Background: Maintaining nutrition is an integral part of patient care and when it is possible
enteral nutrition is regarded as superior to parenteral nutrition. Post-pyloric feeding may …

Introduction: Azathioprine is a useful therapy in patients with inflammatory bowel disease that
is difficult to control. However, 10% of patients are unable to tolerate azathioprine, and the …

Aim : Patients with primary biliary cirrhosis may be at increased risk of osteoporosis but to
what extent this is reflected in an increased fracture risk is unknown. We have enquired about …

Patients with major burn injury have increased protein and energy requirements and early
feeding is an established part of their management. The optimal method of feeding is unknown…

Biliary brushings are currently the best accepted method to obtain a cytological diagnosis of
pancreatic cancer or cholangiocarcinoma. The technique has good specificity but poor …

Results: 301 patients (30.1%) did not meet accepted guidelines for open-access endoscopy.
No cases of malignancy would have been missed if the guidelines had been implemented. …

To the Editor: Progressive multifocal leucoencephalopathy (PML) is an infectious disease
caused by JC virus that affects the immunocompromised. First described in 1958 in patients …

Comments on a study done by Wong-Ho Chow et al. on the relation between cytotoxin-associated
gene A-positive strains of Helicobacter pylori and risk of esophageal and gastric …

The two-week wait referral scheme, whereby patients with suspected cancer must be seen
by an appropriate specialist within two weeks of referral by their GP, was introduced in April …

Background Membranous nephropathy leads to end-stage renal disease in more than 20%
of patients. Although immunosuppressive therapy benefits some patients, trial evidence for …