GI Endoscopy & Related Procedures Course

The University of SheffieldCentre for Health
and Social Care Studies and Service Development

School of Nursing and Midwifery

Gastrointestinal Endoscopy and Related Procedures Course

• 20 credits diploma or degree level
• 10 study days

The overall aim of this module is to enable participants to critically evaluate and analyse existing practice, in order to broaden skills and knowledge specific to endoscopy and gastroenterology. This will be achieved through a process of reflection and will focus on key areas of practice, which include conscious sedation and informed consent. In addition, the physical, social and psychological impact on the patient with a gastrointestinal related condition will be explored from a clinical perspective.

Suitable for:

• Registered nurses working within the speciality of endoscopy or gastroenterology. This can be ward or department based.

Assessment:

• Assessment is through a 4000 word reflective assignment.

To apply for a place on this course, please visit:

www.shef.ac.uk/hsccpd/courses/g/snm2215-3232.html

1. Browse under G in the alphabetical list of programmes
2. Choose Gastrointestinal Endoscopy and Related Procedures Course
3. Submit an on-line form to reserve a place
4. Download and complete an application form
5. If appropriate obtain approval from your line manager
6. If appropriate obtain approval from the Learning Beyond Registration (LBR) lead at your Trust
7. Return the form to us at least five weeks before the start of the course

For further information contact Tracey Moore, Programme Leader/Contact

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

+44 114 222 2056

BSG Guidance on Coeliac Disease 2010

The Management of Adults with Coeliac Disease

Summary

There is clear evidence that coeliac disease is a common gastrointestinal disease affecting up to 1% of the adult population. Individuals may go undetected for many years. This is despite multiple presentations to both primary and secondary care. This may reflect that fact that affected individuals have subtle gastrointestinal symptoms or no gastrointestinal symptoms.

An active case finding strategy will increase the number of patients detected with coeliac disease. Testing for coeliac disease should incorporate an IgA level, Tissue Transglutaminase antibody and/or Endomysial antibody (depending on what is locally available). In patients with a positive antibody a duodenal biopsy should be undertaken to confirm the presence of villous atrophy. In patients who are antibody negative but the clinician is suspicious then a duodenal biopsy should still be undertaken having ensured that the patient is not on a self-imposed gluten-free diet (GFD).

The cornerstone of treatment is a GFD. Patients require regular dietetic support with the opportunity or access to a gastroenterologist should further problems arise. Follow-up may be in primary or secondary care as long as the support is adequate (as noted previously).

In patients with persisting symptoms they should be investigated carefully with particular reference to ensuring that refractory coeliac disease is excluded.

• The Management of Adults with Coeliac Disease  [ 305 Kb ]

Guidelines for the management of inflammatory bowel disease

The management of inflammatory bowel disease represents a key component of clinical practice for members of the British Society of Gastroenterology. There has been considerable progress in management strategies affecting all aspects of clinical care since the publication of previous BSG guidelines in 2004, necessitating the present revision. Key components of the present document worthy of attention as having been subject to re-assessment, and revision, and having direct impact on practice include:

• The data generated by the nationwide audits of inflammatory bowel disease (IBD) management in the UK in 2006, and 2008.
• The publication of 'Quality Care: service standards for the healthcare of people with IBD' in 2009.
• The introduction of the Montreal classification for Crohn's disease and ulcerative colitis.
• The revision of recommendations for the use of immunosuppressive therapy.
• The detailed analysis, guidelines and recommendations for the safe and appropriate use of biological therapies in Crohn's disease and ulcerative colitis.
• The reassessment of the role of surgery in disease management, with emphasis on the importance of multi-disciplinary decision-making in complex cases.
• The availablity of new data on the role of reconstructive surgery in ulcerative colitis.
• The cross-referencing to revised guidelines for colonoscopic surveillance, for the management of metabolic bone disease, and for the care of children with inflammatory bowel disease.
• Use of the BSG discussion forum available on the BSG website to enable ongoing feedback on the published document http://www.bsg.org.uk/forum (accessed Oct 2010).

The present document is intended primarily for the use of clinicians in the United Kingdom, and serves to replace the previous BSG guidelines in IBD, while complementing recent consensus statements published by the European Crohn's and Colitis Organisation (ECCO) http://www.ecco-ibd.eu/index.php (accessed Oct 2010).

• Download full guideline  [ 425 kb ]

The provision of a percutaneously placed enteral tube feeding service

David Westaby, Alison Young, Paul O'Toole, Geoff Smith, David S Sanders

This guideline, relating to the provision of a percutaneously placed enteral tube feeding service, is focused upon a specific area of nutrition provision that has not been previously targeted. It should be read in the context of other recent guidelines, which have covered the wider field of nutrition provision. The present guideline includes a summary of the ethical issues associated with enteral tube feeding, but these issues are dealt with in detail by the Royal College of Physicians working party report on oral feeding. Furthermore there is no reference to the provision and make-up of the enteral feeds themselves (an area well covered in the reports referred to). The aim of the guideline is to identify the role of percutaneously placed enteral feeding tubes within the wider context of nutrition provision. Guidance is provided for patient selection, the technical aspects of tube placement as well as the prevention and management of associated complications, with an emphasis on endoscopic tube placement (rather than radiological or surgical techniques). The target audience is wide, and includes consultants and specialist registrars in gastroenterology, surgery and radiology, nurse endoscopists and endoscopy nurses, dietitians and nutrition nurse specialists (both hospital and community based). This guideline also provides a basis upon which a primary care trust can purchase enteral nutrition services.

• Download full guideline  [ 363 kb ]