Gastro forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright Occult gastrointestinal bleeding is bleeding of which a patient is unaware and includes those with a positive faecal occult blood and/or iron deficiency anaemia. The prevalence of the problems is unknown and seeing that most people in the community are not tested for […]
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Gastro forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright In order to improve and standardise treatment for difficult conditions, it has become common to design guidelines for clinicians to follow. In spite of these good intentions, the care given to patients is often suboptimal for the individual. The reasons for this are […]
Prof Reid Ally would like to acknowledge Dr Nazeer Ahmed Ismail Chopdat and the Department of Medical Gastroenterology, Chris Hani Baragwanath Academic Hospital, for contribution to this article Alcoholic liver disease remains a challenging problem for both basic scientists and clinicians. The true prevalence of alcoholic hepatitis is not well defined. In the US alone, it is estimated […]
Gastro forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright The passage of small quantities of bright red blood per rectum is a common problem, although many sufferers never become patients. In a community-based study of people aged between 20 and 64, it was found that 13% had experienced some blood on the […]
Gastro forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright There was a fundamental change in the management of Crohn’s disease in 1990 when the value of immunosuppression with azathioprine was generally accepted. In 1998, the whirlwind of infliximab hit the profession after the US Food and Drug Administration approved its use in […]
Gastro forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright It had been known, from early in the history of microbiology, that the gut of humans and other animals is inhabited by microbial species, mostly bacteria and fungi. Louis Pasteur expressed his views to the French Academy of Sciences in 1885 on the […]
Gastro forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright “Doctor, I have that pain on my left-hand side again and I have been eating tomatoes. It must be my diverticulitis. Do I need an antibiotic?” Diverticular disease is a common condition. However, diverticulitis, i.e. inflammation of the diverticula is very much rarer. […]
Dr Chris Kassianides, Physician/Gastroenterologist in private practice at Mediclinic Morningside Extra-oesophageal reflux disease is an increasingly recognised complication of acid reflux disease presenting with a variety of symptomatic manifestations. In view of the increased morbidity and lack of understanding, a nationwide series of symposia were recently held with the assistance of a generous educational grant from a […]
Gastro-oesophageal reflux disease (GORD) is very common. Estimates based on the assumption that reflux-like symptoms are the indicator of the disease suggest a prevalence of 20%-40%. Clinical features Typical reflux symptoms include heartburn and regurgitation. Slowly progressive dysphagia may suggest a complication, such as a peptic stricture. Extra-oesophageal manifestations include asthma, hoarseness and chronic cough. […]
Gastro forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright One of the nightmares in gastroenterology is the rapidly deteriorating patient with a severe attack of ulcerative colitis. The speed with which a patient can deteriorate can shock both physician and patient. The patient’s family can only look on in horror as their […]
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