Dr Matt W Johnson – Dr. Matt W Johnson BSc MBBS FRCP MD

Hypermobility Syndrome / Ehlers Danlos Syndrome

Dr Matt W Johnson — Tue, 25 Apr 2017 00:29:23 +0000

Hypermobility Syndrome / Ehlers Danlos Syndrome

Within the field of gastroenterology I often see this condition typically associated with slow transit constipation, which in turn leads to gas trapping, uncomfortable bloating distension and lower abdominal cramps.

To make a simple assessment one can use the Beighton Score by clicking on the link provided by the Hypermobility Syndromes Association

In general a score of 0-3 is deemed normal

A score of 4-9 is suggestive of Hypermobility Syndrome (ligamentous laxity).

Further information can also be reviewed on the Ehlers Danlos Support UK site

Selective IgA Deficiency Patient Advice Sheet

Dr Matt W Johnson — Mon, 17 Apr 2017 10:35:20 +0000

Please click on this link to find attached a patient advice sheet for Selective IgA Deficiency provided byÂ Primary Immunodeficiency UK (PID UK) -Â www.piduk.org

They also offer free membership for and support. Joining is free and easy to do. You can do this via their website at www.piduk.org/register/

Members also get a monthly eâ€bulletin and two newsletters per year.

Abdominal cutaneous nerve entrapment syndrome

Dr Matt W Johnson — Mon, 17 Apr 2017 10:24:37 +0000

Recurrent isolated RUQ abdominal pain (e.g. often under the right ribs) is common and abdominal cutaneous nerve entrapment syndrome is said to account forÂ 2% of all presentations to A+E with acute abdominal pain.

Click on this link to review a recent systematic review of the literature assessing outcomes from;-

a) Trigger point injection (TPI) alone – 86% short term successful response, 76% long-term response

b) Anterior neurectomy alone – 73%Â short term successful response, 61-69% long-term response

c) TPI followed by anterior neurectomy as stepwise regimen

d) Nerve stimulation and phenolization.

Pancreatic Cancer Awareness Sheet

Dr Matt W Johnson — Tue, 10 Jan 2017 08:37:07 +0000

Pancreatic cancer is a major problem in UK and unfortunately it is often picked up late

I attach here a Pancreatic Cancer Awareness Sheet for your information

The different types of colonic resection

Dr Matt W Johnson — Wed, 01 Jun 2016 23:06:58 +0000

Dansac have kindly produced this simple visual chart documenting the different types of colonic surgical resections

If the full picture isn’t clear seen, please click on this link to open it up in a larger window

Summary sheet describing the different types of colonic resections

H.pylori Eradication Therapy

Dr Matt W Johnson — Wed, 01 Jun 2016 22:53:53 +0000

There has been an increase in H.pylori antibiotic resistance throughout Europe

Presently the leading triple combination therapy in UK is a 2 week course of Omeprazole 40mg bd + Clarithromycin 500mg bd + Metronidazole 400mg bd

With resistant cases quadruple therapy can be considered using 10-14 days of;-

a) Omeprazole 20mg qds + Tetracycline 500mg qds + Metronidazole 250mg qds + Bismuth Subsalicylate 524mg qds

b) Omeprazole 40mg bd + Tetracycline 1g bd + Furazolidone 200mg bd + Tripotassium Dicitratobismuthate 240mg bd

Faecal H.pylori antigen screen should be repeated 3months after treatment to ensure successful eradication

Anal Pain and Discomfort

Dr Matt W Johnson — Wed, 01 Jun 2016 22:44:19 +0000

Anal pain can have many potential causes

Click on this patient information link to be guided through some of the potential causes and their management

The Dr. Falk Foundation have kindly produced a full pdf leaflet with simple pictures that can be reviewed by clicking on the following link

Living with a stoma

Dr Matt W Johnson — Wed, 01 Jun 2016 22:38:53 +0000

Dansac have produced a nice summary to help guide patients with a stoma through issues relating to getting back to work, body image, swimming, travelling, sexuality and relationships

Please click on the link here

How to use rectal preparations

Dr Matt W Johnson — Wed, 01 Jun 2016 22:28:48 +0000

The Dr. Falk Foundation has produced this useful short video to guide patients in how best to administer both rectal enemas and suppositories.

Just click on this link and you should be guided to it

Recent presentation at ECCO entitled Mindset And Change

Dr Matt W Johnson — Sun, 15 May 2016 22:43:59 +0000

Mindset & Change
Amsterdam PTA on Thursday 17th March 2016
Prof Gert Van Assche & Prof Kris Vanhaecht & Dr. Matt W. Johnson

Mindset & Change
Prof Gert Van Assche & Prof Kris Vanhaecht & Dr. Matt W. Johnson

Me presenting in ECCO – Amsterdam

A panoramic view of the circular Mindset & Change Symposium stage

Me presenting from behind with a head-piece microphone “Apple Style”