Nutrition is important in the management of liver disease. I’m sure for anyone working with cirrhotic patients this is not news, and even for those without extensive nutrition training the fact that the skeletal, sarcopenic patients do very badly is a clear reality we experience regularly on the clinical coal face. However, the challenge we […]
Latest articles
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 […]
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 […]
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 […]
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 […]
A hot topic- how to manage acute liver injury from checkpoint inhibitors
In my last piece for this blog I wrote about the revolution in the treatment of hepatitis C. There is always a danger of buying into excessive hype around new treatments- frequently followed by the ‘nadir of despair’ as reality sets in- and therefore I hesitate to begin my current piece again talking about paradigm-shifting […]
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. […]
The evolving landscape of hepatitis C – the move from treatment development to treatment delivery
It is hard to think of a more significant medical advance in recent years than in the field of hepatitis C treatment (answers on a postcard). In the space of less than 10 years, management of the condition has progressed from offering patients a treatment which lasted one year, was associated with major side effects […]