This session will provide insight into the development of a new Nutrition Nurse service in a general hospital over a 7-year period. It will delve into how audit processes have facilitated transformation in organisational culture. Examples will be presented demonstrating the complexities involved in enhancing the safety of nasogastric feeding tubes management and promoting community-based feeding tube care.

The aim of our study was to determine the safety profile of the bedside replacement of jejunostomy tubes, undertaken by a CNS team in a hospital setting. 201 bedside jejunostomy tube changes were undertaken by the nursing service between 2015 and 2025. 97% of these were straightforward, with position confirmed at the bedside. 3% had a post tube change tubogram to confirm position in the bowel. The bedside replacement of a jejunostomy tube is safe, with no serious complications such as intraperitoneal placement of tubes reported. We hope this research will form the basis for the development of national guidance for the replacement of jejunostomy tubes at the bedside.

This symposium discusses the introduction of the CORTRAK*2 EAS tube insertion device to West Middlesex Hospital ICU. Following a timeline of events, it outlines the challenges experienced with usual practice of nasogastric feeding tube placement and how t

Role of Nutrition Nurse in NI covering the different clinical needs required for both EN and PN patients throughout the province and within the hospital setting.

he session provides context, aim and objectives and gives an overview of the planned program of work, highlighting opportunities for NNNG members to get involved and help shape guidance on the topic of blended diet.

Refractory gastroparesis, a chronic gastric motility disorder unresponsive to first- and second-line treatments, requires advanced interventions for symptom relief and improved quality of life. This presentation will discuss third-line therapeutic and surgical options, including gastric electrical stimulation (GES), pyloric interventions such as pyloroplasty and Gastric Per-Oral Endoscopic Myotomy (GPOEM), and more invasive procedures like gastric bypass or subtotal gastrectomy. Patient selection, physiological assessment, and individualised approaches are emphasised. These advanced modalities, while not curative, offer hope in severe cases by reducing symptoms like nausea, vomiting, and bloating, and by improving gastric emptying in selected patients.

13:05 - 13:35: NNNG AGM

What happens when your X-ray service goes down and you have no way of confirming tube placement? A story of how one unit rose to the challenge and implemented at pace a new tube confirmation system within 12 weeks, improving patient safety, patient experience and staff experience.

What’s new from PINNT along with a focus on the obstacles and challenges of travelling with artificial nutrition. What’s the key – planning! Pack your bags and come along for the journey.

Overgranulation at gastrostomy sites is something we encounter regularly, and has generated much discussion on the NNNG forum. This short presentation explores the incidence and contributing factors to overgranulation as well as some traditional treatments, and how we introduced our salt therapy protocol at Mid Yorkshire teaching Trust.

This session will be delivered by the British Specialist Nutritionist Association (BSNA). We will provide an overview of who BSNA are, the sectors we represent and what we do. We will also provide an overview of the resources that BSNA produce to support Healthcare Professionals in their day to day work.