LIBRO + ANEXOS GASTROENTEROLOGÍA, HEPATOLOGÍA Y NUTRICIÓN PEDIÁTRICA

Gastroenterología, Hepatología y Nutrición Pediátrica. Anexos ❚ 57 15 investigate the symptoms. 4. Recognises that bilious vomiting may reflect a surgical problem (e.g. malrotation or volvulus), a congenital cause (e.g. web or malrotation) H 5. Makes a thorough clinical assessment of gastro-oesophageal reflux and esophagitis in patients across all ages, including in children and young people with neurodisability H 6. Interprets results of pH and impedance monitoring H 7. Manages the relationship of reflux to pharyngeal, laryngeal and respiratory symptoms as well as oesophagitis H 8. Discusses the medical treatment options for gastro-oesophageal reflux disease H 9. Recognises indications for surgery in patients with GORD; describes the potential complications of surgery H 10. Assesses a patient with dysphagia, including the use of endoscopy, contrast studies, and manometry where appropriate, and manages the condition appropriately H 11. Recognizes and manages achalasia H 12. Knows and recognises organic causes of constipation (including slow-transit constipation) H 13. Manages a patient with gastric dysmotility H 14. Knows how to recognize, diagnose and manage chronic intestinal pseudo- obstruction (CIPO) (including possible genetic cause) B 15. Recognises indications for specialist testing in specific situations eg gastric emptying studies, small bowel scintigraphy and colonic manometry H IX Management polyps and tumours Including: • Intestinal polyp • Polyposis syndromes • Small intestinal lymphoma • Other intestinal tumours 1. Manages the different types of bowel polyps including the management of premalignant conditions H 2. Applies the principles of screening and surveillance in polyposis syndromes including familial adenomatous polyposis, juvenile polyposis syndrome, Peutz– Jeghers syndrome H 3. Understands risk factors and diagnostic procedures of intestinal malignancies H 4. Collaborates with the haematologist and oncologists for management of intestinal malignancies H 5. To view and if possible undertake endoscopic polyp removal in a patient H X Management of anorectal disease Including: • Mucosal rectal prolapse • Haemorrhoids • Fissure • Perianal fistula • Pruritus ani • Proctitis • Rectal Bleeding 1. Understands differential diagnosis of anorectal disease including PR bleeding H