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Frontline Gastroenterology

Rafeeq Muhammed
No abstract text is available yet for this article.
January 2019: Frontline Gastroenterology
(no author information available yet)
[This corrects the article DOI: 10.1136/flgastro-2015-100617.].
January 2019: Frontline Gastroenterology
Ashnila Janmohamed, Gideon M Hirschfield
Autoimmune hepatitis (AIH) is a rare heterogenous immune-mediated liver disease that for the majority has effective therapy, usually resulting in excellent prognosis. Treatment is based on immunosuppression using standard therapy with corticosteroids and azathioprine. Second-line therapeutic options exist for those who are non-responders ('difficult to treat AIH') or intolerant to standard therapy; however, their use is not standardised, and in addition, there is vast variation in practice and efficacy. Given the rarity of AIH, expertise in its management can be limited to large referral programmes...
January 2019: Frontline Gastroenterology
Darren C R Fernandes, Dennis Poon, Laura L White, H Jervoise N Andreyev
Introduction: 75 Selenium taurocholic acid (SeHCAT) scanning diagnoses bile acid malabsorption/bile acid diarrhoea (BAM/BAD) and defines optimal treatment. Approximately 2% of the population have BAM/BAD. Aim: To evaluate the cost of delayed diagnosis of BAM/BAD. Methods: Patients' notes who underwent SeHCAT scanning in three hospitals over a 1-year period were reviewed retrospectively. Scan results and treatment response were recorded. Package-of-care costs were calculated using costing tools from the National Institute for Health and Care Excellence and from United Lincolnshire Hospitals Trust business unit...
January 2019: Frontline Gastroenterology
Andrew J Franck
Objective: Parenteral nutrition (PN) overfeeding is a potential risk factor in the development of infections and other complications including hyperglycaemia, refeeding syndrome and liver dysfunction. This study was conducted to evaluate the impact of a quality improvement initiative to reduce PN overfeeding. Design: Retrospective cohort study of a quality improvement initiative. Setting: A health system comprised of two US Department of Veterans Affairs medical centres...
January 2019: Frontline Gastroenterology
Michael McFarlane, Neeraj Bhala, Louise China, Laith Alrubaiy, Fergus Chedgy, Benjamin R Disney, Adam D Farmer, Edward Fogden, Gareth Sadler, Mark A Hull, John McLaughlin, Howard Ellison, Julie Solomon, Matthew James Brookes
Objective: Academic medical training was overhauled in 2005 after the Walport report and Modernising Medical Careers to create a more attractive and transparent training pathway. In 2007 and 2016, national web-based surveys of gastroenterology trainees were undertaken to determine experiences, perceptions of and perceived barriers to out-of-programme research experience (OOP-R). Design setting and patients: Prospective, national web-based surveys of UK gastroenterology trainees in 2007 and 2016...
January 2019: Frontline Gastroenterology
Gavin Alistair Stead, Ben Warner, Jennifer Clough, Effie Lanaspre, John O'Donohue
A 62-year-old man presented to the emergency department with 5 weeks of worsening lower abdominal pain associated with watery diarrhoea, vomiting and 10% loss of body weight. He had recently experienced night blindness. There was no history of foreign travel. His past medical history included hypertension, sickle cell trait and type 2 diabetes well controlled on metformin. He had not been prescribed any recent steroids and denied significant alcohol intake. On examination, he had a tachycardia at 110 bpm and was afebrile and normotensive...
January 2019: Frontline Gastroenterology
Katherine H Smith, Rachel Justine Hallett, Victoria Wilkinson-Smith, Penny Jane Neild, Alenka J Brooks, Melanie Jane Lockett, Siwan Thomas-Gibson, Jayne Alison Eaden, Cathryn Edwards
Introduction: Mentorship has long been recognised as beneficial in the business world and has more recently been endorsed by medical and academic professional bodies. Recruitment of women into gastroenterology and leadership roles has traditionally been difficult. The Supporting Women in Gastroenterology network developed this pilot scheme for female gastroenterologists 5 years either side of the Completion Certificate of Specialist Training (CCST) to examine the role that mentorship could play in improving this discrepancy...
January 2019: Frontline Gastroenterology
Dermot Gleeson, Christopher O'Shea, Howard Ellison, Tony C Tham, Andrew C Douds, Andrew F Goddard
Aim: Evaluation of stress and its causes in UK gastroenterologists. Design: Questionnaire emailed to all 1932 medical members of the British Society of Gastroenterology. Results: Of 567 respondents (29%), 107 (20%) graded their stress level as 4 or 5 out of 5. Stress levels correlated inversely with self-reported happiness levels (r=-0.60; p<0.001) and with hours slept per night (r=-0.23; p<0.01) and correlated directly with % time off-duty thinking about work (r=0...
January 2019: Frontline Gastroenterology
Durayd Alzoubaidi, Laurence B Lovat, Rehan Haidry
Acute upper gastrointestinal bleeding (AUGIB) is one of the most common medical emergencies in the UK. Despite advancement in technology the management of AUGIB remains a challenge. The clinical community recognise the need for improvement in the treatment of these patients. AUGIB has a significant impact on resources. Endoscopic therapy is the gold standard treatment. The mortality in AUGIB is rarely related to the presenting bleed but significantly associated with concurrent comorbidities. The cost of blood transfusion in the management of patients with AUGIB is significant and misuse of blood products has been documented nationally...
January 2019: Frontline Gastroenterology
Irene Dunkley, Helen Griffiths, Rachael Follows, Alison Ball, Mandy Collins, Phedra Dodds, Richard Gardner, Victoria Jackson, Claire Rodgers, Barbara Simpson, Nicky Taggart, Tony C Tham, Vivienne Wilkin, Andrew M Veitch
No abstract text is available yet for this article.
January 2019: Frontline Gastroenterology
Juan E Corral, Tara Keihanian, Liege I Diaz, Douglas R Morgan, Daniel A Sussman
Objective: Recent guidelines on endoscopic sampling recommend complete gastric polyp removal for solitary fundic polyps >10 mm, hyperplastic polyps >5 mm and all adenomatous polyps. We aim to describe endoscopic approach to polyps in the time period prior to the American Society of Gastrointestinal Endoscopy (ASGE) guidelines and to identify opportunities for clinical practice improvements. Design: Retrospective review of the Clinical Outcome Research Initiative (CORI) database, including all oesophagogastroduodenoscopies (OGDs)...
January 2019: Frontline Gastroenterology
Lavanya Shenbagaraj, Siwan Thomas-Gibson, John Stebbing, Raphael Broughton, Michael Dron, Debbie Johnston, Tim Shaw, Hasan Nadim Haboubi, John T Green
Introduction: The Joint Advisory Group on Gastrointestinal Endoscopy (JAG), hosted by the Royal College of Physicians, London, oversees the quality assurance of endoscopy services across the UK. Additional questions focusing on the pressures faced by endoscopy units to meet targets were added to the 2017 annual Global Rating Scale (GRS) return. This provides a unique insight into endoscopy services across all nations of the UK involving the acute and non-acute Nation Health Service sector as well as the independent sector...
January 2019: Frontline Gastroenterology
Alenka J Brooks, Eleanor Jane Taylor, E A Arthurs, Cathryn Edwards, Richard Gardner, Melanie Lockett, Penny J Neild, Julie Solomon, Siwan Thomas-Gibson, Jayne Eaden
In the UK, gastroenterology has been a male predominant medical speciality. Data regarding gender within workforce, academia and leadership at a national level are lacking. Data regarding scholarly presentation at the following annual conferences were collected and analysed; British Society of Gastroenterology (BSG) 2013, 2014, and Digestive Diseases Federation (DDF) in 2015. Data from the 2013-2015 BSG annual workforce reports were examined. In 2015, female higher specialty trainees (STs) made up 39% (328/848) of the trainee workforce, versus 37% and 35% in 2014 and 2013...
January 2019: Frontline Gastroenterology
Suneil A Raju, Peter D Mooney, Karuna Kodali, Charmaine Toh, Daniel Kusumawidjaja, Naomi Hersey, Hugo Penny, Matthew Kurien, David S Sanders
No abstract text is available yet for this article.
October 2018: Frontline Gastroenterology
Matthew Kurien, Andrew Hopper, Alan J Lobo, Mark E McAlindon, Reena Sidhu, Dermot C Gleeson, John M Hebden, Kumar Basu, Simon Panter, Melanie Lockett, David S Sanders
Out of programme (OOP) opportunities are to be encouraged. This article gives an insightful view of the Sheffield Clinical Research Fellowship Programme. Unique trainee feedback is provided. The take home message is clear - trainees should grab OOP experiences with both hands! For consultants the logistics described are potentially transferrable to their own regions.
October 2018: Frontline Gastroenterology
Kirill Pavlov, Parweez Koehestanie, Jaap J Beutler, Tessa E H Römkens, Ellen K Hoogeveen, Loes H C Nissen
This case report describes a young, immunocompromised patient who presented with thoracic pain. After an extensive workup, she was diagnosed with a varicella zoster virus infection with involvement of the gastric mucosa, pancreas and lungs for which she was treated with acyclovir. Although the viral load decreased significantly, the patient had persistent postherpetic neuralgia and nausea.
October 2018: Frontline Gastroenterology
Yasser El-Sherif, John Hunt, Abid Suddle, Brian Prater, David Reffitt, John Devlin, Phillip Harrison, Deepak Joshi
Objective: General anaesthesia (GA) has been increasingly used for advanced endoscopic procedures in particular endoscopic retrograde cholangiopancreatography (ERCP). Given the increasing pressure on many hospitals, the delivery of such service on a regular basis may not always be possible. We established a new day case 'GA ERCP' service. We describe our experience in evaluating the safety and overall feasibility of this new service. Design: Prospective database has been interrogated for the period from March 2015 to December 2016...
October 2018: Frontline Gastroenterology
Vincent Zimmer, Frank Lammert
No abstract text is available yet for this article.
October 2018: Frontline Gastroenterology
Valerie Annerijn van der Ploeg, Yasuko Maeda, Omar D Faiz, Ailsa L Hart, Susan K Clark
Background/aims: Variation in quality of reporting on endoscopic procedures is a common clinical problem. Findings are not documented in a standardised manner and there is a tendency towards reporting abnormal findings only. This study aimed to review quality of flexible pouchoscopy reports and to develop a standardised reporting template. Methods: Ileo-anal-pouch experts (n=5) compiled a list of items that should be documented at flexible pouchoscopy. Reports were reviewed retrospectively for their completeness compared with the template...
October 2018: Frontline Gastroenterology
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