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 […]
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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 […]
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 […]
Deep Sedation & Anaesthesia in Endoscopy- A podcast with Dr George Webster
We have all been there during our careers in endoscopy- the anxious patient who has already told you they have a ‘strong gag reflex’ and need to be ‘knocked out’ in order to have their OGD, and before you’re half was down the oesophagus the paroxysms of retching and attempts to pull out the endoscope […]
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 […]
A RARE BUT INCREASINGLY COMMON DIAGNOSIS WITH AN EXCELLENT PROGNOSIS
A 41 year-old lady, with no relevant medical or family history, presented with sharp right flank discomfort for 2 days and weight loss of 3 kilograms over 1 month. Aside from mild right flank tenderness, no other abnormality was noted on a multisystem clinical examination. She had normal leucocyte, hemoglobin, and liver function levels, a […]
Unusual findings in a Patient Presenting with Right Upper Quadrant Pain
A 69 year old gentleman presented to the ED with a 1 day history of right upper quadrant abdominal pain. He described the pain as cramping in nature radiating to his lower abdomen. He denied any history of trauma but did report a week’s history of productive cough and shortness of breath. He had a […]
A disappearing lumen filling colonic lesion.
A 34 year old man was admitted to hospital with a history of progressively worsening abdominal pain associated with loss of weight. Clinical abdominal exam elicited left iliac fossa pain, but was otherwise normal. Blood tests were unremarkable. A CT KUB at presentation for suspected renal colic was performed and demonstrated a 5cm lesion in […]