POPULARITY
Send us a textGrab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Ali and Nik discuss: Lynch syndrome: what's the role of primary care? How can people access testing, and what support and surveillance can be offered? Diagnosing pelvic inflammatory disease: a challenge in general practice. We consider how we can approach making a diagnosis of pelvic inflammatory disease in general practice. This is important because it has significant sequelae, including subfertility and chronic pelvic pain. Listen as soon as you can to ensure you have full access to all the free resources. And hear a best intentions story that suggests there might be problems developing ‘down below'!Lynch syndrome: what does it mean for general practice? Molecular testing strategies for Lynch syndrome in people with colorectal cancer (NICE DG27, 2017). NICE guidance on testing for Lynch syndrome in colorectal cancer (NICE NG151, 2020) NHS England: Implementing Lynch syndrome testing and surveillance pathways handbook v.1.2. Guidelines for the management of hereditary colorectal cancer from the British Society of Gastroenterology (BSG)/Association of Coloproctology of Great Britain and Ireland (ACPGBI)/United Kingdom Cancer Genetics Group (UKCGG) The Royal Marsden: A beginner's guide to Lynch syndrome Diagnosing pelvic inflammatory disease: a challenge in general practice BASHH guidelines on the diagnosis and management of PID (UK national guideline for the management of pelvic inflammatory disease, 2018 – updated 2019) Video byte: Send us your feedback podcast@redwhale.co.uk or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: X, Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast....
Doctors Lisa and Sara talk to Dr Sarah Taylor about the changes being made to how Primary Care Clinicians refer patients for Suspected Lower Gastrointestinal Cancers. These changes are discussed in the context of referring in the Greater Manchester area, but you can view the joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology below. This will change the way we manage patients. To help, we go through some potential cases. Good tips for how to mitigate potential risks with the changes included. We hope you find this useful. You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful resources: Faecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG): https://www.bsg.org.uk/clinical-resource/faecal-immunochemical-testing-fit-in-patients-with-signs-or-symptoms-of-suspected-colorectal-cancer-crc-a-joint-guideline-from-the-acpgbi-and-the-bsg/ GatewayC FIT infographic: http://bit.ly/409mXUy GatewayC Lower GI infographic: http://bit.ly/3XJpIKN Raised Platelets and Cancer Risk: https://gpnotebook.com/en-au/simplepage.cfm?ID=x2019111783915921223 The Current NICE Guidelines last Updated December 2021: https://www.nice.org.uk/guidance/ng12/chapter/Recommendations-organised-by-site-of-cancer#lower-gastrointestinal-tract-cancers ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Every Australian aged 50 or over will receive regular bowel screening kits to test for cancer and other complications, but there are now calls to make these tests available to younger people, as it turns out this isn't a condition that only affects older generations. A growing number of women especially - including those in their 20's and 30's - are developing bowel cancer, but often don't realise until it is too late as we still wrongly think of this as an 'older person's disease'. The Quicky speaks to two women who were diagnosed with bowel cancer in their 30's and 40's, and a specialist surgeon to find out who is at risk of bowel cancer, what symptoms to look out for, and why it seems to be increasingly common. Subscribe to Mamamia GET IN TOUCH Feedback? We're listening! Call the pod phone on 02 8999 9386 or email us at podcast@mamamia.com.au CONTACT US Got a topic you'd like us to cover? Send us an email at thequicky@mamamia.com.au CREDITS Host: Claire Murphy With thanks to: Melissa Laan - Mother-of-five who survived bowel cancer in her 30's Stephanie Bansemer-Brown - Marketing and Publicity Manager for Bowel Cancer Australia, and Host of The Bottomline Podcast, who survived stage 3 bowel cancer after being diagnosed at the age of 42 Graham Newstead - Adjunct Associate Professor of Surgery at the University of New South Wales, Chairman of the International Council of Coloproctology, and Medical Director for Bowel Cancer Australia Producer: Claire Murphy Executive Producer: Siobhán Moran-McFarlane Audio Producer: Jacob Round Subscribe to The Quicky at...https://mamamia.com.au/the-quicky/ Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures. Just by reading our articles or listening to our podcasts, you're helping to fund girls in schools in some of the most disadvantaged countries in the world - through our partnership with Room to Read. We're currently funding 300 girls in school every day and our aim is to get to 1,000. Find out more about Mamamia at mamamia.com.au Support the show: https://www.mamamia.com.au/mplus/ See omnystudio.com/listener for privacy information.
Association of Coloproctology of Great Britain and Ireland Annual Conference 2019 @ Dublin, Ireland. Dr. Steele and Shreya cohost live from Dublin. Great recap and highlights from Day 1, interviews with world experts, lecture by Dr. Mike Solomon, and innovations and research talks with trainees. Enjoy!
Professor Steve Brown, Chief Investigator of the HubBLe trial, talks about treatment choices for patients with haemorrhoids and the evidence behind those choices. This podcast links to the Techniques in Coloproctology article here https://bit.ly/2Uh7Fed
In this podcast Giuseppe Gagliardi, Co-Editor-in Chief of Techniques in Coloproctology, interviews Nicola Fernhead and Jacopo Martellucci on the definition and treatment of low anterior resection syndrome. 2 patients with the syndrome are also interviewed. In this conversation patients and experts share their tips and insights. Some of the discussion is based on a recent article published on the journal "Role of transanal irrigation in the treatment of anterior resection syndrome" which you can view on this link https://rdcu.be/bbn0i
Recorded at the International Conference of Anal Fistula Treatment in Rome 2018, Techniques in Coloproctology interview Phil Tozer, a consultant at the world famous St Mark's Hospital, UK about current treatments for anal fistula. Phil takes us through why not to place a seton in the acute setting, the 5 factors preventing healing of fistulas, and the pros and cons of the whole range of fistula treatment including plugs, fibrin glue, permacol, LIFT, the place of sphincter repair, restoring the contour of the anus, VAAFT (including "palliative VAAFT and delta VAAFT"), FiLAC and finally the promise of stem cells in fistula. Essential listening for anyone who treats anal fistula.
Techniques in Coloproctology talks to Ruediger Prosst, pioneer of the over the scope clip (OTSC) treatment for anal fistula. Learn about which type of fistula to treat with OTSC, technical tips, outcomes and a look to the future for this promising sphincter-sparing technique Recorded at the International Conference on Anal Fistula in Rome 2018
Techniques in Coloproctology talks to Damián Garcia-Olmo, pioneer of stem cell treatment for anal fistula, about the latest developments in this cutting-edge treatment. Professor Garcia-Olmo discusses how the stem cell treatment works, its different indications and successes in Crohn's disease and cryptoglandular fistula, use in anorecto-vaginal fistula, using stem cells and fibrin glue together, compares autologous and allogeneic stem cells and the use of near-patient stem cell kits. He then looks into the future and his aspiration that stem cells replace surgery in fistulas in Crohn's disease. This was recorded at the International Conference on Anal Fistula in Rome 2018, which you can hear going on loudly in the background!
Techniques in Coloproctology talks to Arne Wilhelm, pioneer of laser treatment for anal fistula (FiLaC) about the latest developments in this interesting approach, including the amount of energy to use, what to do with the internal opening and future combinations with other new techniques. You can read more at https://bit.ly/2NBhr7g Recorded at the International Conference on Anal Fistula in Rome, 2018
Recorded at the International Conference of Anal Fistula Treatment in Rome 2018, Techniques in Coloproctology interview Phil Tozer, a consultant at the world famous St Mark's Hospital, UK about current treatments for anal fistula. Phil takes us through why not to place a seton in the acute setting, the 5 factors preventing healing of fistulas, and the pros and cons of the whole range of fistula treatment including plugs, fibrin glue, permacol, LIFT, the place of sphincter repair, restoring the contour of the anus, VAAFT (including "palliative VAAFT and delta VAAFT"), FiLAC and finally the promise of stem cells in fistula. Essential listening for anyone who treats anal fistula
Essential listening for trainees and experienced colorectal surgeons. Dr Herand Abcarian, Professor of Colorectal Surgery at the Universty of Illinois, USA, and leader in fistula surgery gives a "how I do it" lesson on sphincter saving surgery for fistula, as well as choosing the novel Over The Scope Clip (OTSC) technique as the treatment he'd have for himself. Find out why by listening to the podcast with Giuseppe Gagliardi, Co-Editor in Chief of Techniques in Coloproctology. The OTSC paper can be found at http://bit.ly/2FMoYzS (Short-term outcomes of a novel endoscopic clipping device for closure of the internal opening in 100 anorectal fistulas)
Rick Nelson knows more about anal fissure than almost anyone in the world and has recently published a comprehensive meta-analysis of the evidence supporting treatment for anal fissure in the leading journal, Techniques in Coloproctology. There are some surprises that will challenge what you think you know about efficacy of topical treatments, anal stretch, and the much lower than previously thought incidence of impairment of continence after sphincterotomy. Invaluable listening for updating knowledge or revising for an exam. You can read the full paper at http://bit.ly/2yeyCEZ A systematic review and meta-analysis of the treatment of anal fissure. Techniques in Coloproctology August 2017, Volume 21, Issue 8, pp 605–625
For decades the only real option for perforated diverticular disease was a Hartmann's procedure, but there has been a lot of interest in the less invasive and stoma saving laparoscopic lavage and drainage procedure as an alternative. But is it effective? In this podcast linked to a meta analysis by Cirocchi et al in Techniques in Coloproctology (2017) 21: 93 (http://bit.ly/2peBO1J) Jon Lund talks to David Humes about the background and the evidence for and against peritoneal lavage as a treatment for this common colorectal emergency. David Humes is Associate Professor of Surgery at the University of Nottingham, UK and an NIHR Postdoctoral Fellow.
Jon Lund, Co-Editor in Chief of Techniques in Coloproctology, Interviews Professor Robin Spiller about a review article entitled "Prucalopride, for functional constipation only?" from the July 2016 issue of the journal
Click on this link http://videoportal.dbh.nhs.uk:2800 or paste into your browser to access a recording of a day of the M18 colorectal masterclass. There's a whole day of presentations on common topics in proctology, including haemorrhoids, pruritus ani, fissure, MRI, endoanal ultrasound pilonidal sinus and more. The highlight is a recording of Professor Robin Phillips (St Mark's Hospital, UK) giving his excellent talk on fistula in ano, which tells you, extremely clearly, all you will ever need to know about fistula in ano and its management. Not to be missed! The site only supports internet explorer, so if you use safari on your computer, you'll have to download internet explorer (theres a link on the site) or use another computer. There's lots there and its all really useful to medical students coming up to finals, core trainees (junior residents) and higher surgical trainees alike.