journal
https://read.qxmd.com/read/38420132/cost-benefits-and-environmental-impact-of-the-no-biopsy-approach-for-the-diagnosis-of-coeliac-disease-in-adults
#1
JOURNAL ARTICLE
Mohamed G Shiha, Nicoletta Nandi, Andrew J Hutchinson, Suneil A Raju, Foong Way David Tai, Luca Elli, Hugo A Penny, David Surendran Sanders
OBJECTIVE: Recent evidence suggests that adult patients with IgA tissue transglutaminase levels of ≥10× the upper limit of normal could be accurately diagnosed with coeliac disease without undergoing endoscopy and biopsy. We aimed to evaluate the cost-benefits and the environmental impact of implementing the no-biopsy approach for diagnosing coeliac disease in clinical practice. DESIGN: We calculated the overall direct and indirect costs of the conventional serology-biopsy approach and the no-biopsy approach for the diagnosis of coeliac disease based on the national average unit costs and the Office of National Statistics data...
2024: Frontline Gastroenterology
https://read.qxmd.com/read/38420131/chronic-abdominal-pain-in-inflammatory-bowel-disease-a-practical-guide
#2
REVIEW
Samantha Baillie, Christine Norton, Sonia Saxena, Richard Pollok
Pain is common in inflammatory bowel disease (IBD), yet many patients feel their pain is not addressed by healthcare professionals. Listening to a patient's concerns about pain, assessing symptoms and acknowledging the impact these have on daily life remain crucial steps in addressing pain in IBD. While acute pain may be effectively controlled by pain medication, chronic pain is more complex and often pharmacological therapies, particularly opioids, are ineffective. Low-dose tricyclic antidepressants and psychological approaches, including cognitive-behavioural therapy, have shown some promise in offering effective pain management while lifestyle changes such as a trial of low-fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet in those with overlapping irritable bowel syndrome may also reduce pain...
2024: Frontline Gastroenterology
https://read.qxmd.com/read/37058614/culture-of-continuous-improvement
#3
JOURNAL ARTICLE
John F Stebbing
No abstract text is available yet for this article.
February 7, 2023: Frontline Gastroenterology
https://read.qxmd.com/read/37862447/british-society-of-gastroenterology-best-practice-guidance-outpatient-management-of-cirrhosis-part-2-decompensated-cirrhosis
#4
JOURNAL ARTICLE
Dina Mansour, Steven Masson, Lynsey Corless, Andrew C Douds, Debbie L Shawcross, Jill Johnson, Joanna A Leithead, Michael A Heneghan, Mussarat Nazia Rahim, Dhiraj Tripathi, Valerie Ross, John Hammond, Allison Grapes, Coral Hollywood, Gemma Botterill, Emily Bonner, Mhairi Donnelly, Stuart McPherson, Rebecca West
There are two distinct phases in the natural history of cirrhosis: compensated disease (corresponding to Child Pugh A and early Child Pugh B disease), where the patient may be largely asymptomatic, progressing with increasing portal hypertension and liver dysfunction to decompensated disease (corresponding to Child Pugh late B-C), characterised by the development of overt clinical signs, including jaundice, hepatic encephalopathy (HE), ascites, renal dysfunction and variceal bleeding. The transition from compensated cirrhosis to decompensated cirrhosis (DC) heralds a watershed in the nature and prognosis of the disease...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37862444/british-society-of-gastroenterology-best-practice-guidance-outpatient-management-of-cirrhosis-part-1-compensated-cirrhosis
#5
JOURNAL ARTICLE
Dina Mansour, Steven Masson, Debbie L Shawcross, Andrew C Douds, Emily Bonner, Lynsey Corless, Joanna A Leithead, John Hammond, Michael A Heneghan, Mussarat Nazia Rahim, Dhiraj Tripathi, Rebecca West, Jill Johnson, Gemma Botterill, Coral Hollywood, Valerie Ross, Mhairi Donnelly, Juliet E Compston, Stuart McPherson, Allison Grapes
The prevalence of cirrhosis has risen significantly over recent decades and is predicted to rise further. Widespread use of non-invasive testing means cirrhosis is increasingly diagnosed at an earlier stage. Despite this, there are significant variations in outcomes in patients with cirrhosis across the UK, and patients in areas with higher levels of deprivation are more likely to die from their liver disease. This three-part best practice guidance aims to address outpatient management of cirrhosis, in order to standardise care and to reduce the risk of progression, decompensation and mortality from liver disease...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37862443/british-society-of-gastroenterology-best-practice-guidance-outpatient-management-of-cirrhosis-part-3-special-circumstances
#6
JOURNAL ARTICLE
Dina Mansour, Steven Masson, John Hammond, Joanna A Leithead, Jill Johnson, Mussarat Nazia Rahim, Andrew C Douds, Lynsey Corless, Debbie L Shawcross, Michael A Heneghan, Dhiraj Tripathi, Stuart McPherson, Emily Bonner, Gemma Botterill, Rebecca West, Mhairi Donnelly, Allison Grapes, Coral Hollywood, Valerie Ross
The prevalence of cirrhosis has risen significantly over recent decades and is predicted to rise further. Widespread use of non-invasive testing means cirrhosis is increasingly diagnosed at an earlier stage. Despite this, there are significant variations in outcomes in patients with cirrhosis across the UK, and patients in areas with higher levels of deprivation are more likely to die from their liver disease. This three-part best practice guidance aims to address outpatient management of cirrhosis, in order to standardise care and to reduce the risk of progression, decompensation and mortality from liver disease...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854787/ibd-related-mental-health-disorders-where-do-we-go-from-here
#7
REVIEW
David Augusto Gomez, Muhammad Ahmad-Waqar, Matthew James Brookes, Aditi Kumar
Inflammatory bowel disease is a complex and debilitating disease which is known to cause mental burden for patients. Even though few studies look at mental health disease in this cohort of patients, there is growing evidence of a correlation between disease activity and prevalence of mental health conditions such as anxiety, depression and post-traumatic stress disorder. In this literature review, the relationship between inflammatory bowel disease and mental health disorders is explored, with an emphasis on recognition, screening and therapeutic options and special considerations for these complex comorbidities...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854786/heart-was-the-key-to-the-diagnosis
#8
JOURNAL ARTICLE
Khawaja Junaid Akhtar, Tina Maheswaran, Christopher Watters
No abstract text is available yet for this article.
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854785/exploring-changing-attitudes-to-non-invasive-liver-fibrosis-tests-in-secondary-care-pathways-comparison-of-two-national-surveys
#9
JOURNAL ARTICLE
Kushala W M Abeysekera, Ankur Srivastava, Ian Rowe, Helen Jarvis, Stephen D Ryder, Andrew Yeoman, John F Dillon, William Rosenberg
INTRODUCTION: The increasing availability of non-invasive tests (NITs) has created the opportunity to explore their use in improving risk stratification of advanced liver disease. The study aimed to determine the attitudes and practices among UK secondary care specialists, focusing primarily on attitudes to fibrosis assessment and the use of NITs. METHODS: Two web-based surveys were circulated, first between 2014 and 2015 (survey 1), and again in 2021 (survey 2)...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854784/sister-mary-joseph-s-nodule-revealing-cholangiocarcinoma
#10
Wala Ben Kridis, Tahia Boudawara, Afef Khanfir
No abstract text is available yet for this article.
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854783/young-persons-and-healthcare-professionals-experience-of-virtual-gastroenterology-consultations-a-multicentre-survey-conducted-during-the-covid-19-pandemic
#11
JOURNAL ARTICLE
Rhona Hubbard, Alenka Brooks, Naila Arebi, Sara El-Khouly, Fevronia Kiparissi, Ella Mozdiak, Rafeeq Muhammed, Philip J Smith, Natalia Zarate-Lopez, Victoria Garrick, James Greenan-Barrett, Sarah Baker, Keith Bradbury, Nicholas DelNero, Priya Narula
OBJECTIVE: To explore Young Persons (YP) and healthcare professionals (HCP) experiences of virtual consultations (VC) and establish whether developmentally appropriate healthcare can be delivered virtually. METHOD: YP and HCP questionnaire surveys were designed and piloted. Electronic questionnaire links were sent by post, email or text message January-April 2021 to YP aged 13-25 years old, with predefined chronic gastrointestinal conditions, attending a gastroenterology/hepatology VC...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854782/opioid-use-and-associated-factors-in-1676-patients-with-inflammatory-bowel-disease-a-multicentre-quality-improvement-project
#12
JOURNAL ARTICLE
Samantha Baillie, Jimmy K Limdi, Ash Bassi, Aileen Fraser, Gareth Parkes, Glyn Scott, Tim Raine, Christopher A Lamb, Nicholas A Kennedy, Natalia Fumis, Melissa A Smith, Andrew Nicolaou, Holly Emms, John Wye, Anouk Lehmann, Isabel Carbery, James Goodhand, Robert Lees, Waleed Beshyah, Pavit Luthra, Richard Pollok, Christian Selinger
OBJECTIVE: Despite its association with poorer outcomes, opioid use in inflammatory bowel disease (IBD) is not well characterised in the UK. We aimed to examine the extent of opioid use, the associated factors and the use of mitigation techniques such as pain-service review and opioid weaning plans among individuals with IBD. METHODS: Data were collected from consecutive patients attending IBD outpatient appointments at 12 UK hospitals. A predefined questionnaire was used to collect data including patient demographics, IBD history, opioid use in the past year (>2 weeks) and opioid-use mitigation techniques...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854781/bacterial-contamination-of-endoscopist-and-assistant-face-visors-during-gastrointestinal-endoscopy-a-pilot-study
#13
JOURNAL ARTICLE
David Nylander, John Leeds, John Perry, Manjusha Narayanan, Chris Dipper, Mel Gunn, Manu Nayar, Ally Speight, Kofi W Oppong
BACKGROUND AND AIM: During the COVID-19 pandemic, health workers' facial exposure to pathogens has been brought into focus. In this study, we aimed to determine the occurrence and degree of facial contamination to both endoscopists and their assistants during endoscopic procedures to help inform future safety measures. METHODS: Non-sterile visors worn by endoscopist, assistant and room control visors from 50 procedures were swabbed post procedure for culture. Procedure type, therapy, duration and evidence of visible visor contamination were recorded...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854780/caecal-surprise
#14
JOURNAL ARTICLE
Umang Rafiq Qazi, Thomas P Chapman, Peter John Basford
No abstract text is available yet for this article.
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854779/emerging-uses-of-glucagon-like-peptide-1-glp-1-receptor-agonists-following-ileal-resection-literature-review-and-case-examples
#15
REVIEW
Thomas Edward Conley, Katherine Lynsey White, Ashley Bond, Simon Harrison, John McLaughlin, Simon Lal
Following ileal resection, the combination of severe bile acid (BA) malabsorption, rapid small bowel transit and unrestricted upper gastrointestinal (GI) secretion results in severe diarrhoea that can prove refractory to pharmacological therapies. While established therapies, including BA sequestrants and antidiarrhoeal drugs seek to ameliorate symptoms, they do not target the underlying pathophysiological mechanisms in this patient group. Their use can also be limited by both intolerance and adverse effects...
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854778/chronic-diarrhoea-in-an-elderly-woman-a-challenging-maze
#16
JOURNAL ARTICLE
Inês Simão, André Mascarenhas, José Pedro Rodrigues
No abstract text is available yet for this article.
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854777/moving-forward-with-the-detection-of-chronic-liver-disease
#17
JOURNAL ARTICLE
Stuart McPherson, Jessica Shearer
No abstract text is available yet for this article.
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854776/upfront
#18
JOURNAL ARTICLE
R Mark Beattie
No abstract text is available yet for this article.
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854775/importance-of-non-technical-skills-sacred-in-advanced-endoscopy
#19
EDITORIAL
Mohamed G Shiha, Srivathsan Ravindran, Siwan Thomas-Gibson, David Surendran Sanders, Hey-Long Ching
No abstract text is available yet for this article.
2023: Frontline Gastroenterology
https://read.qxmd.com/read/37854774/virtual-consultations-navigating-the-future-landscape-of-delivering-gastroenterology-outpatient-care-to-young-people
#20
JOURNAL ARTICLE
Nkem Onyeador, Kumaran Thiruppathy
No abstract text is available yet for this article.
2023: Frontline Gastroenterology
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