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Patient Information

Patient Resources

A curated library of patient information resources covering endoscopy, bowel and liver conditions, and inflammatory bowel disease.

Resources provided by the Gastroenterological Society of Australia (GESA)

All fact sheets below are produced and maintained by GESA, Australia's leading professional body for gastroenterology and hepatology. The information is general and is not a substitute for personalised medical advice — please discuss your specific situation with Dr Choi.

Endoscopy & Procedures

Gastroscopy

Gastroscopy is a test procedure done using an endoscope, which is a long, thin, flexible tube with a 'video camera' at the tip. This tube is passed through the mouth into the oesophagus (food pipe), stomach and first part of the small intestine.

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Colonoscopy

A colonoscopy (scope) is the examination of the lower gastrointestinal tract to diagnose, and in some cases, treat problems. Colonoscopy can detect polyps, inflamed tissues and cancers, such as colorectal cancer. It can help doctors diagnose unexplained changes in bowel habits, abdominal pain, bleeding from the bowel and weight loss.

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Bowel Preparation

Bowel preparation empties and cleans the bowel before a colonoscopy or surgery. A thoroughly clean bowel is essential for an adequate examination — any residual stool can hide polyps or early cancers and may mean the procedure needs to be repeated sooner. Following the prep instructions carefully gives Dr Choi the best possible view and the most accurate result from your procedure.

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Capsule Endoscopy

Capsule endoscopy is also known as pill-camera or wireless endoscopy.

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ERCP (Endoscopic Retrograde Cholangiopancreatography)

Endoscopic retrograde cholangiopancreatography, or ERCP, is a specialised procedure used to examine the ducts, or 'drainage tubes', of the gall bladder, pancreas and liver.

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Endoscopic Ultrasound (EUS)

Endoscopic ultrasound (EUS) is an endoscopic procedure that uses an ultrasound probe added to the tip of an endoscope. It gives the doctor an endoscopic view and allows detailed ultrasound examination of the organs surrounding your upper gut, including the pancreas, bile duct, gallbladder, liver and spleen.

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Flexible Sigmoidoscopy

Flexible sigmoidoscopy uses a flexible tube with a 'video camera' at the tip to inspect the lining of the rectum, anus and lower part of the colon (bowel).

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Bowel Conditions & Cancer Prevention

Liver & Hepatology

Common Conditions & Diet

Inflammatory Bowel Disease (IBD)

Understanding & Living with IBD

Crohn's Disease & Ulcerative Colitis

Inflammatory bowel disease (IBD) is a term used to describe two main diseases: ulcerative colitis and Crohn's disease, which cause inflammation of the bowel. This inflammation is thought to be due to an imbalance of the immune system, and is not due to an infection.

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IBD & Diet

In general, most patients with IBD should follow the Australian Guide to Healthy Eating, and do not need to restrict their diet. However, there is emerging or established evidence to support specialty diets for specific situations.

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IBD & Mental Health

Up to 50% of people with inflammatory bowel disease (IBD) experience psychological distress associated with their illness. This fact sheet explains how your physical and mental health are linked, the types of psychological problems you might experience, and the support options available to you.

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IBD & Life with a Stoma

A stoma is a surgically made opening in the abdominal wall to attach the small or large bowel. Bowel output then drains into a specially designed disposable collection bag.

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IBD & Sexual Health

IBD may impact on physical and emotional aspects of sexual health, regardless of your sexual orientation or relationship status. Whilst you may shy away from talking about this topic, it is important to remember that this is a normal and essential part of maintaining your quality of life and your IBD team can guide you in navigating any concerns.

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IBD & Surgery

Inflammatory bowel disease (IBD) can often be managed with medication alone. However, a proportion of patients may require surgery, and the decision for this involves you and a multidisciplinary team of doctors, surgeons and other members of your IBD team.

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IBD & Travel

You may find the thought of traveling daunting when you have inflammatory bowel disease (IBD). With careful planning, it should be possible for you to travel safely to most places for both short and long holiday.

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IBD & Vaccinations

The management of inflammatory bowel disease (IBD) may include drugs that suppress your immune system. Before commencing treatment with a drug that alters your immune system, your IBD team will check your immunity to certain diseases and may ask you to undergo vaccination.

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IBD & Complementary & Alternative Therapies

Complementary and alternative therapies encompass a range of medicinal, psychological or physical therapies that are not considered conventional treatment.

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IBD Management Plan Templates

Printable management plan templates to record your medications, monitoring tests, and action steps during a flare.

IBD Medications

Aminosalicylates (5-ASAs)

Aminosalicylates (5-ASAs) are a group of medications used to treat IBD. There are many medications within the group, including mesalazine, balsalazide, olsalazine and sulfasalazine.

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Corticosteroids

Steroids (corticosteroids) can effectively treat active inflammation in inflammatory bowel disease (IBD), but due to their side effects, they are not recommended to be used repeatedly or long-term. Other effective therapies can reduce the need for steroid medications.

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Thiopurines

Thiopurines (azathioprine and mercaptopurine) are medications that are used to treat IBD, including Crohn's disease and ulcerative colitis.

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Methotrexate

Methotrexate is an effective medication used to treat inflammatory bowel disease (IBD) and is generally taken once a week. Regular blood test monitoring ensures side effects can be detected and addressed promptly.

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Adalimumab

Adalimumab is a complex biologic drug known as a monoclonal antibody. Monoclonal antibodies can target very specific parts of your immune system to control inflammation. Adalimumab targets a molecule called tumour necrosis factor-alpha (TNF-α).

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Infliximab

Infliximab is a complex biologic drug known as a monoclonal antibody that targets tumour necrosis factor-alpha (TNF-α) to control inflammation. It is used to treat moderate to severe Crohn's disease and ulcerative colitis.

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Golimumab

Golimumab is a complex biologic drug known as a monoclonal antibody that targets tumour necrosis factor-alpha (TNF-α). It is used to treat moderate to severe ulcerative colitis when other medications have not worked or are not suitable.

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Ustekinumab

Ustekinumab is a complex biological drug known as a monoclonal antibody. It targets interleukin proteins (IL-12 and IL-23) to help control inflammation.

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Vedolizumab

Vedolizumab is a complex biological drug known as a monoclonal antibody. It targets a protein found specifically in the bowel to help control inflammation.

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Tofacitinib

Tofacitinib is a drug known as a Janus Kinase (JAK) inhibitor. JAKs are enzymes that trigger the immune response causing inflammation in ulcerative colitis; blocking them reduces bowel inflammation and allows healing.

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Upadacitinib

Upadacitinib is a medicine known as a 'Janus kinase (JAK) inhibitor'. JAKs are enzymes that trigger the immune response causing inflammation in IBD; blocking them reduces bowel inflammation and allows healing.

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Ozanimod

Ozanimod is a medicine known as a 'sphingosine 1-phosphate (S1P) receptor modulator'. The S1P receptor plays an important role in the immune response that drives inflammation in ulcerative colitis.

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Etrasimod

Etrasimod is an oral medication used to treat moderate to severe ulcerative colitis that works by modulating the immune system to reduce bowel inflammation, and requires regular monitoring due to potential side effects.

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Questions about your care?

These resources are a starting point. For advice tailored to your specific situation, please speak with Dr Choi or our rooms.

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