Proton pump inhibitors (PPIs) are the mainstay of current medical management for laryngopharyngeal reflux, and treatment often involves long-term use of this class of medications. The long-term adverse effects of PPI use have not been studied extensively, but several analyses have demonstrated epidemiological links between PPI use and adverse outcomes. These include altered mineral and [...]
Mr Talha Manzoor looks at the aetiology of anal fissure and outlines some of the surgical and medical methods used to treat and manage the condition An anal fissure is a tear in the squamous epithelium of the anal canal around the opening of the anus. This condition can cause a sharp pain, especially when [...]
Dr Eoin Slattery differentiates between the two inflammatory bowel diseases — ulcerative colitis and Crohn’s disease — and looks at methods of diagnosis and different treatment options. Inflammatory bowel disease (IBD) is a term applied to a group of conditions characterised by chronic and/or relapsing inflammation within the gastrointestinal tract. IBD comprises two major conditions: [...]
A high intake of linoleic acid, a common dietary polyunsaturated fatty acid, might be implicated in a third of ulcerative colitis cases, according to new research. Linoleic acid is found in many dietary sources, including red meat, various cooking oils and some margarines. The researchers based their findings on food diaries from more than 200,000 [...]
Mr Javaid Butt describes the causes of anal fissure and looks at both the medical therapies and the surgical options that are available in the management of the condition Benign anorectal diseases — including fissures, abscesses, fistulas and haemorrhoids — are common. The prevalence of anal fissure is difficult to estimate, since almost any anorectal [...]
Two non-surgical and non-pharmacological treatments for gastroesophageal reflux disease (GERD) both appear effective in reducing medication use and improving voice and swallowing symptoms, according to a new report. Surgical options have been available since the 1990s, and more recently, endoluminal therapies that involve entering through the body’s natural passages to repair the underlying causes of [...]
Prof Fergus Gleeson discusses the diagnosis and treatment of Barrett’s oesophagus and the need to adopt a candid approach when informing patients about the condition. Norman Rupert Barrett was born in Adelaide, South Australia in 1903. Educated at Eton, he graduated in Medicine from Cambridge and St Thomas’s Hospital, London in 1928. He subsequently worked [...]
Prof Peter Gillen and Dr Shane Killeen look at gastro-oesophageal reflux disease and examine the variety of endoscopic antireflux procedures that are currently available for the treatment of the condition. Gastro-oesophage-al reflux disease (GORD) can be defined as reflux of gastric acid into the oesophageous, leading to oesphagitis, reflux symptoms sufficient to impair quality of [...]
The 16th Endo Club Nord congress next month gives endoscopy a symposium where experts come together to learn new techniques from colleagues and international lecturers. Each year, the Endo Club Nord congress, the International Endoscopy Forum, is open to medical professionals from all over the world who wish to exchange views on news from the [...]
Fewer patients undergoing gallbladder surgery at one major public teaching hospital sustained injuries to their bile ducts or other complications after trainee surgeons’ work hours were reduced, according to a new American report. In the study, doctors analysed the medical records of 2,470 patients who underwent laparoscopic cholecystectomy. Overall, 1,353 procedures were performed before the [...]
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