Presentations
- Bloating
- Diarrhoea
- Dyspepsia
- Dysphagia
- Gastrointestinal bleeding
- Heartburn
- Iron deficiency
- Nausea and vomiting
- Odynophagia
- Pain (abdominal and chest)
- Weight loss
Conditions
- Barrett’s oesophagus
- Coeliac disease
- Disorders of gastro-oesophageal motility (functional and pathological)
- Drug side effects or consequences
- Eosinophilic oesophagitis
- Functional gut disorders (see KG9)
- Gastric intestinal metaplasia
- Gastro-oesophageal reflux disease
- Helicobacter pylori infection
- Peptic ulcer disease
- Post-surgical conditions (e.g. dumping)
- Strictures (benign and malignant)
- Upper gastrointestinal tumours (benign and malignant)
- Duplication cysts
- Malrotation
- Pyloric stenosis
- Tracheoesophageal fistula
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients' needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Conditions
- Autoimmune enteropathy
- Eosinophilic gastrointestinal diseases
- Primary immunodeficiency (e.g. CVID)
- Small intestinal bacterial overgrowth
- Upper gastrointestinal infections (non-opportunistic and opportunistic)
- Duodenal webs
- Intestinal atresias
- Oesophageal stenosis
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients' needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
- Barrett’s oesophagus
- Coeliac disease
- Eosinophilic oesophagitis
- Helicobacter pylori (H. pylori) infection
- Peptic ulcer disease
- Upper gastrointestinal tumours (benign and malignant)
- Indications for referral to and risks of endoscopy, including:
- capsule endoscopy
- endoscopic ultrasound (EUS)
- enteroscopy
- interventional endoscopic procedures (e.g. Barrett’s oesophagus therapies, mucosal and submucosal resection, peroral endoscopic myotomy [POEM], stenting)
- upper gastrointestinal endoscopy
- Know indications for surgical referral, including associated risks and post-operative management (e.g. for treatment of bariatric patients, bleeding, perforation, reflux, tumours)
- Oesophageal manometry
- Pathology:
- clinico-pathologic correlation (macroscopic and microscopic)
- routine laboratory tests, including immunohistochemistry and molecular biology techniques (e.g. flow cytometry, in situ hybridisation, PCR)
- understanding of the appropriate test and sample collection and handling requirements
- Role of diagnostic and interventional radiology:
- angiography, embolization
- CT, GI contrast studies, MRI, nuclear medicine, PET, plain films, ultrasound
