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348
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INDEX
chemotherapy
gastric adenocarcinoma 64a
metastatic oesophageal cancer 8q, 28a
chest pain, non- cardiac 22q, 33a
chief cells 320a
Child– Pugh Aalcohol- related cirrhosis 209q, 23a
Child– Pugh C alcohol- related cirrhosis 295q, 303q,
322– 3a, 333a
Chlamydia lymphogranuloma venereum (LGV), Crohn’s disease
vs. 287– 8a
cholangiocarcinoma (CCA)
endoscopic retrograde cholangiopancreatography
(ERCP) 292q, 36– 7a
risk factors 8q, 94a
cholangiopancreatoscopy 93a
cholangioscopy 80q, 93a
ERCP vs. 93a
cholangitis 85q, 98– 9a
brown pigment gallstones 342a
cholangioscopy 93a
ERCP 79q, 90a, 93a
cholecystectomy 74q, 88a
bile leak 88– 9a
elective laparoscopic 306q, 335a
laparoscopic cholecystectomy 75q
ulcerative pancolitis and PSC 329a
upper quadrant pain 74q, 87– 8a
cholecystitis, laparoscopic cholecystectomy 75q, 88– 9a
cholecystokinin (CCK) 6a, 37t, 37a
choledochal cysts 98– 9a
cholestatic drug- induced liver damage 228q, 254a
cholestatic liver disease, pruritus 249a
cholesterol gallstones 342a
cholestyramine 48a, 249a
chronic atrophic gastritis, biopsies 58a
chronic diarrhoea 72q, 02– 3a
chronic hepatitis B (CHB) 29q, 243– 4a
chronic obstructive pulmonary disease (COPD) 256a
chronic pancreatitis (CP) 297q
extracorporeal shockwave lithotripsy 324a
pain 07q, 8a
post- acute pancreatitis 7a
chronic pouchitis 88a
CHS (cannabis hyperemesis syndrome) 329– 30a
ciclosporin
pancolitis management 86– 7a
perianal stulae 83a
ulcerative colitis therapy 86a
cirrhosis 5q, 2a, 2q, 233– 4a
alcohol consumption see alcohol- related cirrhosis
ascites 235a
Child– Pugh cirrhosis see Child– Pugh Aalcohol- related
cirrhosis; Child– Pugh C alcohol- related cirrhosis
decompensated- hepatitis C cirrhosis 243a
hepatitis C 5q, 2a, 28q, 243a
jaundice & weight loss 8q, 94a
oesophageal varices 22q, 234a
Clinical Institute Withdrawal for Alcohol (CIWA- Ar) 322– 3a
clinically signicant portal hypertension (CSPH) 232a
Clonorchis sinensis infection 92a, 94a
clopidogrel 280a, 293q, 39a
Clostridioides dicile infection 69q, 99a
associated diarrhoea 97a
CMV see cytomegalovirus (CMV) infection
co- amoxiclav
metastatic melanoma 66q, 96– 7a
small intestinal bacterial overgrowth 47– 8a
cobalamin (vitamin B2) deciency 56a, 58a, 3q, 45– 6a
coeliac axis 23a
coeliac disease (CD) 30q, 29q, 4a, 43– 4a
bone health 29q, 43a
gluten- free diet 49q, 66– 7a
histology 28f, 28q, 42– 3a, 42f
histopathology 68– 9a
irritable bowel syndrome (IBS) and 42a
see also gluten- free diet
colectomy
acute severe ulcerative colitis 78– 9a
ulcerative colitis 52q
colitis 34a
acute colitis 34a
acute severe colitis 327a
collagenous colitis 98a
Crohn’s colitis 53q, 79– 80a
cytomegalovirus infection 20a
diversion colitis 98a
immunotherapy- associated colitis 96– 7a
infective colitis vs. ulcerative colitis 53q, 80a
ischaemic colitis 67f, 97a
lymphocytic colitis 98a
microscopic colitis 98a
ulcerative see acute severe ulcerative colitis (ASUC);
ulcerative colitis (UC)
colitis- associated colorectal cancer (CACRC) 93a
collagenous colitis 98a
colonic disorders 5– 76q, 77– 208a
colonic resections, Crohn’s disease 337a
colonic transit study 207a
colonoscopy
abdominal pain 273q, 280a
acromegaly 7q, 202a
bowel habit changes 72q, 204– 5a
bowel preparation 295q, 32– 2a
chronic diarrhoea 72q, 202– 3a
iron- deciency anaemia 20a
pancolitis 64q, 94a
ulcerative colitis 64q, 93a
colorectal cancer (CRC)
hereditary non- polyposis colorectal cancer 297q, 325a
primary sclerosing cholangitis/ inammatory bowel
disease 297q
ulcerative colitis risk factors 94a
common bile duct (CBD), fusiform dilatation 85q
community- acquired pneumonia (CAP) 259q, 266a

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complex ileocolonic Crohn’s disease 3q, 339– 40a
computed tomographic angiography (CTA)
aorto- enteric stulae 342– 3a
lower gastrointestinal bleeding 7q, 4a
computed tomography (CT)
abdomen & pelvis 235– 6a, 280a
acute pancreatitis imaging 2a
alcohol excess 295q, 323a
gastrointestinal stromal tumours 60a
head of pancreas adenocarcinoma 293q, 38– 9a
hydatid disease 343a
pancreatic cystic lesions 0q, 2– 2a
computed tomography pulmonary angiogram
(CTPA) 74q, 88a
concentric brosis, small- duct PSC 248a
conscious sedation, Barrett’s oesophagus 283a
consent 285a
elective endoscopic gastrostomy 283– 5a
constipation 73q, 75– 6q, 75f, 205– 6a, 207– 8a
abdominal pain & nausea 292q, 37a
dyssynergic constipation 207a
functional (primary) constipation 207a
IBS- C (constipation- predominant irritable bowel
syndrome) 276q, 286– 7a
irritable bowel syndrome 276q, 286– 7a
primary (functional) constipation 207a
secondary causes 208a
slow- transit constipation 207– 8a, 207a
tenesmus, pruritis, rectal bleeding 276q, 286a
constipation- predominant irritable bowel syndrome
(IBS- C) 276q, 286– 7a
contractile patterns, small intestine 25q, 39a
contrast computed tomography, acute pancreatitis
imaging 2a
COPD (chronic obstructive pulmonary disease) 256a
copper deciency 27– 2a
coronary artery disease 273q, 279– 80a
covered stent placement, oesophageal perforation 328a
CP see chronic pancreatitis (CP)
CRC see colorectal cancer (CRC)
creatinine, refeeding syndrome 38a
Crohn’s colitis 53q, 79– 80a
Crohn’s disease (CD) 0q, – 2a, 5q, 77a
activity index 83
complex ileocolonic Crohn’s disease 3q, 339– 40a
diagnosis 54q, 83a
diarrhoea 34q, 48a
dietary therapy 88a
eye problems 63q, 92a
ileal Crohn’s disease 54q, 82– 3a
ileocaecal Crohn’s disease 59q, 89a
ileocaecal resection & en bloc mid- ileal stricture
resection 337a
ileocolonic Crohn’s disease 5q, 58q, 89a, 208– 9a
immunomodulatory therapy 62q, 9a
inuenza vaccinations 62q, 9– 2a
inheritance of 5q, 77– 8a
left loin pain 262q, 268– 9a
lower back pain 60q, 90a
macroscopic haematuria 262q, 268– 9a
omeprazole & loperamide 262q, 268a
perianal pain 53q, 8– 2a
personalized anti- TNF therapy (PANTS) 89a
rectal discharge 53q
refractory colonic Crohn’s disease 68q, 98a
resemblance to 277q, 287– 8a
Rutgeerts score 30q, 330– a, 33t
small bowel Crohn’s disease 64q, 94a
ultrasound 55q, 83a
ustekinumab 339a
see also ulcerative colitis (UC)
crypt architecture preservation 98– 9q
Cryptosporidium parvum infection 99– 00a
CSPH (clinically signicant portal hypertension) 232a
CT see computed tomography (CT)
CTA see computed tomographic angiography (CTA)
cyanoacrylate injection 5q, 2a
cystic echinococcus (CE) 343a
cytokines, pro- inammatory cytokines 5q, 77a, 340a
cytomegalovirus (CMV) infection
colitis 20a
HIV infection and 54a
post- liver transplantation 30q, 338– 9a
cytotoxin testing, Clostridioides dicile infection 99a
D
dabigatran 279a
D cells 32a
decompensated- hepatitis C cirrhosis 243a
defecation
dyssynergic defecation 73q, 205a
pain with 40a
delayed gastric emptying 292q, 37a
recreational drugs 329– 30a
DeMeester score 22q, 34a
Deprivation of Liberty Safeguards 269a
DEXA (dual energy X- ray absorptiometry) scanning, coeliac
disease 43a
diabetes type 2 2q, 232– 3a
diarrhoea 47q, 63a, 24q, 37a, 68q, 98– 9a
abdominal bloating, atulence 278q, 289– 90a
abdominal pain 69q, 99a
assessment of 30q, 44a
blood with see bloody diarrhoea
chronic diarrhoea 72q, 202– 3a
Crohn’s disease 34q, 48a
itchy skin 69q, 200a
watery diarrhoea 70q, 20a
diclofenac 2a
diuse large B- cell lymphoma 28q, 242a
dihydrofolate reductase, folate deciency 45a
dilated cardiomyopathy, selenium deciency 47a
DILI see drug- induced liver damage (DILI)
diltiazem 286– 7a

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direct- acting antiviral (DAA) therapy
HCV cirrhosis therapy 28q, 243a
HCV therapy 242a
hepatocellular cancer 239a
distal (diuse) oesophageal spasm 22q, 34a
distension, abdominal pain & vomiting 275q, 285a
diuretic- intolerant ascites 23q, 235– 6a
diversion colitis 98a
diverticulectomy, endoscopic 336a
DNA synthesis, folate deciency 45a
dominant strictures, primary sclerosing cholangitis 93a
domperidone 65– 6a
drug- induced hepatitis B 249a
drug- induced liver damage (DILI)
cholestatic pattern 228q, 254a
idiosyncratic vs. intrinsic 228q, 253– 4a
intrinsic vs. idiosyncratic 228q, 253– 4a
drug- induced nodular regenerative hyperplasia 35a
dual energy X- ray absorptiometry (DEXA) scanning, coeliac
disease 43a
duodenum
adenoma 5f, 5q, 69– 70a, 69f
coeliac disease histology 42a
disorders 39– 52q, 53– 7a
intraepithelial lymphocytosis 50q, 68– 9a, 69t
PAS staining of biopsies 337– 8a
ulcers 4q, a
dysmotility, gastroparesis 263q, 269a
dyspepsia 4q, – 2a, 39q, 4q, 44q, 46q, 49q, 53– 4a, 57–
8a, 60a, 62a, 66– 7a
gastroscopy 45q, 60– a
Helicobacter pylori infection 40q, 54a
dysphagia 7q, 22q, 24q, 26q, 27a, 33a, 35a, 36a,
307q, 336– 7a
oesophageal cancer 8q, 29a
palliation of 8q, 28– 9a
progressive 306q, 335a
dysphasia, endoscopy 299f, 299q, 328a
dysplasia, Barrett’s oesophagus 2q, 33a
dyssynergic constipation 207a
dyssynergic defecation 73q, 205a
E
early dumping syndrome (EDS) 27a
EASL see European Association for Study of the Liver (EASL)
eating disorders 263q, 269a
EATL (enteropathy- associated T- cell lymphoma) 43– 4a
ECCO see European Crohn’s and Colitis
Organization (ECCO)
Echinococcus granulosus infection 34q, 343a
echocardiography, transthoracic contrast enhanced 340– a
ECL cells 320a
ectopic pancreas 60a
edoxaban 279a
EDS (early dumping syndrome) 27a
EEN (exclusive enteral nutrition), Crohn’s disease 88a
EIMs (extra- intestinal manifestations), inammatory bowel
disease 79a
elderly, inammatory bowel disease 294q, 32a
elective endoscopic gastrostomy 275q, 283– 6a
elective laparoscopic cholecystectomy 306q, 335a
electrocardiography (ECG), refeeding syndrome 38a
electrolyte abnormalities, ulcerative colitis 60q, 90a
electrolyte replacement therapy, ulcerative colitis 90a
ELF (Enhanced Liver Fibrosis) scores, NAFLD 25– 2a
emergency liver transplant 228q, 253a
EMR see endoscopic mucosal resection (EMR)
en bloc mid- ileal stricture resection, Crohn’s disease 337a
endoscopic diverticulectomy 336a
endoscopic mucosal resection (EMR)
gastric adenocarcinoma 64a
oesophageal adenocarcinoma 8q, 28a
endoscopic resection, gastric adenocarcinoma 64a
endoscopic retrieval, foreign body ingestion 339a
endoscopic retrograde cholangiopancreatography
(ERCP) 82f, 88– 9a, 89a, 95a, 96f
acute gallstone pancreatitis 4a
antibiotic prophylaxis 28– 2t
cholangiocarcinoma 292q, 36– 7a
cholangioscopy vs. 93a
cholangitis 79q, 93a
gallstones 02q, 2a
jaundice 280– a
key performance measures 275q, 283a
pregnancy 77q, 90a
timing of 04q, 4a
endoscopic submucosal dissection (ESD) 64a
endoscopic ultrasound (EUS)
antibiotic prophylaxis 28– 2t
guided coeliac plexus block, pain relief 8a
key performance measures 283a
oesophageal carcinoma 7q, 27a
pancreatic pseudocysts 4a
pancreatic tumours 23a
perianal stulae 82a
endoscopy
anaemia 305f, 305q, 334a
caustic agent ingestion 37– 8a
dysphasia 299f, 299q, 328a
foreign body ingestion 37a, 37t
sedatives & analgesics 284t
video capsule endoscopy 6q, 3a
endoscopy units, annual appraisal 275q, 283a
Enhanced Liver Fibrosis (ELF) scores, NAFLD 25– 2a
enteral feeding
acute pancreatitis 3a
Crohn’s disease 88a
systemic inammatory response syndrome 3a
enteric fever 35q, 49a
enterochroman cells 320– a
enterocutaneous stula, small bowel resection 264q, 270a
enteropathy- associated T- cell lymphoma (EATL) 43– 4a
enterotoxigenic Escherichia coli (ETEC) infection 23q, 36a
enzyme immunoassay (EIA), Clostridioides dicile
infection 99a
EoE (eosinophilic oesophagitis) 26q, 36a

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eosinophilic oesophagitis (EoE) 26q, 36a
epigastric discomfort/ pain 4f, 4q, 46q, 50q, 56– 7a, 57f,
62a, 67– 8a, 0q, 02q, a, 2a
epigastric distension 48q, 64– 5a
episcleritis 92a
ERCP see endoscopic retrograde
cholangiopancreatography (ERCP)
ESD (endoscopic submucosal dissection) 64a
ESGE see European Society of Gastrointestinal
Endoscopy (ESGE)
ESMO (European Society of Medical Oncology) 333a
ESWL (extracorporeal shockwave lithotripsy) 324a
ETEC (enterotoxigenic Escherichia coli) infection 23q, 36a
EUA (examination under anaesthetic), perianal
stulae 8– 2a
European Association for Study of the Liver (EASL)
gallbladder abnormalities 329a
MRCP recommendations 248a
porcelain gallbladder management 88a
pruritus management 249a
European Crohn’s and Colitis Organization (ECCO) 82a
ileocaecal resection guidelines 89a
immunomodulatory therapy in Crohn’s disease 9a
European Society for Clinical Nutrition and Metabolism 240a
European Society for Medical Oncology 23a
European Society of Gastrointestinal Endoscopy (ESGE) 2a
atrophy and/ or intestinal metaplasia
recommendations 57a
endoscopy unit appraisal 275q, 283a
upper GI endoscopy performance measures 70a
European Society of Medical Oncology (ESMO) 333a
EUS see endoscopic ultrasound (EUS)
examination under anaesthetic (EUA), perianal
stulae 8– 2a
exclusive enteral nutrition (EEN), Crohn’s disease 88a
exocrine insuciency 7a
extracorporeal shockwave lithotripsy (ESWL) 324a
extra- intestinal manifestations (EIMs), inammatory bowel
disease 79a
eye problems, Crohn’s disease 63q, 92a
F
faecal culture 79a
faecal elastase (FE) 07q, 7a
faecal incontinence (FI) 73q, 206a, 277q, 289a
familial adenomatous polyposis (FAP) 57a
family history/ studies
gastric cancer incidence 63– 4a
inammatory bowel disease 78a
Fasciola hepatica infection 92a
fasting serum gastrin 63a
Zollinger– Ellison syndrome 54a
FE (faecal elastase) 07q, 7a
female sex, gastric cancer incidence 63– 4a
fentanyl, endoscopy 284t
ferritin, inammatory bowel disease 92– 3a
fever 75– 6q, 89a
watery diarrhoea 70q, 20a
FGPs (fundic gland polyps) 57a
FI (faecal incontinence) 73q, 206a, 277q, 289a
bro- vascular polyps 327a
atulence, abdominal bloating & diarrhoea 278q, 289– 90a
exible sigmoidoscopy
perianal stulae 8– 2a
rectal bleeding 276a, 276q
ucloxacillin 254a
uid resuscitation therapy
acute severe ulcerative colitis 90a
ischaemic colitis 97a
folate (vitamin B9) deciency 56a, 3q, 45a
foreign body ingestion 26q, 37a, 3q, 339a
Forrest classication 3q, 0a, t
full- thickness biopsies, Ménétrier’s disease 68a
fulness after eating, weight loss, nausea 26q, 267a
functional biliary sphincter disorder 90a
functional (primary) constipation 207a
fundic gland polyps (FGPs) 57a
fusiform dilatation, CBD 85q, 98– 9a
G
gallbladder 329a
calcication 74q, 88a
gallbladder carcinoma 329a
porcelain gallbladder 88a
gallstones 73q, 87a
acute pancreatitis 04q, a, 4a
black pigment gallstones 342a
brown pigment gallstones 33q, 342a
cholangitis 02q, 2a
cholesterol gallstones 342a
pancreatitis 04q, 4a
risk factors 27a
ganciclovir, cytomegalovirus colitis 20a
gastrectomy
partial 56a
radical gastrectomy 64a
gastric acid secretion 294q, 320– a
gastric adenocarcinoma 47q, 63– 4a, 64a
gastric antral vascular ectasia (GAVE) 334a
gastric cancer (GC)
incidence 63a
metastases 333a
mortality 58a
prevalence 46q, 62a
risk factors 56– 7a
staging of 304q, 333a
gastric disorders 39– 52q, 53– 7a
gastric emptying
delayed see delayed gastric emptying
scintigraphy 64– 5a
gastric epithelial polyps 57– 8a
gastric inhibitory polypeptide (GIP) 37a
gastric outlet obstruction (GOO), pancreatic cancer
and 52q, 7a
gastric peptic ulcers 3q, 0a
gastric varices, Sarin classication 2t

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gastrin 37t
fasting serum levels see fasting serum gastrin
gastritis, atrophic see atrophic gastritis
gastro- duodenal ulceration, NSAIDs 48a
gastrointestinal cancer 325a
gastrointestinal haemorrhage – 8q, 9– 5a
gastrointestinal stromal tumours (GISTs) 44f, 60a, 60f
gastro- oesophageal reux disease (GORD) 30a, 48q, 64– 5a
gastro- oesophageal varices 2q, 233– 4a
gastroparesis 64a
dysmotility 263q, 269a
gastroscopy 4q, – 2a, 4q, 57– 8a
anaemia 45q, 60– a
bleach ingestion 282a
dyspepsia 45q, 60– a
outpatient gastroscopy 2q, 9a
gastrostomy, elective endoscopic 275q, 283– 4a
GAVE (gastric antral vascular ectasia) 334a
GBS (Glasgow- Blatchford Scale) q, 9a, 0t
GC see gastric cancer (GC)
G cells 320a
GDH (glutamate dehydrogenase) assay 69q, 99a
GEMINI- 2 trial 339– 40a
genetics
hereditary non- polyposis colorectal cancer 325a
inammatory bowel disease 78a
genome- wide association studies (GWAS) 78a
ghrelin 24q, 38a
Giardia lamblia infection 298q, 326a
giardiasis 298q, 326a
GIP (gastric inhibitory polypeptide) 37a
GISTs (gastrointestinal stromal tumours) 44f, 60a, 60f
Glasgow- Blatchford Scale (GBS) q, 9a, 0t
glucagon- like peptide 37t
glucagon- like peptide 2 37a, 37t
glucocorticoids 244a
glucose– hydrogen breath test 278q, 289– 90a
glutamate dehydrogenase (GDH) assay 69q, 99a
gluten 4a
gluten- free diet 30q, 29q, 4a, 43– 4a
coeliac disease 49q, 66– 7a
see also coeliac disease (CD)
glyceryl trinitrate (GTN), irritable bowel syndrome 286a
GOO (gastric outlet obstruction), pancreatic cancer
and 52q, 7a
GORD (gastro- oesophageal reux disease) 30a, 48q, 64– 5a
granular cell tumour 298q, 327a
GTN (glyceryl trinitrate), irritable bowel syndrome 286a
gut hormones 24q, 37a, 37t
GWAS (genome- wide association studies) 78a
H
HA (hepatic artery) 209q, 23a
haematemesis 3q, 5q, 0a, – 2a, 26q, 240a
haematuria, Crohn’s disease 262q, 268– 9a
haemolysis, elevated liver enzymes, and low platelets (HELLP)
syndrome 250– a
haemorrhages
gastrointestinal haemorrhage – 8q, 9– 5a
rectal bleeding see rectal bleeding
variceal haemorrhage 22q, 234a
haemorrhoids 286a
haemostatic powder 4q, – 2a
Hartmann’s solution, Ringer’s lactate vs. 3a
Harvey Bradshaw index 83a
HAT see hepatic artery thrombosis (HAT)
HBSAg positivity 27q, 24a
HCA (hepatocellular adenoma) 239– 40a
HCC see hepatocellular cancer (HCC)
HE see hepatic encephalopathy (HE)
headache, pregnancy 226q, 250– a
head of pancreas adenocarcinoma 293q, 38– 9a
heartburn 20q, 30a, 47q, 63a
heart failure, ascites 235a
hEDS (hypermobility- type Ehlers– Danlos syndrome) 37a
Helicobacter pylori infection
duodenal ulcers a
dyspepsia 40q, 53– 4a, 54a
eradication & cancer prevention 56a, 62a
gastric cancer incidence 63a
peptic ulcer disease risk factor 53a
treatment failure 40q, 54a
HELLP (haemolysis, elevated liver enzymes, and low platelets)
syndrome 250– a
hepatic artery (HA) 209q, 23a
hepatic artery thrombosis (HAT) 98a
post- liver transplant 258a
hepatic encephalopathy (HE) 23q, 236a
ammonia and 24q, 238a
diagnosis 302q, 33– 2a
hepatic venous pressure gradient (HVPG) 232a
hepatitis, autoimmune see autoimmune hepatitis (AIH)
hepatitis B 27q, 24a
chronic disease 29q, 243– 4a
drug- induced 249a
re- activation 242a
resolved hepatitis B 242a
suppression of viral DNA 24a
hepatitis C
cirrhosis 5q, 2a, 84q, 98a, 28q, 243a
pangenotypic treatment 28q, 242– 3a
hepatitis D 243– 4a
hepatobiliary and pancreatic ascariasis 92a
hepatocellular adenoma (HCA) 239– 40a
hepatocellular cancer (HCC) 84q, 98a, 25q, 239a
diagnosis 25q, 239a
hepatocellular carcinoma (HCC), intermediate hepatocellular
carcinoma 23a
hepatocellular drug- induced liver damage 254a
hepatomegaly 222q, 246a
hepatopulmonary syndrome (HPS) 340– 7a
hepatorenal syndrome (HRS)
acute tubular necrosis (ATN) vs. 24q, 237– 8a
dierential diagnosis 237– 8a

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hepatorenal syndrome– acute kidney injury
(HRS- AKI) 24q, 236– 7a
herald bleeding 343a
hereditary haemochromatosis (HH) 230q, 257a
hereditary non- polyposis colorectal cancer 297q, 325a
hereditary pancreatitis 300a, 328a
herpes simplex virus (HSV) infection 54a
heterotropic pancreas 45f, 60– a
Heyde’s syndrome 6q, 3a
HH (hereditary haemochromatosis) 230q, 257a
5- HIAA (5- hydroxyindolacetic acid), MEN diagnosis 44a
high- grade dysplasia, Barrett’s oesophagus 2q, 33a
histology, microscopic colitis 98– 9a
HIV infection
anal intraepithelial neoplasia 277q, 288– 9a
associated infections 54a
Cryptosporidium parvum infection 99– 00a
HLA (human leucocyte antigen) 78a
HPS (hepatopulmonary syndrome) 340– a
HPV (human papillomavirus) infection 288a
HRS see hepatorenal syndrome (HRS)
HRS- AKI (hepatorenal syndrome– acute kidney
injury) 24q, 236– 7a
human leucocyte antigen (HLA) 78a
human papillomavirus (HPV) infection 288a
HVPG (hepatic venous pressure gradient) 232a
hydatid disease 34q, 343a
hydrogen breath testing 47a
5- hydroxyindolacetic acid (5- HIAA) 44a
hyoscine 66a
hyperammonaemia 238a
hyperemesis gravidarum 25a
hyperferritinaemia 229q, 256– 7a, 323a
hyperinfection syndrome, Strongyloides stercoralis
infection 200a
hypermobility- type Ehlers– Danlos syndrome (hEDS) 37a
hyperosmotic preparations, bowel preparation 32a
hyperplastic polyps 57– 8a
hypertonic uid restriction 36a
hypertrophic gastropathies 68a
hypochlorhydria, iron deciency 56a
hypodense wedge- shaped renal lesions 83q, 97a
hypomagnesaemia 90a
hyponatraemia 234a
hypothyroidism 222q, 246a
I
IAC (International Ascites Club) 236– 7a, 236a
IAP see International Association of Pancreatology (IAP)
IBD see inammatory bowel disease (IBD)
IBS see irritable bowel syndrome (IBS)
IBS- C (constipation- predominant irritable bowel
syndrome) 276q, 286– 7a
ibuprofen 39q, 53a
ICP (intrahepatic cholestasis of pregnancy) 250a
idiosyncratic drug- induced liver damage, intrinsic
vs. 228q, 253– 4a
IFN- © (interferon- ©) 208a
IFX see iniximab (IFX)
IgG4- related sclerosing cholangitis (IgG4- SC) 97a
IL- 5 (interleukin- 5) 208a
IL- 3 (interleukin- 3) 208a
ileal Crohn’s disease 54q, 82– 3a
ileoanal pouch reconstruction (IPAA) 34a
ileocaecal Crohn’s disease 59q, 89a
ileocaecal resection
Crohn’s disease 337a
ileocaecal Crohn’s disease 89a
ileocolonic Crohn’s disease 5q, 58q, 89a, 208– 9a
ileocolonoscopy 83a
imaging, NAFLD diagnosis 25a
immune response, inammatory bowel disease 5q, 77a
immunomodulatory therapy, Crohn’s disease 62q, 9a
immunosuppression, autoimmune hepatitis therapy 245a
immunotherapy- associated colitis 96– 7a
Independent Mental Capacity Advocate 285a
infective colitis, ulcerative colitis vs. 53q, 80a
inammatory bowel disease (IBD) 5– 76q, 58q,
77– 208a, 88a
azathioprine- induced pancreatitis 0q, – 2a
elderly 294q, 32a
faecal incontinence 73q, 206a
intravenous iron therapy 63q, 92– 3a
ustekinumab 339a
see also Crohn’s disease (CD); ulcerative colitis (UC)
iniximab (IFX) 52q, 78– 9a
acute severe ulcerative colitis management 85a
perianal stulae 82a
pregnancy 95– 6a
response loss 3q, 339– 40a
ulcerative colitis 65q, 95– 6a
inuenza vaccinations 62q, 9– 2a
INR (international normalized ratio) 253a
interferon- © (IFN- ©) 208a
interleukin ® polymorphisms 54a
interleukin- 5 (IL- 5) 208a
interleukin- 3 (IL- 3) 208a
intermediate hepatocellular carcinoma 23a
intermittent abdominal pain 72q, 203– 4a
International Ascites Club (IAC) 236– 7a, 236a
International Association of Pancreatology (IAP) 38– 9a
acute pancreatitis imaging 2a
International Autoimmune Hepatitis Group 220q, 244a
diagnostic criteria 245t
international normalized ratio (INR) 253a
International Society for Diseases of the Esophagus
(ISDE) 35a
interstitial cells of Cajal 37a
intestinal- failure associated liver disease 270a
intestinal failure type 2 270a
intestinal metaplasia (IM) 56a, 58a
glandular mucosa 20q, 3a
intestinal transplantation 270a
intestinal ultrasound (IUS) 83a, 84f, 84t

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intraductal papillary mucinous neoplasm (IPMN) 2a
intraepithelial lymphocytosis 48a
intrahepatic cholestasis of pregnancy (ICP) 250a
intravenous iron therapy, inammatory bowel
disease 63q, 92– 3a
intravenous nutrition, type 2 intestinal failure 270a
intrinsic drug- induced liver damage, idiosyncratic
vs. 228q, 253– 4a
intrinsic primary aerent neurons (IPANs), luminal
distension 39a
intussusception 285a
invasive anal cancer 288– 9a
IPAA (ileoanal pouch reconstruction) 34a
IPANs (intrinsic primary aerent neurons), luminal
distension 39a
ipilimumab
drug- induced liver damage 254a
metastatic melanoma 66q, 96– 7a
IPMN (intraductal papillary mucinous neoplasm) 2– 2a
iron deciency 40q, 56a
anaemia 50q, 5q, 68– 9a, 69– 70a, 34q, 48– 9a, 7q,
20a, 273q, 279– 80a
inammatory bowel disease 93a
iron supplements 334a
inammatory bowel disease 92– 3a
irritable bowel syndrome (IBS) 54q, 83a
coeliac disease and 42a
constipation- predominant irritable bowel
syndrome 276q, 286– 7a
diagnosis 25q, 40a, 208a
predominant constipation 207a
ischaemic colitis 67f, 97a
ISDE (International Society for Diseases of the
Esophagus) 35a
isoniazid 254a
itchy skin, diarrhoea 69q, 200a
ivermectin 200a
J
JAK receptors, inammatory cytokines 340a
jaundice 75– 6q, 83q, 89a, 95a, 07q, 09q, 8– 9a, 23a
abdominal distension 20q, 232a
cirrhosis 8q, 94a
pancreatitis 8q, 94a
pregnancy 225q, 250a
primary sclerosing cholangitis 80q, 93a
progressive jaundice 84q, 98a
upper quadrant pain 228q, 253a
K
Katayama syndrome 302q, 33a
Kayser– Fleischer (KF) rings 255a
Keshan disease 46a
ketamine 99a
King’s College criteria, emergency liver transplant 228q,
253a, 253t
L
lactase non- persistence 47a
D- lactic acidosis 268a
lactose- hydrogen breath tests 47a
lactose intolerance 33q, 47a
LAGB (laparoscopic adjustable gastric band) 265q, 27a
laparoscopic adjustable gastric band (LAGB) 265q, 27a
laparoscopic cholecystectomy 75q
laparoscopic magnetic sphincter augmentation 20q, 3a
laparoscopy, gastric cancer staging 333a
large adenomas 70a
large volume melaena 33q, 342– 3a
late dumping syndrome (LDS) 27a
laxatives 206– 7a
LDS (late dumping syndrome) 27a
left loin pain, Crohn’s disease 262q, 268– 9a
leiomyoma 327a
leptin 24q, 38a
lethargy
arthralgia and 220q, 244a
Raynaud’s phenomenon 22q, 246a
LFTs see liver function tests (LFTs)
LGIB (lower gastrointestinal bleeding) 7q, 4a
LGV (Chlamydia lymphogranuloma venereum), Crohn’s disease
vs. 287– 8a
lidocaine 284t
lipofuscin 206– 7a
liver biochemistry, abnormal 224q, 248– 9a
liver biopsy 248a
advanced (bridging) brosis 227q, 25– 2a
autoimmune hepatitis diagnosis 29q
liver function tests 29q, 243a
non- alcoholic steatohepatitis 323a
PSC 330a
liver cirrhosis 256a
liver damage, idiosyncratic vs. intrinsic
drug- induced 228q, 253– 4a
liver disease 209– 29q, 23– 57a
cholestatic liver disease 249a
intestinal- failure associated liver disease 270a
liver elastography 330a
liver function tests (LFTs)
abnormal results 85q, 99a
autoimmune hepatitis 244a
liver biopsy 29q, 243a
poor results 296q, 323– 4a
right upper quadrant pain 229q, 256– 7a
liver mass 26q, 239– 40a
liver stiness measurement (LSM), hepatitis B 24a
liver transplant (LT)
absolute contraindications 230q, 257– 8a
alcohol- related cirrhosis 229q, 254– 5a
Child– Pugh C alcohol- related cirrhosis 303q, 333a
complications after 84q, 98a
cytomegalovirus infection 30q, 338– 9a
emergency 228q, 253a

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355
HCV cirrhosis therapy 28q, 243a
NASH cirrhosis 230q, 258a
primary biliary cholangitis 338a
loperamide 262q, 269a
lorazepam 322– 23a
lower gastrointestinal bleeding (LGIB) 7q, 4a
lower respiratory tract infections 26q, 267– 8a
low- grade dysplastic Barrett’s oesophagus 2q, 32a
low- phospholipid associated cholelithiasis (LPAC) 92a
LPAC (low- phospholipid associated cholelithiasis) 92a
LS see Lynch syndrome (LS)
LT see liver transplant (LT)
luminal distension, IPANs 39a
lymphocytic colitis 98a
lymphocytic gastritis 49f, 49q, 66– 7a, 67f
lymphoma
diuse large B- cell lymphoma 28q, 242a
enteropathy- associated T- cell lymphoma 43– 4a
thiopurine adverse eects 86a
Lynch syndrome (LS) 297q, 325a
surveillance 325a
M
macrolide antibiotics 255a
macroscopic haematuria, Crohn’s disease 262q, 268– 9a
MAGIC trial (MRC) 64a
magnesium
deciency 90a
Peyer’s patches 207a
magnetic resonance cholangiopancreatography (MRCP) 89a
abdominal pain 06f, 06q, 5a
pancreatic cystic lesions 0q, 2– 2a
primary sclerosing cholangitis 80q, 93a, 94f
magnetic resonance imaging (MRI)
back pain in Crohn’s disease 90a
hepatocellular adenoma 239– 40a
perianal stulae 8a
magnet ingestion 339a
male sex, CRC risk factors 94a
Mallory– Dark bodies 323– 4a
malnutrition identication 259q
Malnutrition Universal Screening Tool (MUST) 259q,
266a, 266t
Management of really sick patients with anorexia nervosa
(MARSIPAN) guidelines 38a
manometry, anorectal see anorectal manometry (ARM)
MAP (MUTYH- associated polyposis) 202a
Marsh– Oberhuber classication, coeliac disease 42– 3a, 42t
MARSIPAN (Management of really sick patients with anorexia
nervosa) guidelines 38a
MD (Ménétrier’s disease) 50q, 67– 8a
Meckel’s diverticulum 7q, 4a
megaoesophagus, achalasia and 25f, 25q, 35a, 36f
melaena q, 3q, 4q, 6q, 7q, 9a, 0a, – 2a, a, 3a, 4a,
293q, 33q, 39a, 34– 2a
large volume 33q, 342– 3a
melanosis 206– 7a
MELD scores, HCV cirrhosis 243a
Ménétrier’s disease (MD) 50q, 67– 8a
Mental Capacity Act (2005) 269a
Mental Health Act (2007) 269a
6- mercaptopurine 95a
mesalazine 84– 5a
pregnancy 95a
ulcerative colitis 340a
ulcerative colitis treatment 85a
mesenteric infection, small bowel resection 29q, 36a
metabolic alkalosis 52q, 7a
metabolic syndrome, hyperferritinaemia 256– 7a
metal stents 95a
metastatic melanoma 66f, 66q, 96– 7a, 96f
metastatic oesophageal cancer 8q, 28a
metformin 3q, 45– 6a
metoclopramide 66a
microsatellite instability (MSI) 325a
microscopic colitis 98a
midazolam, endoscopy 284t
migratory arthralgia, ascites 309q, 337– 8a
Mirizzi’s syndrome 87a
mismatch repair (MMR) 325a
mixed- type drug- induced liver damage 254a
Montreal classication, Crohn’s colitis 53q, 79– 80a, 80b
mouth ulcers 52q, 79a
MRCP see magnetic resonance
cholangiopancreatography (MRCP)
MRI see magnetic resonance imaging (MRI)
MSI (microsatellite instability) 325a
mucosa, stomach 6a
mucous- secreting cells 320a
multiple endocrine neoplasia type (MEN ) 44a
pancreatic neuroendocrine tumours 2a
multiple sclerosis 26q, 267– 8a
muscularis propria, stomach 6a
MUST (Malnutrition Universal Screening Tool) 259q, 266a, 266t
MUTYH- associated polyposis (MAP) 202a
N
N- acetyl- p- benzoquinoneimine (NAPQI) 252– 3a
NAFLD see non- alcoholic fatty liver disease (NAFLD)
naltrexone 249a
NAS (non- anastomotic) biliary strictures 98a
NASH (non- alcoholic steatohepatitis) 2q, 232– 3a, 323– 4a
see also non- alcoholic steatohepatitis (NASH) cirrhosis
nasogastric feeding, alcoholic hepatitis 240a
nasojejunal feeding 267a
nausea 42– 3q, 58– 9a
abdominal pain & constipation 292q, 37a
weight loss, fulness after eating 26q, 267a
nausea & vomiting
Parkinson’s disease 48q, 65– 6a
travel and 48q, 66a
see also vomiting

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neuroendocrine tumour (NET)
dierentiation between 59t
type 42– 3q, 43f, 58– 9a, 59f, 59t
type 2 59t
type 3 59t
neurotransmitters, stretch receptors 25q, 38– 9a
niacin (vitamin B3) deciency 44– 5a, 334a
5- nitroimidazoles 326a
N- methyl- D- aspartic acid (NMDA) receptors 99a
nocturnal faecal incontinence 289a
NOD2 (nucleotide- binding oligonucleotide domain- containing
protein 2) 78a
nodular regenerative hyperplasia (NRH) 35a
drug- induced 35a
non- alcoholic fatty liver disease (NAFLD) 323a
diagnosis 227q, 25– 2a
markers in 252t
prevalence 226q, 25a
non- alcoholic steatohepatitis (NASH) 2q,
232– 3a, 323– 4a
non- alcoholic steatohepatitis (NASH)
cirrhosis 23q, 235– 6a
liver transplant 230q, 258a
non- anastomotic (NAS) biliary strictures 98a
non- cardiac chest pain 22q, 33a
non- dysplastic Barrett’s oesophagus 2q, 32a
non- selective beta- blockers (NSBB) 232– 3a
non- steroidal anti- inammatory drugs (NSAIDs)
adverse eects 267a
metabolite tests 48– 9a
microscopic colitis 98a
peptic ulcer disease risk factor 53a
noradrenaline 237a
NSAIDs see non- steroidal anti- inammatory drugs (NSAIDs)
NSBB (non- selective beta- blockers) 232– 3a
nucleotide- binding oligonucleotide domain- containing protein
2 (NOD2) 78a
nutcracker oesophagus 22q, 33a
nutritional deciencies, alcohol intake 30q, 44– 5a
nutritional management 259– 65q, 266– 72a
alcoholic hepatitis 240a
enteral feeding see enteral feeding
haematemesis 26q, 240a
nasogastric feeding, alcoholic hepatitis 240a
nasojejunal feeding 267a
parenteral nutrition see parenteral nutrition
type 2 intestinal failure 270a
O
obesity
bariatric surgery 265q, 27– 2a
Barrett’s oesophagus 282a, 283a
eects on adalimumab therapy 89a
leptin 24q, 38a
obeticholic acid (OCA) 247a
PBC therapy 246– 7a
octreotide 234a
oedema, peripheral 50q, 67– 8a
oesophageal adenocarcinoma
non- dysplastic Barrett’s oesophagus 2q, 32a
self- expanding metal stents 8q, 28a, 29a
oesophageal varices
cirrhosis 22q, 234a
primary prophylaxis 232– 3a
oesophagitis 20q, 3a
oesophagus
adenocarcinoma 8q, 28a
disorders 7– 26q, 27– 38a
distal (diuse) spasm 22q, 34a
impedence studies 30a
metastatic cancer 8q, 28a
narrowing 335a
nutcracker oesophagus 22q, 33a
perforation 299f, 328a
pH studies 30a
squamous cell carcinoma 7q, 27a
olmesartan 266– 7a
omeprazole 262q, 268a
ondansetron 66a
opiates, endoscopy 284t
opioids 66a
Opisthorchis viverrini infection 92a, 94a
oral anticoagulants 279a
oral chelation therapy, hereditary haemochromatosis 257a
oral glucose- electrolytes 36a
oral rehydration therapy 23q, 36a
orthopnoea 46– 7a
Osler– Weber– Rendu syndrome 6q, 3a
osteoporosis 43a
outpatient gastroscopy 2q, 9a
oxalate renal stones 268– 9a
Oxford Third Day criteria 86a
P
P2Y2 receptor antagonists 280a
packed red blood cells 234a
pain
abdomen see abdominal pain
chronic pancreatitis 07q, 8a
EUS- guided coeliac plexus block 8a
right upper quadrant see right upper quadrant pain
PAIR (percutaneous aspiration, injection and
respiration) 343a
pancolitis 56q, 86– 7, 32q, 34a
colonoscopic surveillance 64q, 94a
CRC risk factors 94a
pancreas
annular pancreas 5a
bulky pancreas 83f, 83q, 97a
disorders 0– 0q, – 2a
heterotropic pancreas 45f, 60– a
pseudocysts 4a, 323a

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357
pancreas divisum 5a
pancreatic cancer 52q, 7a, 38– 9a
cystic neoplasms 0q, 2a
gastric outlet obstruction and 52q, 7a
resection 23a
pancreatic cystic lesions
CT 0q, 2– 2a
MRCP 0q, 2– 2a
pancreatic exocrine insuciency (PEI) 07q, 7– 8a
causes of 7– 8a
pancreatic neuroendocrine tumours (p- NETs) 09q, 2a
pancreatic rests 45q, 46q, 60– a, 6a, 6f
pancreatitis
acute see acute pancreatitis
acute gallstone pancreatitis 04q, 4a
autoimmune pancreatitis 8– 9a
chronic see chronic pancreatitis (CP)
hereditary 300a, 328a
jaundice 8q, 94a
para- duodenal ‘groove’ pancreatitis 08q, 9a
related benign distal CBD stricture 95a
risk of 87a
see also post- endoscopic retrograde
cholangiopancreatography pancreatitis (PEP)
pancreatoduodenectomy 9a
pangenotypic treatment, hepatitis C 28q, 242– 3a
PANTS (personalized anti- TNF therapy) 89a
paracetamol (acetaminophen)
drug- induced liver damage 228q, 253– 4a
overdose 227q, 252– 3a
toxicity 252– 3a
para- duodenal ‘groove’ pancreatitis 08q, 9a
paratyphoid fever 49a
parenteral nutrition
AH 240a
short bowel syndrome 263q, 264q, 269a, 270a
parietal (oxyntic) cells 320a
Parkinson’s disease 48q, 65– 6a
Parks Classication, perianal stulae 8a, 8f
partial gastrectomy 56a
PBC see primary biliary cholangitis (PBC)
PCR (polymerase chain reaction), Clostridioides dicile
infection 99a
PEG- based regimens, bowel preparation 32– 2a
PEG- interferon- 〈, chronic hepatitis B 243– 4a
PEI see pancreatic exocrine insuciency (PEI)
pellagra 44– 5a
PEP see post- endoscopic retrograde
cholangiopancreatography pancreatitis (PEP)
peptic ulcer disease (PUD) 39q, 53a
percutaneous aspiration, injection and respiration
(PAIR) 343a
performance measures, upper GI endoscopy 52q, 70a, 7t
perianal stulae 54q, 8– 2a, 82– 3a
classication 82t
perianal pain, Crohn’s disease 53q, 8– 2a
periodic- acid Schi (PAS) staining, duodenal biopsies 337– 8a
peripheral oedema 50q, 67– 8a
peritoneal malignancies, ascites 235a
pernicious anaemia 42q, 58a
per- oral cholangiopancreatoscopy 93a
personalized anti- TNF therapy (PANTS) 89a
PET- CT (positron emission tomography– computed
tomography) 7q, 27a
pethidine 284t
Peutz– Jeghers syndrome (PJS) 203– 4a
Peyer’s patches 207a
PG (pyoderma gangrenosum) 90– a
PHG (portal hypertensive gastropathy) 334a
phlebotomy 257a
photo documentation, upper GI endoscopy 70a
pinworm 39– 20a
Pi*ZZ, alpha- - antitrypsin deciency 256a
PJS (Peutz– Jeghers syndrome) 203– 4a
plastic biliary stent insertion 88– 9a
pneumococcal pneumonia 86q, 99– 00a
pneumonia, aspiration 336a
polymerase chain reaction (PCR), Clostridioides dicile
infection 99a
polymeric diets, Crohn’s disease 88a
porcelain gallbladder 88a
portal hypertension 20q, 23a, 232a
clinically signicant portal hypertension 232a
treatment of 334a
portal hypertensive gastropathy (PHG) 334a
portal vein 23a
portal vein thrombosis (PVT) 258a
positron emission tomography– computed tomography
(PET- CT) 7q, 27a
postembolization syndrome 23a
post- endoscopic retrograde cholangiopancreatography
pancreatitis (PEP) 02q, 2a
ERCP complication 2a
post- polypectomy syndrome 280a
post- transplant biliary strictures 98a
potassium chloride, short bowel syndrome 269a
pouch formation 34a
pouchitis 88a
acute 88a
chronic pouchitis 88a
PPIs see proton pump inhibitors (PPIs)
prasugrel 280a
prednisolone
autoimmune hepatitis 244a
autoimmune pancreatitis 8– 9a
pre- eclampsia 250– a
pregnancy
azathioprine 95a
blood tests in 225q, 249– 50a
ERCP 77q, 90a
iniximab 95– 6a
jaundice 225q
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