A 79-year-old man with an extensive previous heart history was admitted electively for investigation of weight loss and deterioration of renal function. Whilst an inpatient he developed severe epigastric pain and an initial blood test revealed an acutely raised amylase (> 2000) and deranged liver function tests. A non-contrast CT scan was done. What is […]
Category: Uncategorized
A simple IBD flare?
33 year old male with ulcerative colitis presents with a 5-day history of fever, night sweats, abdominal pain and increased stool frequency. Medications include mesalazine M/R 1g once daily, 6-mercaptopurine 75mg once daily and a two week course of prednisolone 40mg once daily. Bloods revealed a leukopenia and c-reactive protein of 23. Based on the […]
Another portal vein thrombosis?
Figure 1 Figure 2 A 62 year old male was undergoing antiviral therapy for HCV cirrhosis. He was asymptomatic with normal liver function tests and a normal alpha fetoprotein level. Routine liver ultrasound suggested a new portal vein thrombosis. CT imaging (figure1) and subsequent pathology specimen (figure 2) demonstrate a unique lesion. What’s in […]
Case of the month: Jelly belly?
Case of the month: A 75 year old man presents with a 2 month history of abdominal distension and lethargy. Clinical examination demonstrates shifting dullness and investigations reveal he has a microcytic anaemia with raised tumour markers (CA19-9-208 U/ml , CEA-88 µg/L) Ascitic aspiration yields a gelatinous fluid, the coronal section of his abdominal CT scan […]
#FGDebate GI Consequences of Cancer
GI Consequences of Cancer: Cancer cured – all back to normal now?’ Date: Tuesday 4th October 2016 Time: 8-9 BST Guest: Dr Ana Wilson @GIWolfsonunit Dr Ana (Ignjatovic) Wilson BA(Hons) MD MRCP Consultant Gastroenterologist and Endoscopist Dept: Wolfson Unit for Endoscopy Tel: 020 8869 5277 Email: smita.patel5@nhs.net Dr Ana Wilson is out featured guest for this […]
Case of the month-A scalp lesion with anaemia?
A 79 year old man underwent a upper GI endoscopy for dark stools and anaemia (top left), histology from lesions (top right) is presented. Further examination revealed a scalp lesion (bottom left), which was also biopsied (bottom right). What is the unifying diagnosis? Submitted by GJ Webb. […]
Assessment strategies in gastroenterology by Neel Sharma
All doctors regardless of specialty are assessed regularly – after all assessment drives learning. From a UK standpoint assessment comprises the MRCP (UK) examinations and SCE. During GI training there is the JAG accreditation of simple and more advanced endoscopic intervention as well as portfolio based records. In the field of medical education there are […]
‘The flipped classroom’-future of endoscopic training?
Read our latest blog on pedagogical strategies in gastroenterological training from Dr Neel Sharma. Neel Sharma is currently a gastroenterology trainee in Singapore having worked in a medical education setting across the UK, Asia and the US Medical education is now a well-recognised academic discipline. However, compared to traditional basic science it is still fairly premature having recently […]
Acute-on-Chronic Liver Failure: All you need to know
Following the March #FGDebate with Dr Richard Hansen and Ms Joan Gavin ‘Nutrition in IBD – what to do in theory and practice’, we are delighted to announce our next #FGDebate will be on Thursday 28th April 2016 8-9 BST with Dr Gautam Mehta. The topic this month will be ‘Acute-on-Chronic Liver Failure: All you need to know’. Dr […]
Missed the #FGDebate with Dr Anton Emmanuel? Catch up with the Podcast and Storify summary of the debate here – ‘Frontline IBS: An approach to treatment pathways?’
If you missed the #FGDebate with Dr Anton Emmanuel, ‘Frontline IBS: An approach to treatment pathways?’ you can catch up with the Storify summary of the #FGDebate at: https://storify.com/FrontGastro_BMJ/frontline-ibs-an-approach-to-treatment-pathways The podcast with Dr Anton Emmanuel can be listened to here: https://soundcloud.com/bmjpodcasts/frontline-ibs-an-approach-to-treatment-pathways?in=bmjpodcasts/sets/frontline-gastroenterology Don’t forget to join us for the next #FGDebate which […]