Reversal of Hartmann’s procedure

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What is a Hartmann’s procedure? The Hartmann’s procedure is an operation where the surgeon removes part of the recto-sigmoid colon and the person undergoing the operation will have a colostomy formed (see diagram below). It is usually carried out as an emergency to remove the diseased part of the bowel which is causing a blockage or has a hole through …

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Thiopurines in Autoimmune Hepatitis

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Autoimmune Hepatitis, also known as AIH, is usually a lifelong liver condition. It is an autoimmune disorder which means your body’s immune system (the body’s defence against illness) attacks your body’s own cells. Azathioprine & mercaptopurine are part of a group of medications called thiopurines which help to treat this condition. You will only need to take azathioprine or mercaptopurine …

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Self management plan for IBD

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Severe symptoms include: 6+ trips to the toilet. Nocturnal symptoms. Large volumes of blood. Fever. Pain. Weight loss. Optimise other treatment as for mild to moderate flares but you will likely  need steroid course. Contact IBD helpline now. Mild to Moderate symptoms include: 2 to 5 trips to the toilet in 24hrs (or noticeable increase from your usual frequency). Small …

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Drainage of abdominal fluid (abdominal paracentesis)

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This leaflet is designed to explain what happens when someone requires abdominal paracentesis. If you have any questions or concerns, please speak to your doctor or nurse. What is ascites? Ascites is the medical term used to describe the build up of fluid inside the abdominal cavity (tummy). In a healthy person, the body normally produces a small amount of …

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Pancreatic Exocrine Insufficiency (PEI)

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What does my pancreas do? The pancreas produces enzymes, which help you to digest food. These enzymes break up proteins, fats and carbohydrates from the food that you eat, into smaller pieces which your intestines can then absorb. Your pancreas also produces insulin, which controls your body’s glucose levels. What is pancreatic exocrine insufficiency? Pancreatic exocrine insufficiency (PEI) means that …

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Bile salt diarrhoea

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What is Bile Salt Diarrhoea? Bile salt diarrhoea is sometimes called bile salt malabsorption or bile acid malabsorption. These terms mean the same thing. In this leaflet it is called bile salt diarrhoea. Bile salts are made in the liver, and help to you to digest your food, particularly fat, as it travels through your small bowel. The bile salts …

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About your endoscopic ultrasound examination

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What is an endoscopic ultrasound? This is a simple examination which enables the clinician to view the inside of your oesophagus and stomach. A tiny ultrasound probe incorporated in a flexible tube will be carefully passed into your mouth and down your gullet (oesophagus). It is not a painful examination and does not interfere with your breathing. However, some people …

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Bowel and anal cancer dictionary

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A Adenoma: a tumour or polyp which is benign but can change over time to become cancerous. Adjuvant chemotherapy: treatment given to patients after surgery has removed their primary tumour. Anaemia: a reduced number of red blood cells and/or levels of haemoglobin (the pigment in the blood which carries oxygen). Anus: the opening at the lower end of the bowel …

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An introduction to the Inflammatory Bowel Disease Service

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Our contact details Outpatient appointments: 0300 303 8360 Endoscopy bookings: 0300 303 8517 X-ray appointments: 01273 664575 IBD helpline 24hr answer phone, Monday to Friday Expect a response within one working day (Monday-Friday) Telephone: 01273 664427. Email: ibdnursingservice@bsuh.nhs.uk Patient Support Group Crohn’s and Colitis UK, Brighton and West Sussex Group Telephone: 0845 434 8511. Email: bws@groups.crohnsandcolitis.org.uk. The Brighton & Sussex …

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