Rational Investigations in IBS

Reassurance is an interesting concept in modern medicine. I remember my blood pressure creeping up at the sight of an advert on the tube a few years back for a health check involving a ‘whole body MRI scan,’ fuming over the willingness of this private healthcare provider to offer false assurance of alleviating any anxiety […]

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Hepatology notebook….New articles in FG

Early paracentesis in decompensated cirrhosis As I write this piece, the newspaper front pages are in overdrive over the spread of Coronovirus from central China. There has been talk of military evacuations of Brits in high incidence regions. The medical registrar WhatsApp group at my hospital is replete with protocols to follow should we encounter […]

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Treat to target in IBD? Should this be part of an individualised treatment plan?

Acceptability of a ‘treat to target’ approach in inflammatory bowel disease to patients in clinical remission 1. Christian Selinger1,2, 2. Jenelyn Carbonell1, 3. John Kane1, 4. Mandour Omer1, 5. Alexander Charles Ford1,2 Historically the goal in inflammatory bowel disease was to enable the patient to have absence of symptoms, ideally in the absence of requiring […]

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Gastropexy can be as safe as conventional percutaneous endoscopic gastrostomy (PEG), and biomarkers do not predict short-term or long-term outcomes: a 7-year follow-up audit

Porter, R.J., McKinlay, A.W. and Metcalfe, E.L. Gastropexy can be as safe as conventional percutaneous endoscopic gastrostomy (PEG), and biomarkers do not predict short-term or long-term outcomes: a 7-year follow-up audit. Frontline Gastroenterology. 2019 Nov 13. http://dx.doi.org/10.1136/flgastro-2019-101306   Gastrostomy, the process in which the stomach is anchored to the abdominal wall and a gastrostomy tract […]

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Shape of training review: an impact assessment for UK gastroenterology trainees

Higher specialty training is changing! We need to know how and what the data shows to plan ahead and assure the training of tomorrow’s consultant meets the health requirements of the populations they serve. The below article published in Frontline Gastroenterology examined the potential impact condensing five years into four will have on achieving the key […]

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Consensus standards of healthcare for adults and children with inflammatory bowel disease in the UK

Kapasi R, Glatter J, Lamb CA, et al Consensus standards of healthcare for adults and children with inflammatory bowel disease in the UK Frontline Gastroenterology Published Online First: 24 July 2019. doi: 10.1136/flgastro-2019-101260     How do you provide quality care for a patient with IBD? What standards define good quality IBD care? Building on previous IBD standards published in 2009 and 2013 this […]

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Paediatric Parenteral Nutrition: Where are we now? What is best practice?

Parenteral nutrition brought about a paradigm shift in the way we approached feeding patients with intestinal failure. Yet despite its 50 year history, this life saving treatment still brings challenges faced by both patients and clinicians. Over the years the number of studies published has grown at an exponential rate, and so the 2005 guidelines […]

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Are gluten-free food staples accessible to all patients with coeliac disease?

Original article by: Ozan Hanci, Yvonne M Jeanes I think as gastroenterologists advice regarding lifestyle becomes a standard part of our everyday consultation. Eat less saturated fats, increase fruit and vegetables, decrease the amount of alcohol and in the case of a patient with coeliac disease, stop all gluten products. I am certainly guilty of […]

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