Yellowish lesion in the colon

An 82-year-old woman with a history of eosinophilic granulomatosis with polyangiitis treated with 4 mg/day prednisolone underwent a colonoscopy because of a positive fecal occult blood test. This revealed a 2-mm slightly elevated yellowish lesion in the transverse colon (figure 1). Narrow-band imaging showed intact pits of the colonic mucosa (figure 2). Physical examination was […]

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An unusual case of dysphagia?

A 16 year-old girl was referred to our paediatric department due to intermittent dysphagia during six months. Occasionally, she needed to induce vomit to dispose of stuck food. She reported no odynophagia, no gastroesophageal reflux symptoms, no abdominal or retrosternal pain, and no changes to defecation patterns. The patient was otherwise healthy and average weight […]

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A blushing ulcer?

An elderly lady was admitted to hospital following recurrent episodes of malaena. She had an oesophagoduodenoscopy which revealed a large bleeding gastric ulcer (50mm) near the lesser curvature of the stomach (Forrest III). (Figure 1). The vessel was clipped and spray applied with haemospray. She had a repeat CT angiogram the next day. (Figure 2). […]

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Thoracic and abdominal pain in a 28-year old woman with a failing kidney transplant

A 28-year old woman with a failing kidney transplant due to rejection (on high dose Prednisolone and Alemtuzumab) presented with increasing right-sided thoracic pain and abdominal discomfort. Physical examination revealed no abnormalities. Laboratory results showed a normal white blood cell count, low serum C-reactive protein, normal level of liver enzymes and electrolytes, an elevated serum […]

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When food gets stuck…?

An 86-year-old woman with a background of ischaemic heart disease presented with dysphagia and odynophagia while eating toast for breakfast followed by sudden onset severe sharp retrosternal and epigastric pain radiating to her back and 3 episodes of coffee-ground vomiting. There were no reported episodes of melaena or syncope. She remained haemodynamically stable. Her blood […]

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#FGdebate: Gastroenterology and hepatology training: time for a divorce?

Date: Monday 9th October Time: 8-9pm GMT Guest: Dr Ahmed Elsharkawy @aelsharkawy75 Dr Ahmed Elsharkawy was appointed as a Consultant Hepatologist in March 2012. He qualified from Southampton in 1999 before doing his core medical training in Nottingham followed by registrar training on both the Wessex and Northern Deanery schemes. His PhD was in the […]

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#FGDebate: Liver Biopsy is Critical for Managing Fatty Liver Disease

Liver Biopsy is Critical¬†for Managing Fatty Liver Disease Date: Tuesday¬†25th July Time: 8-9pm GMT Guest: Professor Rob Goldin @robdgol Rob Goldin is Professor of Gastro-intestinal and Liver Pathology at Imperial College and the Clinical Lead for Gastro-intestinal Pathology in the North-West London Pathology Group. He also works at the Ludwig Institute for Cancer Research in […]

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