Presentations
- Abdominal distention
- Abdominal pain
- Abnormal investigations/imaging
- Anaemia
- Change in bowel habit
- Constipation
- Diarrhoea
- Dysphagia
- Fever
- Gastrointestinal bleeding
- Jaundice
- Nausea/Vomiting
- Odynophagia
- Positive faecal occult blood test (FOBT)
- Reflux
- Weight loss
Conditions
- Genetic cancer syndromes affecting the gastrointestinal tract: nonpolyposis syndromes associated with bowel cancer (e.g. Lynch syndrome) polyposis syndromes
- Malignant neoplasms:
- cholangiocarcinoma
- colorectal
- gallbladder
- gastric
- hepatocellular carcinoma (HCC)
- metastases to gastrointestinal organs
- oesophageal
- pancreatic
- Pre-malignant gastrointestinal lesions:
- Barrett’s oesophagus, Intraductal Papillary Mucinous Neoplasm (IPMN), Gastric intestinal metaplasia (GIM), liver adenoma, polyps
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
- Other neoplasms:
- gastrointestinal stromal tumour (GIST)
- hepatoblastoma
- neuroendocrine tumours (NETs)
- small bowel tumours
- Malignancy mimics (e.g. IgG4 HOP mass, pseudo tumours)
PCH
- Other neoplasms (e.g. hepatoblastoma)
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
- Cancer immunology (e.g. biologics, immunotherapy)
- Genetics of gastrointestinal malignancy
- Malignancy associations (e.g. colon adenocarcinoma and primary sclerosing cholangitis)
- Principles of genetics and neoplasia development, including chronic inflammation
- Cancer staging
- Endoscopic
- Imaging (e.g. EUS, PET)
- Interpretation of histopathology
- Know indications for:
- referral for liver transplantation
- surgery
- Considering patient-specific management
- Genetic counselling
- Management of complications of cancer-related therapies
- Role of multidisciplinary teams in cancer treatment, including appropriate team members for different cancer types
- Role of palliative care, including endoscopic therapies
- Role of referral for liver transplantation
- Screening and surveillance
