Ingest podcast

Player FM - Internet Radio Done Right

two 年前前追加した

コンテンツは The Primary Care Society for Gastroenterology によって提供されます。エピソード、グラフィック、ポッドキャストの説明を含むすべてのポッドキャストコンテンツは、The Primary Care Society for Gastroenterology またはそのポッドキャストプラットフォームパートナーによって直接アップロードされ、提供されます。誰かがあなたの著作物をあなたの許可なく使用していると思われる場合は、ここで概説されているプロセスに従うことができますhttps://ja.player.fm/legal。

Ingest

シリーズのホーム•Feed

Dr Charlie Andrews, a GP from Bath and PCSG Committee Member, explores a range of gastroenterology topics from a GPs perspective. The focus of the series covers when to suspect, how to diagnose, when to refer and how to support your patients.

30 つのエピソード

#Science #Podcasting Education #Medicine #The Primary Care Society for Gastroenterology

Ingest

updated 約 12 日前

シリーズのホーム•Feed

30 つのエピソード

#Science #Podcasting Education #Medicine #The Primary Care Society for Gastroenterology

All episodes

1
Pancreatic Conditions Part 1 – Benign 1:08:41

約 12 日前1:08:41

「あとで再生する」

リスト

気に入り

気に入った

1:08:41

Dr Charlie Andrews talks to Dr John Leeds. John Leeds is a Consultant Pancreaticobiliary Physician and Endoscopist based at the Freeman Hospital in Newcastle and an Honorary Clinical Senior Lecturer based in the Population Health Sciences Institute at Newcastle University. He is involved in research in pancreaticobiliary disorders including benign and malignant conditions as well as outcomes from therapeutic/advanced endoscopy. John is a member of the British Society of Gastroenterology and Pancreatic Society of Great Britain and Ireland. He serves on the endoscopy and Pancreas committees for BSG and is the website lead for PSGBI. He is also a founder member of the BSG Pancreas Clinical Research Group which is coordinating research for the society.…

1
IBS Part 2 – Management 45:15

6 weeks前45:15

45:15

Charlie Andrews talks to Dr Chris Black about the management of IBS. This podcast provides key insights into managing Irritable Bowel Syndrome (IBS), emphasising a multidisciplinary and individualised approach to care. Here are the main takeaways: 1. Multidisciplinary and Integrative Care IBS management requires a holistic, patient-centered approach involving dietitians, behavioral therapists, and gastroenterologists. This "team sport" approach expands treatment options and tailors care to individual patient needs 1 . Integrative care, which combines dietary, psychological, and medical interventions, has been shown to improve symptoms, psychological well-being, and quality of life for IBS patients 1 . 2. Personalised Treatment IBS is not a one-size-fits-all condition. There are different subtypes of IBS (e.g., IBS-D for diarrhea-predominant or IBS-C for constipation-predominant), and treatment must be customized based on the patient's symptoms and triggers 4 . Emerging research suggests the need to identify distinct subtypes of IBS to guide more effective treatments 2 4 . 3. Dietary Management The low FODMAP diet is a widely recommended dietary intervention for IBS. It helps identify food triggers and manage symptoms but should not be used long-term without personalization 3 . Probiotics may also play a role in symptom relief for some patients, though their effectiveness varies 3 . 4. Behavioral Interventions Cognitive Behavioral Therapy (CBT) and gut-directed hypnotherapy are effective in managing IBS symptoms, particularly when patients are motivated to engage in these therapies 1 . Stress management is critical since stress and anxiety can exacerbate IBS symptoms 1 5 . 5. Pharmacological Therapies Medications are often used as complementary treatments when dietary or behavioral strategies alone are insufficient. These include antispasmodics, laxatives, or medications targeting gut-brain interaction 1 5 . Precision medicine is the future of pharmacological treatment, aiming to match therapies with the underlying causes of an individual's symptoms rather than just addressing the symptoms themselves 1 . 6. Challenges in IBS Management One of the most distressing symptoms for patients is bowel urgency, significantly impacting their quality of life. Research is ongoing to better understand and manage this symptom 2 4 . Pain management remains a critical area for improvement, as existing treatments often provide inadequate relief for abdominal pain and gut hypersensitivity in IBS patients 2 4 . 7. Patient Education and Collaboration Educating patients about the trial-and-error nature of IBS treatment helps set realistic expectations and reduces frustration when initial interventions do not work 1 . Shared decision-making between healthcare providers and patients ensures that treatment plans align with patient preferences and lifestyle. In summary, effective IBS management combines personalized care with dietary, behavioral, and pharmacological strategies within an integrative framework. The podcast underscores the importance of ongoing research to refine treatments and improve outcomes for IBS sufferers.…

1
Abdominal Pain in Children 58:07

20 weeks前58:07

58:07

Charlie Andrews talks to Dr Anthony (Tony) Wisken, Consultant Paediatric Gastroenterologist in Bristol. The Ingest podcast is hosted by Dr Charlie Andrews a GPwER in gastroenterology based near Bath. Charlie works as a GP partner at Somer Valley Medical Group, trained as an endoscopist and leads the national GPwER in gastroenterology training programme, launched in 2023 in the southwest of England. Charlie is a committee member of the PCSG (Primary Care Society of Gastroenterology). For more information visit pcsg.org.uk…

1
Getting It Right First Time. Gastro Innovation in Northumbria 55:46

23 weeks前55:46

55:46

With significant waiting lists and growing demand for secondary care services, Advice and Guidance is being increasingly explored as one potential solution to this problem. In this episode, Charlie Andrews discusses an innovative and extremely successful use of advice and guidance in Northumbria with gastroenterologists Matthew Warren and Richard Thomson. Through the enhanced use of advice and guidance for all incoming referrals for secondary care input, they have demonstrated a significant reduction in waiting times for routine outpatient care. They discuss their advice and guidance model, and what they have learned from developing this service and the impact it has been having on their waiting times, and how it has been received by primary care colleagues (3:30). We go on to discuss some common advice and guidance queries that Matt and Richard see (19:30) and I ask the question - what makes a good advice and guidance query? (43.30).…

1
IBS Part 1 – Diagnosis 42:11

26 weeks前42:11

42:11

Key takeaways from the IBS Part 1 episode of the PCSG Ingest podcast: Diagnosis of IBS The episode is focused on making a diagnosis of Irritable Bowel Syndrome (IBS)and features Dr. Anton Emmanuel, a consultant gastroenterologist and Professor of neuro-gastroenterology at University College Hospital London. Importance for Primary Care IBS is a common condition that primary care clinicians need to have a structured approach to diagnosing. Topics Covered Causes of IBS Different subtypes of IBS Challenges in making a positive diagnosis Clinical Pearls Dr. Emmanuel shares several insights: Key questions to include in the patient history How to describe the condition to patients Practical tips for enhancing IBS diagnosis in primary care Diagnostic Approach The episode emphasises the importance of: Taking a structured approach to diagnosis Understanding the various presentations of IBS Recognizing the challenges in making a definitive diagnosis Patient Communication Guidance is provided on: Explaining IBS to patients effectively Addressing patient concerns and misconceptions Additional Resources The episode mentions useful guidance from the British Society of Gastroenterology, which listeners were encouraged to reference for more detailed information. Part 2 focusing on the management of IBS to be released soon. bsg.org.uk/clinical-resource/british-society-of-gastroenterology-guidelines The Ingest podcast is hosted by Dr Charlie Andrews a GPwER in gastroenterology based near Bath. Charlie works as a GP partner at Somer Valley Medical Group, trained as an endoscopist and leads the national GPwER in gastroenterology training programme, launched in 2023 in the southwest of England. Charlie is a committee member of the PCSG (Primary Care Society of Gastroenterology). For more information visit pcsg.org.uk…

1
High Iron Levels (hyperferritinaemia) 39:18

32 weeks前39:18

39:18

Dr Charlie Andrews speaks to Dr Jeremy Shearman about everything related to high iron levels (hyperferritinaemia). We discuss how iron is regulated within the body, causes of raised iron levels, and then we dive into hereditary haemochromatosis - when to suspect, how to test, who to refer (and to whom!), and how the condition is managed. Useful links to accompany this episode include: Welcome > Haemochromatosis: genetic iron overload disease (exeter.ac.uk) Haemochromatosis - British Liver Trust…

1
Diverticular disease and diverticulitis 22:30

39 weeks前22:30

22:30

In this episode, Charlie Andrews speaks to Melanie Orchard, a consultant surgeon, about diverticular disease and diverticulitis. This is something that we encounter frequently in primary care, and understanding how to approach this condition is extremely important. Melanie discusses a really pragmatic approach to patients with symptoms suggestive of diverticulitis. We discuss risk factors, presenting features, and how to assess the patient with suspected diverticulitis. We also discuss the difference between diverticulosis, diverticular disease and diverticulitis, and give you useful tips on what advice to give to patients who has just had a colonoscopy showing that they have diverticulosis. For a useful visual summary of the management of patients with diverticulosis and diverticulitis, please follow this link: visual-summary-pdf-6968965213 (nice.org.uk)…

1
Hepatitis C 32:08

45 weeks前32:08

32:08

Join Charlie Andrews as he discusses Hepatitis C with hepatologist Dr Kosh Agarwal and GP and clinical champion for Hepatitis C Dr Rik Fijten. They discuss the prevalence and presentation of Hepatitis C, as well as how to test for the condition along with an overview of the treatment options available. Hepatitis C is a chronic liver disease which carries significant morbidity and mortality if left untreated. Fortunately, it is both easy to test for and the treatments available offer a fantastic cure rate of in excess of 95% with simple and relatively short tablet regimens. NHS England has set itself the target of eradicating the disease by 2025 through active case finding, simplifying the diagnostic process, and ensuring pathways are in place to provide rapid and effective treatments for the condition. Resources: For more information on Hepatitis C, the British Liver Trust offers useful patient-friendly leaflets and further information about the condition: Hepatitis C - British Liver Trust The self-testing portal mentioned by Rik during the episode can be found here: Home - HepC (hepctest.nhs.uk)…

1
Neuroendocrine tumours (NETs) of the gastrointestinal tract 31:12

1 year前31:12

31:12

In this episode, Dr Charlie Andrews speaks to Professor Mark Pritchard about neuroendocrine tumours (NETs) of the gastrointestinal tract. You may be asking yourself: 'Do I really need to know about NETs in primary care, aren't they extremely rare?' The answer to that is a resounding yes, you do need to know about NETs and Mark will tell you why in this episode! Neuroendocrine cancer is the 10th most prevalent cancer in England, and the second most prevalent cancer of the GI tract, with a rapidly rising incidence (371%) over the last 20 years. NETs are commonly diagnosed at a more advanced stage due to late diagnosis as the signs and symptoms can be vague, or mimic other more common conditions such as IBS. Mark provides lots of useful, practical advice about when to suspect this form of cancer in primary care, which patients may be a higher risk, and what to do if you are suspicious about this form of cancer in your patient. Listen on to find out more.…

1
Ingest Trailer 2:53

1 year前2:53

2:53

Dr Charlie Andrews, a committee member of the Primary Care Society for Gastroenterology (PCSG), introduces Ingest , the podcast for primary care that focuses on when to suspect, how to diagnose and how to manage common gastrointestinal presentations and conditions.

1
Highlights from Ingest 2023 31:28

1 year前31:28

31:28

In this episode Dr Charlie Andrews looks back at 2023 and highlights some key takeaways from Ingest in 2023.

1
Barrett’s oesophagus 28:21

1 year前28:21

28:21

In this episode, Charlie Andrews speaks to Dr Andrew Moore about this condition, which affects up to 1.5% of the population, with a risk of progression to cancer of 3-13% over the patient's lifetime (Cancer Research UK). They discuss the typical presenting features, who needs an endoscopy to look for Barrett's, and how the condition is managed both in primary and secondary care. The BSG guidelines mentioned by Dr Moore in the episode can be found here: https://www.bsg.org.uk/clinical-resource/bsg-guidelines-on-the-diagnosis-and-management-of-barretts-oesophagus/ For more episodes about the oesophagus, you may find the following episodes of Ingest useful: Dyspepsia, Eosinophilic oesophagitis, Dysphagia and Achalasia. BSG guidelines on the diagnosis and management of Barrett's oesophagus - The British Society of Gastroenterology Fitzgerald RC, di Pietro M, Ragunath K et al. Abstract These guidelines provide a practical and evidence-based resource for the management of patients with Barrett’s oesophagus and related early neoplasia. The Appraisal of Guidelines for Research and Evaluation (AGREE II) […] www.bsg.org.uk…

1
Bile acid diarrhoea 27:37

2 years前27:37

27:37

In this episode, Charlie Andrews speaks to Professor Julian Walters about bile acid malabsorption and diarrhoea. With up to a third of patients with diarrhoea-predominant IBS having underlying bile acid diarrhoea, and with diagnosis rates for this condition being low, this episode is an important one for anyone working in primary care. We explore the role and physiology of bile acids, the causes and symptoms of bile acid malabsorption, the diagnostic tests used to make the diagnosis and the treatment of this common but underdiagnosed condition. Should we use 'trial of treatment' in primary care to support the diagnosis? Are people who have had their gall bladder removed at greater risk of bile acid diarrhoea? Can bile acid sequestrants impact the absorption of other medications? These questions, and lots more, will be discussed in this episode!…

1
Faecal calprotectin 37:24

2 years前37:24

37:24

In this episode, Charlie Andrews speaks to Dr James Turvill about faecal calprotectin use in primary care. Dr Turvill is a gastroenterologist based in York, who was instrumental in developing the NICE-approved and widely adopted York Faecal Calprotectin Care Pathway. What is calprotectin? When should we use it in primary care? How should we interpret the result? Can any medications or conditions affect the result? Listen on to find the answers to these questions! The care pathway can be found here: https://www.yorkhospitals.nhs.uk/seecmsfile/?id=941 . It is recommended that you have a look at this either before, after or during this episode to enhance your learning. Enjoy!…

1
IBS – dietary management and the 10-minute consultation… 38:38

2 years前38:38

38:38

Marianne Williams is an extremely experienced dietician, innovator, digital technology advocate and winner of the NHS England Allied Health Professional of the Year prize for 2018. In this episode, Marianne shares her wealth of knowledge around all things IBS to discuss initial dietary management, the low FODMAPs diet, the role of probiotics, and gives us some great advice about how we can maximise our (often short) patient consultations with newly diagnosed IBS patients. Marianne also discusses her innovative dietetic-led gastroenterology clinic for IBS patients with us. There is so much food for thought here, and so many useful nuggets of information throughout this episode. Sit back and tuck into this feast of information! Useful links/websites discussed in the episode: Patient Webinars website: https://patientwebinars.co.uk/ Monash university IBS grand tour: https://www.youtube.com/watch?v=Z_1Hzl9o5ic Monash university app: https://www.monashfodmap.com/ibs-central/i-have-ibs/get-the-app/ IBS symptoms, the low FODMAP diet and the Monash app that can help See updated video for Irritable Bowel Syndrome (IBS) relief: Take the Monash University Low FODMAP grand tour down under! at https://www.youtube.com/watch?v=stdYoA4G9Dg See more: IBS patient course: https://www.monashfodmap.com/online-training/patients-course/ Website: https://www.monashfodmap.com/ Monash FODMAP blog: https://www.monashfodmap ... www.youtube.com BSG guidelines on the management of IBS: https://gut.bmj.com/content/gutjnl/early/2021/04/27/gutjnl-2021-324598.full.pdf…