Table of Contents

CH 1. DYSPEPSIA (J. Wong) Introduction Epidemiology Management approach for patients without previous investigations Common diagnoses following investigations Helicobacter pylori in functional dyspepsia Dyspepsia clinics Further reading CH 2. DYSPHAGIA (D. Stone) Introduction Management approach Dysphagia clinics Peptic structure Esophageal malignancy Achalasia Esophageal dysmotility Further reading CH 3. JAUNDICE (J. Mitchell) Introduction Setting up a jaundice service Assessment of the acutely jaundiced patient Further investigations, admission and follow-up Communication and correspondence The jaundice hotline: our experience Further reading CH 4. IRON DEFICIENCY ANAEMIA (H. Hussaini) Introduction Referral to one-stop iron deficiency clinic Clinical assessment Investigations Treatment Asymptomatic hematuria with iron deficiency anemia Summary Further reading CH 5. RECTAL BLEEDING (C. Bloor) Introduction Setting up a training programme for the endoscopist Rectal bleeding clinics Use of carbon dioxide Bowel preparation Summary Further reading CH 6. ABDOMINAL PAIN (S. Samuel) Introduction Pain physiology Management approach to patients with abdominal pain Common clinical dilemmas Further reading CH 7. ABNORMAL LIVER FUNCTION TESTS (H. Hussaini) Introduction Patients presenting with abnormal liver function tests Cirrhosis Liver biopsy Summary Further reading CH 8. CHANGE IN BOWEL HABIT: CONSTIPATION/UNEXPLAINED DIARRHOEA (J. Worthington and J. Wong) Introduction An approach to a patient with chronic diarrhea Unexplained diarrhea Malabsorption Chronic pancreatitis Lymphocytic/collagenous colitis An approach to a patient with constipation Idiopathic constipation Pelvic floor dysfunction Further reading CH 9. WEIGHT LOSS/NAUSEA AND VOMITING (I. Murray) Introduction Management approach to a patient with weight loss Management approach to a patient with nausea and vomiting Nausea and vomiting - difficult problems CH 10. SCREENING (S. Samuel and J. Wong) Introduction Colorectal cancer screening Surveillance for dysplasia in Barrett's esophagus Screening for hepatocellular carcinoma Screening for hemochromatosis Further reading CH 11. INFLAMMATORY BOWEL DISEASE (J. Wong) Epidemiology Pathophysiology Diagnosis Differential diagnosis and investigations Differentiating between Chrohn's disease and ulcerative colitis General management approach for inflammatory bowel diseases Chrohn's disease Ulcerative colitis Further reading CH 12. IRRITABLE BOWEL SYNDROME (J. Wong) Introduction Epidemiology Pathophysiology Contributory factors to irritable bowel syndrome symptoms Diagnosis and management approach Differential diagnosis and investigations Exploration of patient's agenda/psychosocial factors Explanation/reassurance Treatment (pharmacological or psychological) Helpful contact Further reading CH 13. CHRONIC VIRAL HEPATITIS (H. Hussaini) Introduction Epidemiology and natural history of chronic viral hepatitis Diagnosis of chronic viral hepatitis Outpatient management Virology and disease patterns Treatment of chronic hepatitis B Treatment of chronic hepatitis C Referral for liver transplantation Further reading CH 14. NONVIRAL CHRONIC LIVER DISEASE (H. Hussaini) Introduction Nonalcoholic steatohepatitis Autoimmune hepatitis Primary biliary cirrhosis Primary sclerosing cholangitis Hemochromatosis Wilson's disease Further reading CH 15. CELIAC DISEASE (I. Murray) Introduction Epidemiology' The genetic basis of celiac disease Making a diagnosis Presenting features Treatment Associated diseases The role of clinic follow-up Refractory celiac disease Family screening Specialized celiac disease clinics Helpful contacts CH 16. NUTRITION (M. McAlindon) Introduction Effects of malnutrition Recognition of malnutrition Nutritional support and its complications Malnutrition