanian Society of Parenteral and Enteral Nutrition BCCN - Baltic Club of Clinical Nutrition

Welcome address Dear colleagues, The idea for ESPEN Basic Educational Course in Clinical Nutrition was born at ESPEN s Congress in 1993. The aim was to provide the knowledge in clinical nutrition at the location near to the participants and the biggest attention was paid to Eastern European colleagues. The course has been called basic course of clinical nutrition at this time. Every year the level of courses became more and more advanced. It is really difficult to use the word basic for this course. The main aim of this course is to provide a more practically oriented basic knowledge in the field of nutrition. The big advantage is the Blue ESPEN book - an official ESPEN book and we are proud to present the 4 th edition of this book in this year. This course is supported by ESPEN and local industry companies. The Lithuanian Society of Parenteral and Enteral nutrition is proud to host the 18 th ESPEN Basic Educational Course in clinical nutrition. We hope the Course is enjoyable and would provide you enough information about clinical nutrition. We hope that all our efforts would be helpful for our patients in future. We wish you a fruitful stay in Lithuania Organization Team

Faculty: Prof. André van Gossum, Treasurer of ESPEN (Belgium) Prof. Peter B. Soeters (The Netherlands) Prof. Remy Meier (Switzerland) Prof. Herbert Lochs ( Austria) Prof. Marek Pertkiewicz (Poland) Prof. Regina Komsa (Bulgaria) Prof. Lubos Sobotka (Czech Republic) Prof. Zeljko Krznaric (Croatia) Prof.Alastair Forbes (United Kingdom) Irina Grecu (United Kingdom) Marina Panisic (Serbia) Gintautas Kėkštas (Lithuania) Ingrida Lisauskienė (Lithuania) Saulius Vilkelis (Lithuania) Andrius Klimašauskas (Lithuania) Edita Gavelienė (Lithuania) Robertas Badaras (Lithuania) Local Organizing Committee Gintautas Kėkštas (Lithuania) gintautas.kekstas@santa.lt Ingrida Lisauskienė (Lithuania) ingrida.lisauskiene@santa.lt Saulius Vilkelis (Lithuania) saulius.vilkelis@santa.lt Vilnius University Hospital Santariskiu Clinic Santariskiu street 2, 08661 Vilnius Lithuania Phone :+ 370 52365138

Thursday, October 6 th - 17:00 Arrival and accommodation 17:00 17: 15 Welcome message G.Kekstas 17:30 19:30 Baltic Club of Clinical Nutrition course G.Kekstas, I.Jagmane. A.Koroljov 20:00 Dinner

Friday, October 7 th 08:00 08:30 Malnutrition - definition, etiology, consequences G.Kekstas 08:30 09:00 Gut liver axis P.Soeters 09:00 09:30 Metabolism in health human, simple starvation, L.Sobotka acute disease and recovery 09:30 10:00 Water and electrolytes in health and disease L.Sobotka 10:00 10:30 Q+A 10:30 11:00 Coffee break 11:00 11:30 Energy and protein balance L.Sobotka 11:30 12:00 Amino acids and protein metabolism P.Soeters 12:00 12:30 Carbohydrates and lipids metabolism R.Komsa 12:30 13:00 The benefits of glucose control on insulin P.Soeters resistance 13:00 13:30 Q+A 13:30 14:30 Lunch 14:30 15:00 Basics of enteral nutrition I.Lisauskiene 15:00 15:30 Ethical aspects of nutritional support Z. Krznaric 15:30 16:00 Q+A 16:00 16:30 Coffee break 16:30 17:30 Workshop 1 st group: nutritional assessment E.Gaveliene 2 nd group: enteral nutrition I.Lisauskiene 3 rd group: parenteral nutrition S.Vilkelis 17:30 18:30 Case presentation & discussion 1 st group: L.Sobotka 2 nd group: Z.Krznaric 3 rd group: P.Soeters 18:30 19:30 Case preparation in the group 20:00 Dinner

Saturday 8 th October 08:00 09:00 Case report from working groups L.Sobotka R. Meier P.Soeters 09:00 09:30 Body composition and measurement R. Meier 09:30 10:00 Trace elements and vitamins L.Sobotka 10:00 10:15 Q+A 10:15 10:45 Coffee break 10:45 11:15 Prebiotics and probiotics R. Meier 11:15 11:45 Nutrition in elderly A. Van Gossum 11:45 12:15 Introduction to LLL R.Komsa 12:15 12:30 Q+A 12:30 14:30 LLL: approach to enteral nutrition R. Meier Z.Krznaric A. Van Gossum 14:30 15:30 Lunch 15:30 16:00 LLL: self assessment test and case report R. Meier Z.Krznaric A. Van Gossum 16:00 16:30 LLL exam R. Meier Z.Krznaric A. Van Gossum 16:30 17:00 Coffee break 17:00 18:00 Workshop 1 st group: enteral nutrition I.Lisauskiene 2 nd group: parenteral nutrition S.Vilkelis 3 rd group: nutritional assessment E.Gaveliene 18:00 19:00 Case presentation & discussion 1 st group: A. Van Gossum 2 nd group: Z.Krznaric 3 rd group: R. Meier 19:00 19:30 Case preparation in the group 20:00 Dinner

Sunday 9 th October 08:00 09:00 Case report from working groups R. Meier Z.Krznaric A. Van Gossum 09:00 09:30 Basics of parenteral nutrition M.Pertkewicz 09:30 10:00 Home parenteral nutrition A. Van Gossum 10:00 10:30 Q+A 10:30 11:00 Coffee break 11:00 11:30 Nutrition in critical illness and sepsis I.Grecu 11:30 12:00 Intestinal failure Z.Krznaric 12:00 12:30 Oxidative stress in critically ill patients R.Komsa 12:30 13:00 Special substrates in nutrition: GLN, ARG, n-3 I.Grecu 13:00 13:30 Q+A 13:30 14:30 Lunch 14:30 15:00 Nutrition in acute and chronic pancreatitis G.Kėkštas 15:00 15:30 Venous access and complications M.Pertkewicz 15:30 16:00 Q+A 16:00 16:30 Coffee break 16:30 17:30 Workshop 1 st group: parenteral nutrition S.Vilkelis 2 nd group: nutritional assessment E.Gaveliene 3 rd group: enteral nutrition I.Lisauskiene 17:30 18:30 Case presentation & discussion 1 st group: I.Grecu 2 nd group: G.Kėkštas 3 rd group: M.Pertkewicz 18:30 19:30 Case preparation in the group 20:00 Dinner

Monday 10 th October 8.00 9.00 Case report from working groups I.Grecu G.Kėkštas M.Pertkewicz 9.00 9.30 Monitoring of nutritional support I.Grecu 9.30-10.00 GI access and complications M.Pertkewicz 10.00 10.30 Q&A 10.30 11.00 Coffee break 11.00 11.30 Metabolic complications of nutritional support I.Grecu 11.30 12.00 Nutrition in GI fistulas M.Panisic 12.00 12.30 Nutrition in SBS A.Klimašauskas 12.30 13.00 Nutrition support team E.Gaveliene 13.00 13.30 Nutrition in toxicology R.Badaras 13.30 14.00 Q&A 14.00 15.00 Lunch 15.00 19.00 Case preparation in the bus and sightseeing Vilnius 20.00 Dinner

Tuesday 11 th October 8.00 9.00 Case report from working groups 9.00 9.30 Nutrition of surgical patient M.Panisic 9.30-10.00 Nutrition of obese patient A.Klimasauskas 10.00 10.15 Q&A 10.15 10:45 Coffee break 10:45 11.15 Nutrition in trauma and burns M.Panisic 11.15 11.45 Nutrition in renal failure A.Forbes 11.45 12.15 Cancer and cancer cachexia H.Lochs 12.15 12.45 Nutrition in liver disease A.Forbes 12.45 13.15 Nutrition in IBD H.Lochs 13.15 13.30 Q&A 13.30 14.30 Lunch 14.30 16:30 LLL: approach to perioperative M.Panisic nutrition G.Kekstas I.Lisauskiene 16.30 17.00 Coffee break 17.00 17.30 LLL: self assessment test and case report M.Panisic G.Kekstas I.Lisauskiene 17.30 18.00 LLL exam M.Panisic G.Kekstas I.Lisauskiene 18.30 19.00 Case presentation and discusion I group: H.Lochs II group: E.Gaveliene III group: A.Forbes 19.00 19.30 Case preparation 20.00 Dinner

Wednesday 12 th October 08:00 09:00 Case reports from working groups H.Lochs A.Forbes E.Gaveliene 09:00 09:30 Biochemistry of love R.Komsa 09:30 10:00 Q+A 10:00 10:30 Coffee break 10:30 11:00 Test 11:00 12:00 Closing ceremony, diploma 13:00 14:00 Lunch 14:00 Departures General Information AIMS: To provide clinically relevant information about clinical nutrition; To enable participants to introduce knowledge in everyday practice To introduce the LLL program LEARNING OBJECTIVES: Nutritional assessment; prevention and treatment of malnutrition; malnutrition epidemiology and consequences; Techniques, indication and contraindications of nutritional support, control and complications of different techniques of clinical nutrition; Nutrition in different diseases: critical illness, sepsis, multiple organ failure, oncology, liver, pancreatic disease and others. PARTICIPANTS It will be accepted 60 participants (4 from every country). Physicians from different specialties can apply to participate in the course... Every participant must apply till 1 August 2011. He has to send

1. Registration form 2. CV 3. Recommendation letter from national society or from Head of you department. E-mail: lpemdr@gmail.com REGISTRATION FEE ESPEN or national societies recommended person Other person 100 Euro Accommodation for 6 nights, meal, ESPEN blue book, possibility to pass 2 LLL exams - free of charge 400 Euro After application you will receive the confirmation letter, after you can pay on arrival or to make a bank transfer. Bank account: ORGANIZATION OF THE DAY Time Subject Participation 8:00 9:00 Presentation of case report - All participants the speaker from group 9:00 16:00 Lectures All participants 16:30-17:30 Workshop Working group 17:30 18: 30 Case presentation and Working group discussion with tutor 18:30 19: 30 Case preparation Working group MEALS: Breakfast buffet will be served in the restaurant for all participants every morning from 7:00 to 8:00 Lunch will be served at the same restaurant, time according the programme Dinner will be served in different places every day per program. One

dinner will be served in the nature surrounding please prepare your clothes and shoes to feel comfortable. You will have 2 coffee breaks during the day. ACCOMODATION: All rooms are equipped with shower, refrigerator, TV and WIFI. All rooms for participants are double or triple. ESPEN is covering the cost of you stay for 6 nights from 6 October till 12 October. All extra charges will be credited to your personal account. The course will take place in hotel Margis.Surrounded by a beautiful natural landscape of hills and pine forests, this hotel offers a tranquil setting on a picturesque peninsula of Lake Margis, 8 km from Trakai and 35 km west of Vilnius. The Margis offers comfortable rooms decorated with natural fabrics and colours, outdoor villas, a conference centre, a spa complex, and an outdoor sauna on the lakeshore. There is an outdoor terrace with panoramic views of the lake. In summer barbecue parties are hosted on the lakeshore.the bright and spacious spa centre features Turkish and Finnish saunas, a pool, and professional massages. The bathhouses on the lakeshore offer great views of the lake and have footbridges leading right into the water. Address: Penkininkų village, 21103 Trakų district. Phone:+370 52821717 e-mail: info@margis.lt www.margis.lt The transportation to hotel is on the participant personal account. We strongly recommend to book special taxi from hotel Margis directly ( it helps to save some money). The organizers will help with this arrangement, but we need the correct your flight data.

REGISTRATION FORM Title: First name: Last name: Birth data: Gender: O Male O Female Country: Working place: Speciality Contact e-mail: Contact phone: ESPEN member O Yes O No National societies O Yes O No recommended person Which national society does recommend you? Name of person who recommend you Travel information Transportation type Arrival details: Flight No Flights shedule: From to From to From to Time of arrival to Vilnius Departure details Flight No Flights shedule: From to Time of departure from Vilnius PAYMENT O Bank transfer INFORMATION O On place Remarks:

We hope to see you in Lithuania!!!