Diverticular disease and diverticulitis
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…
Read MoreHepatitis C
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…
Read MoreNeuroendocrine tumours (NETs) of the gastrointestinal tract
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…
Read MoreIngest Trailer
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.
Highlights from Ingest 2023
In this episode Dr Charlie Andrews looks back at 2023 and highlights some key takeaways from Ingest in 2023.
Barrett’s oesophagus
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…
Read MoreBile acid diarrhoea
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…
Read MoreFaecal calprotectin
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…
Read MoreIBS – dietary management and the 10-minute consultation…
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…
Read MoreIBD Flare Management
In this episode Charlie Andrews speaks to Dr Kevin Barrett about IBD flare management. On average, 50% of patients will flare annually, and often the GP surgery is the first port of call. We therefore need to know how to assess and manage patients presenting with symptomatic IBD. Kevin Barrett, IBD clinical champion for IBD…
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