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 […]
Category: Uncategorized
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 […]
Frontline blog: Antibiotics and probiotics in IBD: when to use them?
Original article by: Bincy Abraham and Eamonn M M Quigley We have all been there haven’t we? A patient with IBD, a crp that is through the roof with evidence of co-existing sepsis. To give steroids? To give antibiotics? I have been involved in many cases where antibiotics and steroids combined have been used […]
Blog: Water assisted colonoscopy…the new gold standard or just another helpful trick?
My approach to water assisted colonoscopy: Keith Siau, Iosif Beintaris Unless you are an innately skilled endoscopist, learning colonoscopy can be a difficult process for both the trainee, the trainer and even sometimes the patient. The learning curve for me in colonoscopy was a steep one. So often would I be parked up against the […]
Controversies in functional bowel disease
The Frontline team are really excited to relaunch our twitter debates. Historically these have been a great source of education not only healthcare professionals but public and patients alike. We will now provide a monthly twitter debate entitled “controversies in……”. These aim to discuss some of the more contentious topics in the field of gastroenterology. […]
Blog: Impact of therapeutic drug level monitoring on outcomes of patients with Crohn’s disease treated with Infliximab: real world data from a retrospective single centre cohort study
Authors of paper Nikolaos Kamperidis, Paul Middleton, Tracey Tyrrell, Ioannis Stasinos, Naila Arebi To switch infliximab or not to switch infliximab that may be the question for many physicians looking after Inflammatory Bowel Disease…Prior to our ability to measure infliximab drug levels or ‘therapeutic drug monitoring’ (TDM) this may have been a bit of […]
New BMJ ORCID Policy- A Simple System to Link Your Research
Have you ever noticed that as soon as people begin to publish papers in academic journals, their protectiveness over a thus far long forgotten middle initial suddenly assumes unprecedented significance? Personally, my middle name was primarily a source of embarrassment before I began to insist my name appeared as ‘James B Maurice’ on papers, however […]
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 […]
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). […]
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 […]