The Guts & Glory Podcast Padlet by Guts and Glory SGH

SGH Gastro Undergraduate Activity Book

andrew_mingliang — 2019-10-21 01:32:45 UTC

This book was created as a learning tool for students rotating into the department, so that each student can get a structured and standardised experience.

How much you will gain from using this book will greatly depend on how much effort you put into it.

gutsandglorysgh — 2021-10-07 02:32:01 UTC

Welcome to Guts & Glory, hosted by SingHealth Internal Medicine residents Dillon and Ching Han, together with consultant gastroenterologist Dr Andrew Ong!

Each episode, we hope to bring you guys the latest in gastroenterology and hepatology approaches, updates, and discussions that you can tune into anytime.

Join us, whether you're on your way to pre-round at 5 am, typing your 7th discharge summary of the day, or going home after reviewing your blue letters at 10 pm.

This podcast is meant for medical education purposes only.

In this website, we have included show note summaries for topics covered during the episodes, along with the references that we found helpful and relevant.

gutsandglorysgh — 2021-10-07 02:34:51 UTC

Join us in our very first episode, as Dr Jason Chang goes through a detailed overview of cirrhosis, covering the clinical evaluation, investigations, and complications that patients with cirrhosis face. Ever wondered when to arrange for an elastography, or whether a patient with cirrhosis and portal vein thrombosis can be anticoagulated?

We answer them in our discussion here in this episode.

gutsandglorysgh — 2021-10-07 02:36:19 UTC

In our second episode, our very own host, Dr Andrew Ong, goes through his approach towards patients with Chronic Diarrhea. With his help, we explore the importance of a detailed history, and clarify the indications for commonly ordered investigations such as stool O/C/P or GI PCR panels.

Episode 1: Cirrhosis De-Livered Show Notes

gutsandglorysgh — 2021-10-07 02:39:26 UTC

Episode 1: Cirrhosis De-Livered Infographic

gutsandglorysgh — 2021-10-07 02:39:33 UTC

All Disesases Begin in the Gut - Medical Students Padlet for SGH Gastroenterology

andrew_mingliang — 2021-10-07 02:45:40 UTC

Follow Your Gut Instincts - The Gastroenterology Journey for Senior Residents Padlet

andrew_mingliang — 2021-10-07 02:50:49 UTC

No Guts, No Glory - SGH Gastroenterology Medical Officers Padlet

andrew_mingliang — 2021-10-07 02:52:18 UTC

Functional GI Disorders Padlet

andrew_mingliang — 2021-10-07 02:53:09 UTC

The Growing Educator - Medical Education Padlet

andrew_mingliang — 2021-10-07 02:53:39 UTC

Episode 1: Epidemiology and Clinical Evaluation of Liver Cirrhosis in Singapore 2015 - Annals

andrew_mingliang — 2021-10-07 02:54:53 UTC

Episode 1: Cirrhosis 2021 - Lancet

andrew_mingliang — 2021-10-07 02:57:33 UTC

Episode 1: Cirrhosis Treatment 2016 - NEJM

andrew_mingliang — 2021-10-07 02:58:03 UTC

Episode 2: Chronic diarrhoea diagnosis & management 2021 - Clinical Gastro Hepatology

andrew_mingliang — 2021-10-07 02:58:34 UTC

Episode 2: Evaluation of chronic diarrhoea and IBS-D 2018 - American Journal of Gastro

andrew_mingliang — 2021-10-07 02:59:20 UTC

Episode 2: Approaching Chronic Diarrhea Show Notes

gutsandglorysgh — 2021-10-09 15:47:43 UTC

Episode 2: Approaching Chronic Diarrhea Infographic

gutsandglorysgh — 2021-10-09 15:48:14 UTC

Feedback

andrew_mingliang — 2021-10-11 00:32:19 UTC

Please feel free to leave a note here if you have suggestions for topics or feedback in how we can improve our podcast

Thank you!

Episode 3: Variceal Bleeding

gutsandglorysgh — 2021-10-22 13:13:27 UTC

Episode 3: Variceal Bleeding

gutsandglorysgh — 2021-10-22 13:13:56 UTC

Episode 3: Screening & Surveillance of Varices in Cirrhosis - Clin Gasto Hep 2019

andrew_mingliang — 2021-10-23 02:49:11 UTC

Episode 3: Prevention & Treatment Variceal Haemorrhage - Liver Int 2016

andrew_mingliang — 2021-10-23 02:50:09 UTC

andrew_mingliang — 2021-10-23 02:50:49 UTC

That all too familiar sense of dread, when you're informed of a upper GI bleed from a patient in your MO1/HO1 call, is something many of us have faced at some point at in the middle of the night.

Dr Ravishankar Asokkumar, Consultant Gastroenterologist, shares what we can do to stabilize such patients, to optimise their chances of a successful endoscopy.

Following up on our episode on cirrhosis, we discuss the acute management of esophageal and gastric varices, and delve into the primary and secondary prophylaxis of varices.

andrew_mingliang — 2021-11-06 00:34:29 UTC

Did you know, that the development of ascites in cirrhosis heralds a poor prognosis, with increased morbidity and mortality in these patients?

Following up on our series of lectures on cirrhosis, Dr Kevin Teh, Associate Consultant Gastroenterologist, speaks about ascites in chronic liver disease - how we should evaluate for ascites, and how we manage patients with symptomatic ascites secondary to chronic liver disease.

We also discuss the indications behind large volume paracentesis, transjugular intrahepatic portal systemic shunts, and prophylaxis for spontaneous bacterial peritonitis.

Episode 4: Where should ascitic drains be placed? Revisiting anatomical landmarks - Gut 2021

andrew_mingliang — 2021-11-06 00:39:12 UTC

Episode 4: Ascites, Spontaneous Bacterial Peritonitis & Hepatorenal Syndrome - American Association Society of Liver Diseases 2021

andrew_mingliang — 2021-11-06 00:39:58 UTC

Episode 4: Refractory Ascites in Cirrhosis - American Journal of Gastro 2018

andrew_mingliang — 2021-11-06 00:40:25 UTC

andrew_mingliang — 2021-11-29 09:01:53 UTC

Fluid, Flatus, Fat, Fetus, Faeces, or a Fatal mass?

Join us today, as Dr Andrew Ong goes through his approach to bloating. We go through the relevant history, examination, and investigations centered around the common complaint of bloating. The term bloating has many variable meanings and thus, it is so important for us to dissect and identify what the patient truly means when they refer to bloating.

We also discuss disorders, such as Abdomino-Phrenic Dyssynergia, and Dyssynergic Defaecation - while common within the community, such conditions are not often talked about in medical school.

Episode 5: Management of Chronic Abdominal Distension & Bloating - Clinical Gastro Hep 2021

andrew_mingliang — 2021-11-29 09:03:43 UTC

andrew_mingliang — 2022-01-04 08:47:48 UTC

Whether you're a medical student, a resident preparing for your station 2s or 5s, or clerking endlessly throughout the night, history taking remains an important mainstay in our daily practice.

Start the new year joining us as Dr Andrew takes us through the essentials in history taking, going through important steps in building and maintaining rapport, creating a comfortable and conducive environment for our patients, and obtaining the relevant history for us to provide the right care for them.

Episode 6: GI History 101 Infographic

andrew_mingliang — 2022-01-05 01:25:02 UTC

Episode 5: Bloating Infographic

andrew_mingliang — 2022-01-05 01:53:26 UTC

Episode 6: GI History 101 Show Notes

andrew_mingliang — 2022-01-06 02:56:24 UTC

Episode 5: Bloating Show Notes

andrew_mingliang — 2022-01-06 02:56:56 UTC

Episode 4: An Ascites Affair Show Notes

gutsandglorysgh — 2022-01-06 13:46:23 UTC

Episode 4: An Ascites Affair Infographic

gutsandglorysgh — 2022-01-06 14:36:56 UTC

andrew_mingliang — 2022-01-30 00:54:24 UTC

Abnormal liver function tests, is a phenomena that many physicians will face throughout their careers. Patients may present with a myriad constellation of symptoms - asymptomatic and well, painless obstructive jaundice, a painful right hypochondrium etc. Recognizing an abnormal liver function test is only the first step.

Dr Thinesh Lee, Director for Clinical Services for the SingHealth Duke-NUS Liver Transplant Centre and a senior consultant in the Department of Gastroenterology and Hepatology SGH, shares with us his approach to abnormal liver function tests.

We discuss hepatocellular, cholestatic, as well as mixed pictures of abnormal function tests, and how we approach these patients with careful history taking and focused physical examination.

Episode 7: Evaluation of abnormal liver chemistries - ACG 2017 Guidelines

andrew_mingliang — 2022-02-03 07:22:49 UTC

Episode 7: Liver enzyme alteration - a guide for clinicians

andrew_mingliang — 2022-02-03 07:24:13 UTC

Episode 7: Interpreting LFT Show Notes

gutsandglorysgh — 2022-02-05 07:56:02 UTC

Episode 7: Interpreting LFT Infographic

gutsandglorysgh — 2022-02-05 08:30:19 UTC

andrew_mingliang — 2022-02-27 23:59:13 UTC

Short Bowel Syndrome, is a debilitating, malabsorptive condition, most often caused by the resection of significant amounts of small bowels, be it from inflammatory bowel disease, malignancy, mesenteric ischemia and so on.

Dr Ennaliza Salazar, Consultant Gastroenterologist, and Director of the Singapore General Hospital Nutrition Service, shares with us her approach to patients with Short Bowel Syndrome.

We delve into the remarkable ability of the intestines to undergo intestinal adaptation, and talk about the treatment available and upcoming, for patients suffering from Short Bowel Syndrome.

Episode 8: Intestinal Failure - What all Gastroenterologists Should know - Clinical Gastro & Hepatology 2021

andrew_mingliang — 2022-02-28 00:01:09 UTC

Episode 8: The Clinician's Guide to Short Bowel Syndrome

andrew_mingliang — 2022-02-28 00:01:47 UTC

andrew_mingliang — 2022-03-05 09:49:57 UTC

Evidence has found that rapid industrialization and urbanization across the globe is a contributing factor to the increase in incidence of Inflammatory Bowel Disease.

Join us, as we delve into the bowels of IBD, discussing the clinical history, physical examination, and relevant investigations for patients whom we suspect with this disorder.

Joining us, is Dr Malcolm Tan, Consultant Gastroenterologist from Singapore General Hospital, who shares his approach to patients with IBD, and how we can differentiate between Ulcerative Colitis, Crohn's Disease, and the other forms of colitis.

Episode 9 - Crohn's Disease Primeview - Nature Reviews Disease Primers

andrew_mingliang — 2022-03-05 09:51:35 UTC

Episode 9 - Ulcerative Colitis Primeview - Nature Reviews Disease Primers

andrew_mingliang — 2022-03-05 09:52:08 UTC

Episode 8: Short Bowel Syndrome Show Notes

gutsandglorysgh — 2022-03-06 08:36:55 UTC

Episode 8: Short Bowel Syndrome Infographic

gutsandglorysgh — 2022-03-07 13:07:13 UTC

andrew_mingliang — 2022-03-21 00:44:23 UTC

Viral hepatitis affects millions of people around the world, with disproportionate impact in certain countries around the globe.

Around 3.6% of Singapore's population are hepatitis B carriers, although many go about their lives unaware of this. Viral hepatitis screens, are commonly sent off for various indications - abnormal liver function tests, work up for chronic kidney disease, prior to immunosuppressive therapy etc. Thus, it is increasingly important for physicians to be able to interpret the serological panels, and advise their patients accordingly.

Joining us this episode, is senior consultant Dr Rajneesh Kumar, whose key interests and subspecialty lie in viral hepatitis, and its therapeutic advances.

Episode 10 - Chronic Hepatitis B - Lancet

andrew_mingliang — 2022-03-21 00:46:04 UTC

andrew_mingliang — 2022-04-11 02:01:26 UTC

Join us in this 2 part series, as our very own host, Dr Andrew Ong, goes through his approach to patients with symptoms suggestive of gastroesophageal reflux disease (GERD).

Using 3 case studies, we discuss the definitions of GERD, and delve into understanding what are some of the symptom triggers and symptom modulators behind GERD.

Episode 11 - Phenotypes of GERD - Clinical Gastroenterology & Hepatology 2020

andrew_mingliang — 2022-04-11 02:02:50 UTC

andrew_mingliang — 2022-04-18 11:28:57 UTC

Join us in the second episode of this 2-part series on GERD!

Dr Andrew Ong discusses with the help of 3 case studies, the non-pharmacological and pharmacological approach to treating patients with Gastroesophageal Reflux Disease, through targeting the various symptom triggers and symptom modulators.

Episode 11/12: GERD Infographic

andrew_mingliang — 2022-04-20 08:07:08 UTC

Episode 12 - Management of GERD - Gastroenterology 2018

andrew_mingliang — 2022-04-20 08:08:48 UTC

Episode 11/12 - GERD Show Notes

andrew_mingliang — 2022-04-20 08:09:13 UTC

Episode 9: IBD Show Notes

gutsandglorysgh — 2022-05-03 10:39:09 UTC

Episode 9: IBD Infographic

gutsandglorysgh — 2022-05-03 10:39:35 UTC

Episode 10: Hep B Show Notes

gutsandglorysgh — 2022-05-15 11:13:27 UTC

Episode 10: Hep B Infographic

gutsandglorysgh — 2022-05-15 11:45:44 UTC

andrew_mingliang — 2022-06-05 12:34:16 UTC

Would you rather be on bleeder call for an entire month, or run 10 back to back clinic sessions in a week? Be scoped by a hepatologist, or have a liver biopsy by an endoscopist?

Take a break from the grind and join us in this special episode, where we speak with 4 of our very own Gastroenterology Senior Residents. Hear about their lives as senior residents, the transition from junior residency to senior residency, as well as some tips and advice on career choices.

andrew_mingliang — 2022-06-05 12:34:37 UTC

What is hepatobiliary sepsis?

Joining us this episode, is Dr Ong Wai Choung, Senior Consultant Gastroenterologist from Singapore General Hospital, who specializes in interventional endoscopy on top of general gastroenterology.

Dr Ong discusses the general approaches to patients who present with hepatobiliary sepsis - the clinical presentation, relevant investigations, and management steps required to stabilize and manage these patients.

Episode 14: Initial Management of acute bliary infection - Tokyo Guidelines 2018

andrew_mingliang — 2022-06-05 12:36:58 UTC

Episode 14: Diagnostic Criteria & Severity Grading of Acute Cholangitis - Tokyo Guidelines 2018

andrew_mingliang — 2022-06-05 12:37:24 UTC

Episode 14: Hepatobiliary Sepsis Show Notes

gutsandglorysgh — 2022-06-12 13:17:51 UTC

andrew_mingliang — 2022-06-21 23:06:56 UTC

Non-alcoholic fatty liver disease (NAFLD), or as experts are proposing to redefine to Metabolic associated fatty liver disease (MAFLD), is a growing concern amidst developed countries such as Singapore.

Rising obesity trends, will lead to increasing incidence of MAFLD, with resultant chronic liver disease or even cirrhosis.

Joining us this episode is Dr Mark Cheah, Consultant Gastroenterologist from Singapore General Hospital, who shares with us his thoughts and approach for patients with fatty liver.

Episode 15: Non-alcoholic Fatty Liver Disease - Lancet 2021

andrew_mingliang — 2022-06-21 23:08:25 UTC

Episode 14: Hepatobiliary Sepsis Infographic

gutsandglorysgh — 2022-06-22 07:55:29 UTC

andrew_mingliang — 2022-07-04 01:15:21 UTC

Joining us this episode is Dr Chin Yung Ka, Senior Consultant Gastroenterologist from Singapore General Hospital. Dr Chin shares his approach to pancreatitis, and we discuss the principles behind stratifying and managing patients who present with acute pancreatitis, from hydration and feeding, to the indications for antibiotic therapy.

This marks the end of our first season, and we are truly grateful to all our listeners who have been tuning in! We hope that you've enjoyed these episodes, as much as we've enjoyed creating them.

We will be taking a short break, and will be resuming with the next season this August! You can look forward to cross-cluster, and multi-disciplinary discussions tackling challenging topics. As always, please reach out to us if you'd like us to discuss a topic you have in mind!

With that, stay safe, and we will see you soon!

Episode 16: Acute Pancreatitis - Lancet 2020

andrew_mingliang — 2022-07-04 01:16:30 UTC

Episode 15: Fatty Liver Disease Show Notes

gutsandglorysgh — 2022-07-10 10:38:09 UTC

Episode 15: Fatty Liver Infographic

gutsandglorysgh — 2022-07-18 03:55:20 UTC

Episode 16: Acute Pancreatitis Show Notes

gutsandglorysgh — 2022-07-18 03:57:14 UTC

Episode 16: Acute Pancreatitis Infographic

gutsandglorysgh — 2022-07-18 04:31:08 UTC

Episode 17: Hepatic Encephalopathy Show Notes

gutsandglorysgh — 2022-08-10 10:35:38 UTC

andrew_mingliang — 2022-08-11 01:28:14 UTC

Lights out and away we go, with the second season of Guts & Glory.

Joining us in this new season is Dr Victoria Ekstrom, consultant gastroenterologist specializing in hepatology and transitional care. We delve into the inner workings of hepatic encephalopathy, exploring the pathophysiology, classifications, and management of patients with cirrhosis complicated by hepatic encephalopathy.

Episode 17: Hepatic Encephalopathy - Nature Reviews Disease Primers 2022

andrew_mingliang — 2022-08-11 01:32:44 UTC

Episode 17: Hepatic Encephalopathy - Classification, Pathophysiology & Therapy - Journal of Hepatology 2020

andrew_mingliang — 2022-08-11 01:33:24 UTC

Episode 17: Hepatic Encephalopathy Infographic

gutsandglorysgh — 2022-08-11 04:35:07 UTC

2022-08-11 19:53:03 UTC

Hi there! I work for Castle Biosciences (https://castlebiosciences.com). We are a company dedicated to improving health through innovative tests that guide patient care. One of those tests is TissueCypher, an AI-driven prognostic test that independently predicts esophageal cancer development in patients with Barrett's esophagus. The recent AGA Clinical Practice Update states that TissueCypher may be beneficial for risk-stratification of patients with non-dysplastic BE, so we're actively working to promote the update. Our team came across the Guts & Glory podcast and thought that would be a great platform to educate physicians and patients on the new information. Our VP of GI Marketing, Mike Hoerres, could come on the pod to chat with you about how TissueCypher can benefit BE patients.

If this sounds like something you'd be interested in, I'm happy to hear your thoughts and continue the conversation! Let me know if you have any questions or concerns. Looking forward to hearing from you!

Best,

Jaycie Coulter

Associate Manager, Tradeshows

Castle Biosciences

jcoulter@castlebiosciences.com

andrew_mingliang — 2022-08-30 01:41:18 UTC

Ever wondered about the subtle nuances between treating Crohn's Disease or Ulcerative Colitis?

Joining us this episode, is Dr Webber Chan, Director of the Inflammatory Bowel Disease Services at Singapore General Hospital. We delve into the management principles of inflammatory bowel disease, and discuss the changes in treatment options that have rapidly developed over the past decade.

In a time where the incidence of IBD is increasing amidst developed countries, it is of growing importance for us to be aware of the management of patients with IBD

Episode 18: IBD mx - Approach to Mx of recently diagnosed IBD - Gastroenterology 2021

andrew_mingliang — 2022-08-30 01:42:16 UTC

Episode 18: IBD II Show Notes

gutsandglorysgh — 2022-08-30 14:16:10 UTC

Episode 18: IBD II Infographic

gutsandglorysgh — 2022-08-30 14:16:38 UTC

andrew_mingliang — 2022-09-06 08:07:24 UTC

Timely recognition of patients with acute liver failure (ALF), and managing them at a liver transplantation center is essential in improving their survival.

Joining us this episide is Dr Terence Tan, consultant gastroenterologist from the Singapore General Hospital Liver Transplant Unit. We delve into the details behind Acute Liver Failure - discussing how we can evaluate patients suspected of ALF, the necessary workup, as well as important management principles to improve their outcomes.

Listeners can pair this episode with Episode 7 in our first season with Dr Thinesh Lee, who talked about how to interpret liver function tests.

Episode 19 - Managing Acute Liver Failure - American Journal of Gastroenterology 2016

andrew_mingliang — 2022-09-06 08:08:23 UTC

Episode 19: Acute Liver Failure Show Notes

gutsandglorysgh — 2022-09-16 16:27:42 UTC

Episode 19: Acute Liver Failure Infographic

gutsandglorysgh — 2022-09-17 02:39:44 UTC

andrew_mingliang — 2022-09-24 00:00:31 UTC

In this episode, we explore the approach towards patients presenting with an upper gastrointestinal bleed (UBGIT). How do we make a confident diagnosis for an occult bleed? We delve into the clinical and biochemical evaluation, that contribute towards the diagnosis and risk stratification of patients. And why do we not rush into endoscopy with these patients, but rather why do we spend time often resuscitating them well first? Let's find out in this episode.

And who better to lead us there, than our front line heroes, who are often the first port of call for such cases, Dr Yu Bin Tan, MD and Dr Li Huanghuan, Senior Residents in Singhealth Gastroenterology Senior Residency Program, Singapore.

This will be the first of a 2-part series on UBGIT. Listeners can also pair this episode with Episode 3 on variceal bleeding with Dr. Ravishankar Asokkumar MBBS, MRCP (UK), FRCP (London), FASGE

On a side note, we hope to hear of your methods in determining melena; whether it's through smell, sight, touch, or taste! We hope that doctors and medical students all benefit from this episode!

Episode 20/21: Personalised management of non variceal UBGIT - gut 2021

andrew_mingliang — 2022-09-24 00:01:34 UTC

andrew_mingliang — 2022-10-08 00:07:58 UTC

We keep it going, with the 21st episode of Guts & Glory, the Singapore General Hospital Gastroenterology podcast!

In this episode, we continue from the last episode, in approaching patients with an upper gastrointestinal bleed (UBGIT). We focus on the management this time, and discuss how we can prepare our patient for the endoscopy, what we actually do during the endoscopy, and what happens after all the action dies down.

Our front line heroes lead us there, who are often the first port of call for such cases, Yu Bin Tan, MD and Dr Li Huanghuan, Senior Residents in Singhealth Gastroenterology Senior Residency Program, Singapore.

This is the second of a 2-part series on UBGIT. Listeners can also pair this episode with Episode 20 where we talk about diagnosis and evaluation of UBGIT patients.

andrew_mingliang — 2022-10-23 22:10:05 UTC

Episode #22 of the Singapore General Hospital Guts & Glory podcast is out, courtesy of the Department of Gastroenterology & Hepatology.

The abdominal system physical examination is a lost art, especially with the digitizisation of healthcare. We have a full house today with our usual trio of hosts, myself, Dr Dillon Yeo and Dr Toh Ching Han, who are also joined by 3 final year Duke-NUS Medical School students Alexander, Rachel & Dawn. We discuss not only the pearls and challenges of doing this physical examination well, but also how to present it in a structured way to our examiners.

Listeners may pair this episode with Episode #6 in Season 1 where we tackle history taking essentials.

Episode 22: Examination of the Abdomen - Clinical Liver Diseases 2016

andrew_mingliang — 2022-10-23 22:11:14 UTC

Episodes 20-21: UBGIT Show Notes

gutsandglorysgh — 2022-10-26 12:00:59 UTC

Episodes 20-21: UBGIT Infographic

gutsandglorysgh — 2022-10-28 06:54:30 UTC

andrew_mingliang — 2022-11-07 23:30:13 UTC

In our first of many upcoming multi-disciplinary discussions, we have a full house with Cherylin Fu, Senior Consultant Colorectal Surgeon, and Director of Pelvic Floor Disorders at the Singapore General Hospital, along with 4 NUS Yong Loo Lin School of Medicine final year students co-hosting the episode with us.

We discuss the ins-and-outs of fecal/bowel incontinence, beginning with the clinical approach and evaluation, investigations, and management of patients suffering from fecal incontinence.

Episode 23: Faecal Incontinence Primeview - Nature Reviews Disease Primers

andrew_mingliang — 2022-11-07 23:31:25 UTC

Episode 23: Faecal Incontinence - Nature Reviews Disease Primers

andrew_mingliang — 2022-11-07 23:31:32 UTC

Episode 22: Abdominal Examination Show Notes

gutsandglorysgh — 2022-11-09 13:46:42 UTC

Episode 23: Fecal Incontinence Show Notes

gutsandglorysgh — 2022-11-21 14:10:45 UTC

Episode 23: Fecal Incontinence Infographic

gutsandglorysgh — 2022-11-21 23:16:36 UTC

andrew_mingliang — 2023-01-02 08:54:40 UTC

Join us today, as we discuss the difficult topic of Obesity.

In Singapore, 30% of the population is overweight, while 10% are obese. With obesity, comes co-mordibities ranging from hypertension, dyslipidemia, sleep apnoea to ischemic heart disease. A difficult issue to address and tackle, we are joined with Senior Consultant Endocrinologist Dr Lee Phong Ching,Director of the SGH Obesity Centre, as well as Dr Ravishankar Asokkumar, Consultant Gastroenterologist specialising in Bariatric Endoscopy.

We discuss the clinical approach to obesity, as well as some of the available and upcoming treatment options.

Episode 24: Obesity Primer for the Gastroenterologist - American Journal of Gastroenterology

andrew_mingliang — 2023-01-02 08:56:01 UTC

Episode 24: Obesity Show Notes

gutsandglorysgh — 2023-01-24 09:47:44 UTC

Episode 24: Obesity Infographic

gutsandglorysgh — 2023-01-24 13:59:50 UTC

andrew_mingliang — 2023-01-27 09:16:20 UTC

In our first episode of 2023, we delve into Hepatocellular Carcinoma, discussing the relevant investigations, current treatment modalities, as well as upcoming treatment possibilities.Joining us today, are Dr Evelyn Wong, Associate Consultant Oncologist, and Dr Chen Kaina, Senior Resident Gastroenterologist and Clinician Scientist, to share their perspectives on the management of hepatocellular carcinoma.

With the endemicity of Hepatitis B in Singapore, together with the rise of Metabolic Associated Fatty Liver Disease, Hepatocellular Carcinoma is something that we should be familiar with.

Episode 25: HCC - New England Journal of Medicine

andrew_mingliang — 2023-01-27 09:17:31 UTC

Episode 25: HCC Show Notes

gutsandglorysgh — 2023-01-29 08:58:36 UTC

Episode 25: HCC Infographic

gutsandglorysgh — 2023-01-30 14:30:49 UTC

andrew_mingliang — 2023-03-18 03:59:09 UTC

Episode 26 of the Guts & Glory podcast, courtesy of the Singapore General Hospital Department of Gastroenterology & Hepatology is out, titled "a tough pill to swallow"

In this episode, we embrace the true spirit of interprofessional education, where instead of working in siloes, we come together to teach and learn from one another on how to deliver effective patient care.

My usual co-hosts, Drs Dillon Yeo & Dr Toh Ching Han take a break, and instead I am joined by our very own Gastroenterology Senior Resident, Dr Valerie Yeap. We focus on the topic of dysphagia or difficulty in swallowing, and we are joined by Dr Wong Seng Mun, Principal Speech Therapist from Singapore General Hospital.

Dysphagis is an extremely common condition in the elderly, especially in our inpatient population. We had a great discussion focusing on understanding how a speech therapist evaluates these patients, along with dissecting a speech therapist assessment report, to learning how to choose the right consistency for trial of feeding.

We've learnt so much from her and our evaluation of dysphagia from a gastrointestinal point of view is strengthened because of understanding what she does.

This truly is the beauty of interprofessional education, where mutual trust and respect brings about learning for both parties, and leads to better patient care.

Episode 26: How I approach dysphagia - Current Gastroenterology Reports 2019

andrew_mingliang — 2023-03-18 04:07:57 UTC

andrew_mingliang — 2023-03-23 01:24:57 UTC

We discuss Iron Deficiency Anemia - a common, yet complex disorder that differs in management between healthy individuals and patients with other co-morbidities such as congestive cardiac failure, or chronic kidney disease. We are fortunate to have with us Dr Esmeralda Teo, Consultant Haematologist with a special interest in Acute Leukemia and Cancer Survivorship. We discuss the approach to patients with anemia, how to interpret an iron panel, and the various treatment options available for them!

Episode 27: Iron Deficiency - Lancet 2021

andrew_mingliang — 2023-03-23 01:36:39 UTC

Episode 26: Dysphagia Show Notes

gutsandglorysgh — 2023-03-27 14:51:29 UTC

Episode 26: Dysphagia Infographic

gutsandglorysgh — 2023-03-28 11:09:07 UTC

Episode 27: Iron Deficiency Anaemia Show Notes

gutsandglorysgh — 2023-03-28 11:10:04 UTC

Episode 27: Iron Deficiency Anaemia Infographic

gutsandglorysgh — 2023-03-28 11:10:50 UTC

andrew_mingliang — 2023-04-19 02:04:54 UTC

With World IBS Day closing in on 19th April, join us as we discuss the approach to Irritable Bowel Syndrome! 10% of the world's population suffer from IBS, with significant impact on quality of life, and health care use; It is so important for us to be up to date on how we can diagnose and treat patients with IBS.

We're joined by Dr Kewin Siah, gastroenterologist from the National University Hospital (NUH) who specialises in Functional Gastrointestinal Diseases. We are also joined by Ms Michelle Shi, senior psychologist at SGH who is part of the multi-disciplinary team addressing functional GI disorders.

Episode 28: How to approach a patient with difficult to treat IBS - Gastroenterology 2021

andrew_mingliang — 2023-04-19 02:07:28 UTC

Episode 28: Irritable Bowel Syndrome Show Notes

2023-04-22 09:56:32 UTC

Episode 28: Irritable Bowel Syndrome Infographic

2023-04-22 16:19:42 UTC

andrew_mingliang — 2023-05-04 01:30:39 UTC

Critical Care, or Intensive Care Medicine, centers around the holistic management of critically ill patients who are at risk or have developed life threatening organ failures. A fundamental aspect of medicine, it is ever so important for doctors to recognize a patient as they turn unwell.

Joining us today, is Dr Esther Tan Qiao Li, Consultant in Respiratory and Critical Care Medicine, in Singapore General Hospital. Wearing multiple hats, she is actively involved in the Extracorporeal Life Support Team, SGH Medical Intensive Care Unit Acute Response Team, and is current Programme Director of the SingHealth Respiratory Medicine Senior Residency Programme.

We discuss the approach to a patient who is critically ill - from the initial evaluation to resuscitative measures, and delve a little onto managing the GI system in the ICU.

Episode 29: Surviving Sepsis Guidelines 2021

andrew_mingliang — 2023-05-04 01:31:54 UTC

Episode 29: Critical Care in the ICU Show Notes

2023-05-21 08:48:56 UTC

Episode 29: Critical Care in the ICU Infographic

2023-05-21 09:20:07 UTC

Episode 30: Diarrhea in Immunocompromised Host Show Notes

2023-05-21 09:20:48 UTC

Episode 30: Diarrhea in Immunocompromised Host Infographic

2023-05-21 09:21:17 UTC

andrew_mingliang — 2023-06-23 07:02:34 UTC

Diarrhea takes many forms, and its etiologies differ from host to host. Whether in a young child, a returning traveler, or in today's episode, an immunocompromised host.

Joining us today is Dr Jean Sim, Consultant in Infectious Diseases from Singapore General Hospital, who shares with us her approach towards diarrhea in an immunocompromised host.

Do look out for our earlier episode on Approach to Chronic Diarrhea if you have not already done so!

Episode 30 - Diarrhea in immunocompromised patients - Gastroenterology Clinics of North America

andrew_mingliang — 2023-06-23 07:03:47 UTC

Kishore R. Iyer, MBBS, FRCS(Eng), FACS, at The Mount Sinai Hospital Available to Speak on Treatment Options for Short Bowel Syndrome

2024-03-07 15:58:21 UTC

For your Guts and Glory podcast, would you be interested in having Kishore R. Iyer, MBBS, FRCS(Eng), FACS, Director of Adult and Pediatric Intestine Rehabilitation & Transplantation at The Mount Sinai Hospital in New York, as a guest?

Dr. Iyer can speak on short bowel syndrome with intestinal failure (SBS-IF), current treatment options, as well as treatment options in the pipeline. Dr.Iyer was Coordinating Principal Investigator of the Phase III STARS trial, in which positive topline results recently were announced, showing the efficacy and safety of once-weekly apraglutide in reducing parental support (PS) dependency in adults with SBS-IF.

Please let me know if I can help to set up Dr. Iyer as a guest on your podcast.

Sincerely,

Dan Boyle

(818) 209-1692

dan@boylepr.com