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Archive | Gastroenterology

The state of iron

Iron deficiency anaemia (IDA) is the condition in which there is anaemia due to a lack of iron. IDA develops when available iron is insufficient to support normal red cell production and is the most common type of anaemia. The diet provides 10-20mg per day of the iron requirement, as heme (mainly in red meat) […]

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Faecal microbiota transplant

Faecal microbiota transplant (FMT), also known as a faecal stool transplant involves the infusion of intestinal microorganisms into the intestine of an ill patient, from the intestine of another healthy individual to restore the balance of the normal intestinal microbiota, and facilitate the healing of a disease process. (more…)

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Vitamin B12: An overview

Animal products (meat and dairy) are the sole source of dietary B12 for humans. A typical Western diet contains 5-7mcg of vitamin B12 daily. The RDA for B12 is 2mcg per day. The total body store of B12 is 2-5mg, of which half is stored in the liver. It thus takes years for B12 deficiency […]

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IBS treatment advances

Irritable bowel syndrome (IBS) is a common functional bowel problem that mostly affects younger individuals, mostly women and patients with other functional gastrointestinal problems. (more…)

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Integrative medicine’s approach to gut health

Dr Bernard Brom, Chairman of the South African Society of Integrative Medicine (SASIM) Symptoms related to the gastrointestinal tract (GIT) are the reason for a great deal of visits to doctors by the general public. There may sometimes be underlying pathology but the vast majority of these problems are functional rather than pathological. Integrative medicine recognizes […]

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Halo Barrett’s oesophagus, goodbye oesophagectomy

Dr Keith Pettengell Barrett’s Oesophagus (B.Oes.) is the term given to a portion of the oesophagus covered with abnormal intestinal type epithelium which, as a result of chronic reflux disease, has replaced the normal stratified squamous epithelium that normally lines the oesophagus. The significance of B. Oes. lies in its potential for malignant transformation. B.Oes. […]

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Why persecute the H pylori?

Gastroenterology Forum authors: Prof Reid Ally, Dr Keith Pettengell and Dr John Wright To answer this question… because it has been common cause since its discovery in duodenal ulcer (DU) patients by Brian Marshall in 1982. Initially, it was shown that 90% of DUs are associated with Helicobacter pylori (HP) infection. Furthermore, subtypes were identified that […]

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