UEG's educational platform for gastroenterology education bringing recordings, courses, guidelines, and more together in one place.

UEG Week Berlin 2025 Recordings Gut Guide online

Rate for better recommendations!

Your feedback helps us show you more of what you like and less of what you dislike!

More of this!

We will show you more similar content.

Not for me!

We won't suggest this again.

Bookmark!

Save this content for later!

New to myUEG? Create an account! Log In with myUEG account

UEG Poster

Standard Poster

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

THE OLIVE TREE: AN ELECTRONIC TOOL TO SAFELY INITIATE PARENTERAL NUTRITION IN ADULT HOSPITALIZED PATIENTS WITH INTESTINAL FAILURE

Barbara Deleenheer 1, Lise Defieuw 2, Peter Declercq 2, Tim Vanuytsel 1

Affiliations

1 KU Leuven, Leuven, Belgium|||University Hospitals Leuven, Leuven, Belgium

2 University Hospitals Leuven, Leuven, Belgium

Summary

AI Generated

A decision support tool (OLIVE TREE) integrated into prescribing software significantly changed parenteral nutrition prescribing behavior in 52.4% of patients but did not affect regimen change timing, complications, or weight outcomes.

The OLIVE TREE decision tree impacted prescribing behavior in 33 of 63 patients (52.4%; 95% CI 39.4-65.1; p < 0.001), resulting in more calories prescribed in 27.0% of cases, fewer calories in 9.5%, and more refeeding protocols in 6.3%.
No significant differences were found between OLIVE TREE and non-OLIVE TREE cohorts in mortality (1.6% vs 3.2%; p = 0.747) or complications (31.9% vs 48.1%; p = 0.284).
Initial PN regimens were altered in 54.0% of both cohorts with a median time to change of six days (p = 0.820), showing no difference in regimen modification frequency or timing.
Weight evolution between PN initiation and discontinuation or discharge showed no significant differences between cohorts.
This study is relevant for clinicians and institutions implementing clinical decision support tools for parenteral nutrition prescribing.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Introduction

Parenteral nutrition (PN) is necessary to overcome malnutrition in hospitalized patients with acute or chronic intestinal failure, but is associated with complications. Physicians often lack knowledge in clinical nutrition, which makes clinical decision support tools recommended for prescribing PN. ¹

Aims & Methods

This study evaluated the impact of the OLIVE TREE (Offering guidance and Learning to prescribers to Initiate parenteral nutrition using a Validated Electronic decision TREE), a decision tree integrated into the prescribing software at University Hospital Leuven, Belgium, on prescribing behavior and safety.²Two cohorts were compared: 63 patients who received OLIVE TREE-guided PN initiation and 63 who did not. The primary outcome, assessed in the first cohort, was the proportion of patients for whom the OLIVE TREE impacted prescribing behavior. An impact was defined as a different PN regimen that was prescribed after using the OLIVE TREE compared with before using the OLIVE TREE (i.e. for the first question of the OLIVE TREE, the prescriber had to indicate which PN regimen he/she would initiate). Secondary outcomes included changes in initial PN regimens, time to regimen change, mortality, PN-related complications (hyperglycemia, liver dysfunction, fluid overload, catheter-related thrombosis, central line associated bloodstream infection and PN-related intensive care transfer) and weight evolution between PN initiation and discontinuation and between PN initiation and discharge.

Results

An impact on prescribing behavior was observed in 33 of 63 patients (52.4%; 95% CI 39.4-65.1; p < 0.001), resulting in providing more calories (27.0%), less calories (9.5%) and more refeeding protocols (6.3%). Initial PN regimens were altered in 54.0% of both cohorts, with a median time to change of six days (p = 0.820). No significant differences were found in mortality (1.6% and 3.2%; p = 0.747), complications (31.9% and 48.1%; p = 0.284), weight change between PN initiation and discontinuation (-0.5kg [-3.2-0.5] and -0.6kg [-2.5-1.2]; p = 0.317) or weight evolution between PN initiation and discharge (-1.4kg [-3.6-0.2] and -1.3kg [-2.75-0.3]; p = 0.541) between the OLIVE TREE and non-OLIVE TREE cohort.

Conclusion

The OLIVE TREE significantly impacted prescribing behavior, without leading to earlier or more frequent PN regimen changes, increased complications or different weight evolutions.

References

1 1 Ayers P, Adams S, Boullata J, Gervasio J, Holcombe B, Kraft MD, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333.
2 Van den Broucke E et al. Offering Guidance and Learning to Prescribers to Initiate Parenteral Nutrition using a Validated Electronic Decision TREE (OLIVE TREE). J Med Syst. 2022;46(8):56.

Conference

UEG Week Berlin 2025

Topics

Small Intestine & Nutrition

Submission format

Abstract

Session

Nutrition (Posters)

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

More Like This:

Developing a nurse-led counselling service in hepatology across two hospitals

Sonja Beckman

Troubleshooting: What to do if your scope looks unusual after processing?

Ilona Reifenrath

Round table: What is the future of endoscopy nursing?

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

Fabio Grilli

See It. Learn It. Use It: The new EUS-FNB needle in action

Andrea Lisotti

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

Lucy Hicks

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Developing a nurse-led counselling service in hepatology across two hospitals

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Developing a nurse-led counselling service in hepatology across two hospitals

Sonja Beckman 1

Affiliations

1 None, None, Switzerland

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Event

UEG Week Berlin 2025

Topics

Nurses

Session

Innovative approaches in liver disease management

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

More Like This:

Developing a nurse-led counselling service in hepatology across two hospitals

Sonja Beckman

Troubleshooting: What to do if your scope looks unusual after processing?

Ilona Reifenrath

Round table: What is the future of endoscopy nursing?

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

Fabio Grilli

See It. Learn It. Use It: The new EUS-FNB needle in action

Andrea Lisotti

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

Lucy Hicks

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Troubleshooting: What to do if your scope looks unusual after processing?

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Troubleshooting: What to do if your scope looks unusual after processing?

Ilona Reifenrath 1

Affiliations

1 None, Hamburg, Germany

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Event

UEG Week Berlin 2025

Topics

Nurses

Session

New trends and developments in hygiene and infection control

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

More Like This:

Developing a nurse-led counselling service in hepatology across two hospitals

Sonja Beckman

Troubleshooting: What to do if your scope looks unusual after processing?

Ilona Reifenrath

Round table: What is the future of endoscopy nursing?

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

Fabio Grilli

See It. Learn It. Use It: The new EUS-FNB needle in action

Andrea Lisotti

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

Lucy Hicks

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Round table: What is the future of endoscopy nursing?

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Round table: What is the future of endoscopy nursing?

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Event

UEG Week Berlin 2025

Topics

Nurses

Session

ESGENA: Opening Session

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

More Like This:

Developing a nurse-led counselling service in hepatology across two hospitals

Sonja Beckman

Troubleshooting: What to do if your scope looks unusual after processing?

Ilona Reifenrath

Round table: What is the future of endoscopy nursing?

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

Fabio Grilli

See It. Learn It. Use It: The new EUS-FNB needle in action

Andrea Lisotti

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

Lucy Hicks

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

Fabio Grilli 1

Affiliations

1 Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Event

UEG Week Berlin 2025

Topics

Nurses

Session

Patient care: Differences matter

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

More Like This:

Developing a nurse-led counselling service in hepatology across two hospitals

Sonja Beckman

Troubleshooting: What to do if your scope looks unusual after processing?

Ilona Reifenrath

Round table: What is the future of endoscopy nursing?

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

Fabio Grilli

See It. Learn It. Use It: The new EUS-FNB needle in action

Andrea Lisotti

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

Lucy Hicks

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

See It. Learn It. Use It: The new EUS-FNB needle in action

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

See It. Learn It. Use It: The new EUS-FNB needle in action

Andrea Lisotti 1

Affiliations

1 Hospital of Imola, University of Bologna, Bologna, Italy

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Event

UEG Week Berlin 2025

Topics

Nurses

Session

New trends and developments in endoscopic techniques

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

More Like This:

Developing a nurse-led counselling service in hepatology across two hospitals

Sonja Beckman

Troubleshooting: What to do if your scope looks unusual after processing?

Ilona Reifenrath

Round table: What is the future of endoscopy nursing?

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

Fabio Grilli

See It. Learn It. Use It: The new EUS-FNB needle in action

Andrea Lisotti

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

Lucy Hicks

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

Anum Javed 1, Anita D'Souza 1, James Alexander 1, Lucy Hicks 1

Affiliations

1 Imperial College Healthcare NHS Trust, London, United Kingdom

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

Abstract

Introduction

S1PR modulators, a new class of small molecules, have shown promising results in the treatment paradigm of moderate to severe ulcerative colitis (UC). The two approved drugs, etrasimod and ozanimod, have been associated with an increased risk of macular oedema. In approved labelling for S1PR modulators, an ophthalmic evaluation is recommended prior to commencing treatment in all patients. We established a NLC to facilitate prompt ophthalmology screening at a tertiary IBD centre.

Results & Findings

In our IBD clinics, we identified 9 potential eligible patients for treatment with S1PR modulators between July 2024 – March 2025. However, 3 of these patients were eliminated from data (2 declined to initiate therapy, 1 developed acute severe UC). The remaining 6 patients were promptly referred to the Ophthalmology clinic and completed comprehensive assessment. The examination included optical coherence tomography (OCT) followed by review by Consultant Ophthalmologist as a one-stop clinic. The results were reviewed by the specialist IBD nurses who discussed the findings with the patients and arranged further follow-up if required. The treating clinician was informed of the results and patients’ GP notified. This process facilitated the establishment of a structured protocol, leading to a measurable reduction in the time required to undergo the necessary ophthalmological examinations, which would otherwise fall under the domain of primary care.

Summary & Discussion

This initiative demonstrates that a NLC can streamline the pre-treatment process for patients initiating S1PR modulators by integrating ophthalmology screening into the care pathway. The structured protocol not only ensured timely access to OCT and specialist review but also optimised communication across multidisciplinary teams. By shifting initial assessments from consultant-led services to a nurse-led model, we improved efficiency and patient experience. This model may be replicated in other centres aiming to adopt advanced therapies requiring specialist monitoring.

Conclusion

As prescribing of advance therapies including small molecules is expected to increase, demand for treatment counselling and monitoring will follow. This direct access pathway is an effective use of resources to provide a timely and valuable service, as well as reducing consultant time.

References

Sandborn WJ, Vermeire S, Peyrin-Biroulet L, et al. Etrasimod as induction and maintenance therapy for ulcerative colitis (ELEVATE): two randomised, double-blind, placebo-controlled, phase 3 studies. Lancet. 2023, 401(10383):1159-71. https://doi.org/10.1016/s0140-6736(23)00061-2

Event

UEG Week Berlin 2025

Topics

Nurses

Submission format

Abstract

Session

Abstracts II: Patient care and endoscopic techniques

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

More Like This:

Developing a nurse-led counselling service in hepatology across two hospitals

Sonja Beckman

Troubleshooting: What to do if your scope looks unusual after processing?

Ilona Reifenrath

Round table: What is the future of endoscopy nursing?

Perceived satisfaction of outpatients undergoing endoscopic examination: Cross-sectional observational study

Fabio Grilli

See It. Learn It. Use It: The new EUS-FNB needle in action

Andrea Lisotti

NURSE-LED CLINIC (NLC) TO STREAMLINE OPHTHALMOLOGY SCREENING FOR IBD PATIENTS PRIOR TO INITIATING SPHINGOSINE-1-PHOSPHATE RECEPTOR (S1PR) MODULATOR THERAPY

Lucy Hicks

UEG's educational platform for gastroenterology education bringing recordings, courses, guidelines, and more together in one place.

Most popular content

Rate for better recommendations!