Ulcerative colitis: the management evolution

The management of ulcerative colitis (UC) has grown increasingly complex over the last few years as a result of new agents. In addition, algorithms for initiating, optimising and monitoring response to existing therapies have undergone considerable evolution.

IBS or IBD: What’s the difference?

Irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) both affect the gut and present with overlapping symptoms such as abdominal pain and diarrhoea, which often lead to the incorrect assumption that they are one and the same.

Death begins in the colon

Inflammation is obvious in many chronic and debilitating diseases such as rheumatoid arthritis, osteoarthritis, asthma, acne, eczema, psoriasis, sinusitis and hay fever, Crohn’s disease, ulcerative colitis, etc.

Stress-IBS axis

Up to 60% of IBS patients show evidence of increased anxiety or stress. There are numerous definitions of what stress is. Hans Selye defined stress as the nonspecific response of the body to any demand for change.

Stress management in the IBS patient

IBS is reported more frequently in women than in men and those aged 30 to 49 years. On average, it takes four years for individuals with IBS to receive a definitive diagnosis.

Not all probiotics created equally

Irritable bowel syndrome (IBS) is a chronic disorder that is not only associated with physical symptoms such as diarrhoea, vomiting and abdominal pain, but also psychological conditions such as depression and anxiety.

Evaluating extra-oesophageal GORD complications

Gastro-oesophageal reflux disease, characterised by heartburn and/or regurgitation symptoms is one of the most common gastrointestinal disorders managed by gastroenterologists and primary care physicians.

How to improve bowel prep

Colonoscopy is crucial in investigating large bowel pathologies including surveillance for CRC (colorectal cancer). Poor bowel preparation is one of the most important factors affecting diagnosis.

Going au naturel

Functional gastrointestinal disorders (FGIDs) affect between 5% and 29% of the general population. FGIDs include functional dyspepsia (FD) and irritable bowel syndrome (IBS).

Avoid laundry list in GORD management

Although gastro-oesophageal reflux disease (GORD) is not age specific, people older than 40 are most affected.

Long-term PPI use: are concerns justified?

Recent studies have raised concerns about the possible adverse effects of long-term proton pump inhibitor (PPI) use, but are these really clinically significant?

Read More
CPD POINTS: 1

Irritable bowel + irritable brain = IBS

More and more, clinical and experimental evidence is showing that IBS is a combination of an ‘irritable bowel and an irritable brain’.

7 dietary interventions in IBD

This article is based on an inflammatory bowel disease presentation by Prof Kevin Whelan of the Department of Dietetics at King’s College (United Kingdom).

The impact of chronic stress on gut health

Gastrointestinal functioning is particularly influenced by stress. Up to 80% of IBS patients experience comorbid behavioural disorders, such as stress, anxiety or depression.

Smoking: What should you advise your IBD patient?

This article is based on a presentation by Prof James Lindsay of the Queen Mary University of London (United Kingdom) at the recent SAGES Congress.

The POEM procedure for achalasia: a new approach to an old therapy

Per Oral Endoscopic Myotomy or POEM is an innovative new therapy for achalasia which allows accurate surgical division of the lower oesophageal sphincter without external incisions.

Regrowing the human oesophagus

It has been demonstrated that organogenesis is possible using principles of regenerative medicine such as transplanting tissue-engineered extracellular matrix (ECM) seeded with autologous pluripotent stem cells.

Hepatitis C permanently damages NK cell diversity

The diversity of natural killer (NK) cells is irreversibly affected by exposure to hepatitis C, Swedish researchers claim.

Mind over sphincter: brain-training GORD away

PPIs are not the only way to address reflux, as multiple studies into the gastrointestinal effects of relaxation training and CBT prove.

Probiotics impact on infantile FGIDs

Many studies target probiotic therapy for conditions like colic & constipation.

« » page 1 / 2