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All Posts

High Resolution Manometry

We have been delighted with the results of our new high resolution manometry service. We have now investigated over 40 patients in the last few months. It has enabled us to diagnose a host of conditions that conventional manometry does not have the ability to define. As one of the first district general hospitals to embrace this cutting edge technology…

IBD + Immunisations

Following the new ECCO (European Crohn’s and Colitis Guidelines) we are due to be asking all IBD patients to under go immunisation screening and regular vaccinations. A formalised protocol is being drawn up and will be place on this web site and put into practice once we have the GPs and PCTs agreement.

New Reflux Catagorisation

Reflux Reflux symptoms can be experienced secondary to a range of problems that are not always acid related. Even in those related to acid reflux the OGD can be macroscopically normal in 85%. 15-30% of case are due to true gastro-oesophageal reflux disease, >70% is related to non erosive reflux disease (NERD) A recent trial by E. Savarino has helped…

Achalasia: New HRM Classification

Gastroenterology 2008;135:1528-1533 Type 1 – Classic achalasia with minimal oesophageal pressurization Type 2 – Achalasia with oesophageal compression Type 3 – Achalasia with spasm, functional obstruction, some peristalsis Response to therapy Type 1 – 56% overall Type 2 – 71% BoTox, 91% Balloon Dilatation, 100% Heller’s Myotomy Type 3 – 29% overall