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Clinical Times: Gastro-intestinal
All entries for Gastro-intestinal
Study investigates long term effects of PPIs
09 March 2010
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... Read more
Medical and surgical management of tears in the anal canal
Mr Talha Manzoor | 27 August 2009
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... Read more
Diagnosis and treatment of Crohn's and ulcerative colitis
Dr Eoin Slattery | 20 August 2009
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.... Read more
Polyunsaturated fat may be linked to onset of ulcerative colitis
06 August 2009
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... Read more
Diagnosis and treatment of anal fissures
Mr Javaid Butt | 24 July 2009
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... Read more
Non-surgical and non-pharmaceutical treatments for reflux disease effective
Archives of Surgery | 09 April 2009
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... Read more
Treating Barrett's oesophagus
Prof Fergus Gleeson | 24 March 2009
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... Read more
Endoscopic treatment of GORD: unfulfilled potential
Prof Peter Gillen and Dr Shane Kileen | 19 January 2009
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... Read more
Endo Club Nord evolves
28 October 2008
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... Read more
Limiting surgical NCHDs' work hours is linked to fewer complications
Archives of Surgery | 29 September 2008
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... Read more
Research success at 2008 Congress
Dr Aisling Hogan | 19 September 2008
Dr Aisling Hogan recently received the Young Investigator Award at the 43rd Congress of the European Society of Surgical Research, IMT reports. There was success for Ireland at the recent 2008 Congress of the European Society of Surgical Research in... Read more
Incontinence affects one quarter of women
JAMA | 17 September 2008
Nearly one-quarter of women surveyed, and more than one-third of older women, report at least one pelvic-floor disorder, which includes urinary and faecal incontinence and the shifting of a pelvic organ, according to a new study. In the study, doctors... Read more
Chewing gum associated with enhanced bowel recovery
10 September 2008
Chewing gum is associated with enhanced recovery of intestinal function following surgery to remove all or part of the colon, according to an analysis of previously published studies in the August issue of Archives of Surgery, one of the JAMA/Archives... Read more
Psychiatric problems in Crohn's and colitis
Dr Muhammad Arshad and Zoya Ali | 28 July 2008
Dr Muhammad Arshad and Zoya Ali write about the psychiatric problems that can result from receiving a diagnosis of inflammatory bowel disease "They certainly give very strange names to diseases" Plato (427 BC-347 BC). Inflammatory bowel disease (IBD) is a... Read more
SSRIs linked to upper GI bleeding
Archives of General Psychiatry | 18 July 2008
Selective serotonin reup-take inhibitors (SSRIs) appear to be associated with bleeding in the upper gastrointestinal (GI) tract, according to a report from a new Spanish study. The effects appear increased when antidepressants are combined with other stomach-harming medications and decreased... Read more
Ultrasonic instruments produce better results
26 June 2008
Using ultrasonic surgical instruments is associated with more favourable outcomes when compared with convent-ional instruments for colorectal and gynaecological procedures, according to a new meta-analysis of previously published studies. In the analysis, doctors looked at studies published between 1990 and... Read more
Variations found in appropriateness of surgery in rectal cancer patients
Gut Online First, available at: http://press.psprings.co.uk/gut/june/gt137877.pdf | 21 June 2008
A substantial proportion of rectal cancer patients are receiving inappropriate surgical care because of wide variations in practice, according to a new UK study. The variation was not associated with how far the disease had advanced or how old the... Read more
Alcoholic liver disease – the tip of a large iceberg
Prof John Crowe | 20 June 2008
Prof John Crowe writes about the growing problem of excess alcohol consumption in Ireland and the long-term serious liver problems that can face those who over-indulge. That the Irish have become a nation of heavy drinkers surpassing our European neighbours... Read more
Pregnancy and incontinence
Dr Sinead Byrne | 19 June 2008
Dr Sinead Byrne MD, Consultant Gastroenterologist, Hermitage Medical Clinic, highlights important points regarding faecal incontinence in relation to pregnancy and the post-partum period. Faecal incontinence is the involuntary passage of stool through the anus. Incontinence is devastating and causes fear... Read more
Listen to gut feelings about nocturnal GORD
Prof Fergus Gleeson | 19 May 2008
Prof Fergus Gleeson on the importance of managing nocturnal GORD, a condition which can have serious complications if left untreated. Gastro-oesophage-al reflux disease (GORD) is the most common chronic disorder of the oesophagus. Population studies in the USA estimate that... Read more
Challenges of imaging the obese patient
Dr Orla Buckley | 18 May 2008
Dr Orla Buckley explains the problems faced by radiologists when it comes to imaging patients who are obese - and outlines ways to minimse the risks involved. It is estimated that at least 30 per cent of the population of... Read more
Baclofen promotes abstinence in alcoholics with liver cirrhosis
The Lancet 2007;370:1915-1922 | 04 January 2008
The drug baclofen is effective at promoting alcohol abstinence in alcohol-dependent patients with liver cirrhosis, and could have an important role in treatment of these individuals, a new Italian-led study has found. In the study, doctors in Rome conducted a... Read more
Losing weight before bariatric surgery leads to shorter stays in hospital
Archives of Surgery | 16 November 2007
High-risk, morbidly obese patients who lose five to 10 per cent of their excess body weight before undergoing gastric bypass surgery appear to have shorter hospital stays and more rapid postoperative weight loss, according to a new report. In the... Read more
Clinical threshold for bowel surgery too high
BMJ Online First | 09 November 2007
The clinical threshold for undertaking elective surgery to remove part or all of the colon for people with inflammatory bowel disease (IBD) may be too high, researchers in the UK have warned. Researchers from Swansea and Oxford in the UK... Read more
Unravelling ulcerative colitis
Dr Richard J Farrell, Consultant Gastroenterologist, Connolly Hospital, Blanchardstown | 02 November 2007
Optimising the dose or combining oral and topical aminosalicylates is the key to successful management of most patients with active ulcerative (UC) colitis, says Dr Richard Farrell. UC is a chronic relapsing inflammatory disease of the rectum and colon which... Read more
Not all probiotic products effective against diarrhoea
BMJ | 07 September 2007
Several probiotic products are marketed as effective treatments for acute diarrhoea in children, but a new study has found that not all of these preparations are effective. In the study, researchers at the University of Naples tested five different preparations... Read more
What a diabolical way to die
David Sowby | 24 August 2007
In recent months there has been considerable interest in polonium employed for homicidal purposes. Polonium isn’t normally a substance that the medical profession comes across, so it might be useful to explain some of the reasons that make it such... Read more
Risk of colorectal tumours not reduced by taking folic acid
JAMA 2007;297:2351-2359 | 22 June 2007
Research indicates that folic acid does not decrease the risk of benign colorectal tumors, but may possibly increase the risk for some types of colorectal tumours, according to a new study. In the study, doctors evaluated the effect of folate... Read more
Long-term aspirin use for colorectal cancer
The Lancet 2007:369;1577,1603-1613 | 25 May 2007
Long-term use of at least 300mg of aspirin a day for five years can prevent colorectal cancer, a new study has found. Despite such findings, the authors of the study and an accompanying comment article commented that the potential risks... Read more
Financial burden of faecal incontinence a ticking time bomb
Prof Fergus Gleeson | 23 March 2007
Faecal incontinence, while primarily the domain of the colorectal surgeon, is a condition with which all medical practitioners need to be familiar. The condition can be defined as the recurrent involuntary and/or uncontrollable passage of faecal material. As the material... Read more