An unusual cause of intestinal failure

A 62 year old man with well controlled type 2 diabetes presented with abdominal symptoms, significant weight loss and night blindness. He was vitamin A deficient, had marked peripheral oedema and a serum albumin of 12g/l, requiring TPN. Stool culture and testing for HIV and TB were negative. Immunoglobulin levels were normal. Computed tomography showed […]

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A rare cause of gastric outflow obstruction

A 78-year old lady with a previous history of oesophagectomy for adenocarcinoma, was referred with symptoms of epigastric pain, post-prandial vomiting and weight loss. OGD after a prolonged fast revealed erosions in the gastric conduit (image A) and the impression of external indentation at the antrum but no stenoses. Biopsies revealed chronic inflammation with no […]

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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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#FGDebate: The Role of Critical Care in Cirrhosis: Futility vs Opportunity?

The Role of Critical Care in Cirrhosis: Futility vs Opportunity? Date: Tuesday 11th April Time: 8-9pm GMT Guest: Dr Philip Berry @philabery   Philip Berry is a consultant hepatologist at Guy’s & St Thomas’ NHS Foundation Trust, London. His interests include the management of decompensated cirrhosis and approaches to ethical dilemmas on the ward. He […]

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#FGDebate: How to Get the Most Out of Your Endoscopic Training

How to Get the Most Out of Your Endoscopic Training: Ask the Experts Date: Thursday 12th January 2017 Time: 8-9pm GMT Guest: Dr Brian McKaig @braincmckaig Dr Brian McKaig MBChB, PhD, PGCMEDr Brian McKaig is a Consultant Gastroenterologist working at the Royal Wolverhampton NHS Trust since 2002, having qualified from Glasgow University in 1991 and […]

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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 […]

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