New guidelines on the management of Inflammatory Bowel Disease (IBD)

read more

 

 A new treatment for Barrett's Oesophagus - The HALO procedure (radiofrequency ablation)

 

This Month's News

New guidelines on the management of Inflammatory Bowel Disease (IBD)

The British and European Crohn's and Colitis organisations have over the last 2 years published several guidelines updating the diagnosis, investigation and management of inflammatory bowel disease (IBD). Some of the important messages are listed below

  • Stopping smoking reduces the risk of disease activity in crohn's disease
  • Early use of immunomodulators in appropriate patients reduces steroid dependancy and disease relapse
  • Longterm 5 ASA may reduce the risk of cancer in the future
  • Budesonide, a  'locally acting' steroid is a useful alternative with less side-effects than prednisolone in appropriate patients
  • New drugs like biologics (anti-TNF antibodies) are useful in treating active/severe/non-responding IBD
  • Surveillance colonoscopy intervals have changed to 1,3 or 5 years rather than 2 years depending on the patients' circumstances
  • Caesarian section is preferred mode of delivery in mothers with perianal or recto-vaginal disease.

For further information on these guidelines click here

For further information on crohn's and colitis patient charity website click here

 

 

A new treatment for Barrett's Oesophagus - The HALO procedure (radiofrequency ablation)

Barrett's Oesophagus has an increased risk of developing into gullet cancer and this usually requires major surgery. When precancerous changes have been found called 'high grade dysplasia', HALO treatment can be carried out, during endoscopy, destroying the abnormal lining back to normal gullet lining (squamous epithelium). At Southampton we were the 3rd centre in the UK to offer this treatment which has avoided surgery in many patients. The illustration below shows the main part of the procedure when the Barrett's lining is destroyed with the HALO device in the gullet.

For further information click here

For information to local Barrett's Oesophagus patient charity click here