A masterclass in endoscopy

The British Society of Gastroenterology’s (BSG) annual meeting took place at ACC Liverpool, by King’s Dock, and provided 50 symposia from a broad range of specialists. Showcasing the best of British gastroenterology, hepatology and endoscopy expertise, The Clinical Services Journal highlights some of the best 2018 BSG Annual Meeting talks.

Qasim Aziz, Professor of Neurogastroenterology at Barts and The London School of Medicine and Dentistry at Queen Mary, University of London, discussed the dos and don’ts of managing an IBS patient, when standard treatments may have failed.

Prof Aziz stressed the importance of listening to patients and taking a good basic history. “It’s critically important to ask when the symptoms first started, how they started, and also about any other associated factors, in association with the symptoms,” he said. “In particular, ask about what relieves their symptoms and what makes them worse – what are the co-morbidities? 

“Remember your basic physiology. You often see patients at different points in their management and you may not really understand their entire problem if you only take a history, which is relevant just to that particular time. You have to go back to when the symptoms first started.”

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