Gastroenterology Today Winter 2022

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EDITORS COMMENT EDITORS COMMENT GASTROENTEROLOGY TODAY - WINTER 2022 “Waiting lists from the pandemic and ongoing Covid related admissions have hampered recovery efforts with all metrics of acute medical care, cancer diagnostics and treatment and management of chronic diseases all showing similar worrying trends.” Long Winter Ahead The health service is looking at a difficult few months ahead. With a nursing strike about to start, junior doctors about to be balloted about strike action and an on-going crisis with regards consultant terms and conditions leading to a senior doctor exodus from the NHS there are even more pressures than usual. Waiting lists from the pandemic and ongoing Covid related admissions have hampered recovery efforts with all metrics of acute medical care, cancer diagnostics and treatment and management of chronic diseases all showing similar worrying trends. Steve Barclay the present secretary of state for health and social care (in post at time of writing this) is the 5th MP to hold this post in 5 years - not a good sign for a large institution in need of stability and vision needing strong consistent leadership. Unfortunately the 5 key priorities identified in his first speech do not include anything on helping the present beleaguered workforce. Steve Barclay may well be keeping an eye on how Matt Hancock fares in his winter sun break - a reported £400,000 fee may temp future ex-health secretaries to look at this in their retirement plan. With so many problems on our doorstep the wider impact of healthcare on broader concerns such as global environmental issues barely get a seat at the table. As gastroenterologists it only takes a quick look at the waste generated by every endoscopy list to start to get a feel for the size of the problem. Unfortunately the solution will not be cheap (potato starch biodegradable medical aprons are around 40% more expensive than conventional plastic ones). In a resource poor environment this sort of change will always be low priority. A persistent focus on short term “fi xes” means we can expect all winters to be a permanent crisis and healthcare engagement with wider global issues to be limited/absent. A Poullis 4
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Page 1 and 2: Volume 32 No. 4 Winter 2022 18 Week
Page 3: CONTENTS CONTENTS 4 EDITORS COMMENT
Page 7 and 8: ADVERTORIAL FEATURE Current Status
Page 9 and 10: ADVERTORIAL FEATURE A COST-EFFECTIV
Page 11 and 12: FEATURE Included Eligibility Screen
Page 13 and 14: FEATURE Table 2 An overview of stud
Page 15 and 16: FEATURE Table 2 (continued) Authors
Page 21 and 22: FEATURE after dose 2 included fatig
Page 23 and 24: ADVERTORIAL FEATURE INNOVATING PROD
Page 25 and 26: FEATURE TRANSIENT ALTERATIONS IN PL
Page 27 and 28: FEATURE a. Median sodium concentrat
Page 29 and 30: COMPANY NEWS VSL#3 ® - ONE OF THE
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Gastroenterology Today Winter 2022

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