First published on 21 Sep 2020
Learning Points 1. A clinical diagnosis of rumination syndrome should be considered in patients presenting with recurrent effortless post-prandial regurgitation of undigested food without nausea 2. Concurrent oesophageal manometry with impedance monitoring after a test meal can be helpful in […]
First published on 28 May 2020
Learning points The reader will learn how to apply the evidences of the literature in the management of chronic constipation in clinical practice Readers will learn how to define refractory constipation Readers will learn how to manage and investigate refractory […]
First published on 13 Dec 2019
Case Study A 34-year-old woman presented with a long history of abdominal bloating and diarrhoea. Her medical history included ileocaecal resection for Crohn’s disease. Blood tests, faecal calprotectin, colonoscopy to neo-terminal ileum, including random colonic biopsies, and a SeHCAT (23-seleno-25-homotaurocholic […]
First published on 13 Dec 2019
Case study A 35-year-old lady was referred by surgeons for a gastroenterology-nutrition opinion. At 18 years old, while living in social care, she had received a diagnosis of irritable bowel syndrome that had settled after self-management. In her mid-20s she […]
First published on 14 Jul 2019
Learning points: The main role of endoscopy in patients with GORD is to investigate for complications Upper gastrointestinal physiology testing can differentiate between patients with non-erosive reflux disease, hypersensitive oesophagus and functional heartburn, which have distinct phenotypes and require specific […]