A web hub focussed on providing gastroenterologists with the latest information on the diagnosis, treatment and management of patients with gut related disorders.
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A resource for gastroenterologists including a series of patient information sheets that can be e-mailed to, or printed out for patients. Now available in English and Spanish.
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Kurien M et al. Frontline Gastroenterology 2018;9:92–97.
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Dr. Fermín Mearin-Manrique
Symptoms in this patient point towards a diagnosis of irritable bowel syndrome (IBS)
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Dr Jordi Guardiola
We do not know exactly why patients with inflammatory bowel disease (IBD) have clinical symptoms. There is no correlation between endoscopic lesions and the clinical manifestations assessed by the Crohn’s disease activity index.
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Inflammatory bowel disease: clinical aspects and treatments
Fakhoury M et al. J Inflamm Res 2014;7:113–120.
Aziz, I, Mumtaz S, Bholah H et al. Clin Gastroenterol Hepatol 2015;13:1650–1655.
Bile acid disease: the emerging epidemic
Oduyebo I & Camilleri M. Curr Opin Gastroenterol 2017;33:189–195.
Physiology of bile acid diarrhoea
Bile acid diarrhoea (BAD) is a common but under-recognised cause of chronic functional diarrhoea, accounting for up to a third of patients who otherwise would be labelled as diarrhoea-predominant irritable bowel syndrome (IBS-D).
Sainsbury A, Sanders D & Ford A. Clin Gastroenterol Hepatol 2013;11:359–365.
Watson L et al. Clin Med (Lond) 2015;15:536–540.
Expert Opinion
Professor Julian R.F. Walters
Expert Opinion
Jordi Guardiola
Is bile acid diarrhoea underdiagnosed in patients with Crohn’s disease?
Definitely, yes. Unfortunately for patients with Crohn’s disease, there is a poor relationship between their symptoms and intestinal inflammation, and a considerable proportion of patients’ present symptoms that are not due to the inflammation but rather to bile acid diarrhoea.
Expert Opinion
Professor David S. Sanders
What is the overall benefit for clinicians of an early diagnosis of bile acid diarrhoea?
The benefit is quite significant, both for the physician and for the patient. For physicians, it provides the possibility to avoid numerous diagnostic tests.
A source for healthcare professionals to access the latest data and information on the diagnosis, treatment and management of patients with chronic diarrhoea.
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