Presentations
- Abdominal pain
- Bloating
- Chest pain
- Constipation
- Diarrhoea
- Dyspepsia
- Dysphagia
- Heartburn
- Nausea and vomiting
- Regurgitation
Conditions
- Biliary dyskinesia
- Cyclical vomiting syndrome
- Dyssynergic defaecation
- Functional chest pain
- Functional constipation
- Functional diarrhoea
- Functional dyspepsia
- Functional heartburn
- Gastroesophageal reflux disease
- Gastrointestinal manifestations of systemic disorders (e.g. hypermobility syndromes, neuropathic and myopathic disorders, scleroderma)
- Gastroparesis
- Irritable bowel syndrome
- Oesophageal motility disorders, including achalasia and oesophageal spasm
- Pharyngeal dysfunction
- Rumination syndrome
PCH
Conditions
- Abdominal migraine
- Intestinal pseudo-obstruction
- Post-surgical pain and dysmotility (e.g. congenital conditions)
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
- Centrally mediated abdominal pain Syndrome
- Chronic intestinal pseudo-obstruction
- Gastrointestinal manifestations of psychiatric disorders, including eating disorders and somatoform disorders
- Narcotic bowel syndrome
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
- Diet and lifestyle modifications
- Effects of psychological factors (e.g. early childhood trauma)
- Effects of the microbiome
- Epidemiology of disorders of gut-brain interaction (DGBI)
- Gut-brain axis
- Impact of systemic disease on gastrointestinal system, structure and function
- Ambulatory oesophageal pH and impedance studies
- Anorectal manometry and pudendal nerve latency
- Anorectal physiology studies
- Oesophageal manometry
- Oesophageal transit, gastric emptying, small bowel transit, and colonic transit
- Role of surgical management (limited)
- Eating disorders (see KG10)
- Education of patient (e.g. gut-brain axis)
- Medical therapies
- Multidisciplinary team approach (e.g. dietician involvement, pelvic floor physiotherapy, role of enteral feeding)
- Psychosocial considerations and their impact on diagnosis and management
