In this episode of Guts n Gall, we are focusing on the on TIPS (transjugular intrahepatic portosystemic shunt) procedure. We cover:

• Understanding the normal anatomy of the hepatic vascular system as a foundation for comprehending TIPS.
• Exploring the indications for TIPS, particularly in patients with variceal bleeding and refractory ascites.
• Highlighting the contraindications of TIPS, including conditions like congestive heart failure and hepatic encephalopathy.
• Discussing the pre-procedural steps required for TIPS, such as lab workup, imaging studies, and cardiac testing.
• Breaking down the TIPS procedure
• Addressing potential complications of TIPS, including cardiac arrhythmias and liver capsule puncture.

Join Kayla Dadgar and Zuhal Mohmand in this Guts n Gall episode as they unravel the complexities of Irritable Bowel Syndrome (IBS). Listen in as we discuss:

• The clinical presentation and risk factors of IBS
• The multifactorial nature of IBS's pathophysiology.
• Diagnosing IBS
• Understand investigations, differential diagnosis, and when additional tests may be necessary.
• Management insights: Lifestyle modifications, patient education, dietary changes, and alternative therapies.
• Tailoring treatments with a focus on first and second-line options.
• A practical plan for a sample patient Isabelle

Welcome back to another episode of Guts n' Gall! In this episode, Jamie Zhen, an internal medicine resident from Ottawa, and Kayla Dadgar discuss celiac disease, a chronic immune-mediated gastrointestinal condition triggered by gluten intake in genetically predisposed individuals. They cover the following topics:

• The pathophysiology of celiac disease
• Risk factors and symptoms
• Presentation, typical and atypical of celiac disease
• Extra-intestinal manifestations
• Diagnosis and treatment of celiac disease.
• Changes in the recent ACG 2023 guidelines regarding celiac disease

Welcome back to another episode of Guts n Gall!

Today, we discuss upper GI bleeding, specifically:

• Pertinent history and physical exam
• Immediate management
• Evidence surrounding current best therapy for management
• A review of studies around GI bleeding
• A review of techniques done in endoscopy

If you like our content, follow us on X (formerly twitter) @gutsngall, or email us about new ideas at gutsngall@gmail.com!

Welcome back to another episode of Guts n Gall!

Today, we discuss IBD, with a specific focus on acute severe ulcerative colitis. Join us as we discuss:

• What IBD is, and the difference between IBD and Crohn's
• The clinical presentation of IBD, and the differences between Crohn's and Ulcerative colitis
• Diagnosing Ulcerative Colitis
• Initial investigations when someone presents with a first episode of suspected IBD
• Gauging severity of an ulcerative colitis flare
• Treatment of acute severe UC in the acute setting as well as in the maintenance of remission, including nonpharmacologic care
• Surgical management of ulcerative colitis

Welcome back to another episode of Guts n Gall!

Today, we talk about choledocholithiasis and cholangitis. We cover a lot today, including:

• Pathophysiology of bile and gallstones
• Clinical presentation of choledocholithiasis and cholangitis
• Imaging studies to diagnose biliary pathology and the nuances around their diagnosis
• Practical and patient-important considerations around ERCP
• Management of cholangitis

Medgraphic Credit: Priscilla Matthews

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Welcome to our new podcast Guts n' Gall, where we endeavor to bring you gastrointestinal education for medical students, residents, and fellows alike.

In this podcast episode, we discuss Hepatitis B. We cover the following topics:

• Risk factors for viral hepatitis
• Pathophysiology of the hepatitis B virus
• Interpretation of serum tests for hepatitis B
• Extra-hepatic manifestations
• Investigations for assessing clinical status and monitoring disease progression
• Treatment guidelines

Medgraphic credit: Priscilla Matthews