BSPGHAN 2021 Virtual Annual Meeting

27- 29 April 2021

DIAGNOSIS AND MANAGEMENT OF FUNCTIONAL GASTROINTESTINAL DISORDERS: A CLINICAL AUDIT

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Christine Spray
Christine Spray
23 days ago

Congratulations this must have been hard work to trawl through the notes and apply Rome IV criteria. In the 228 patients who did not have a FGID, was there a clear organic diagnosis? You have also highlighted the difficulty of treating these patients in that up to 2 yrs later there remains a considerable number of patients remain under follow up in a tertiary GI unit. Did the authors recognise a difference in diagnosis of FGID between trainees and Consultants?
I agree this is an area which would benefit from QIP. Does the author have any suggestions of what might help immediately?

Stephen Allen
Stephen Allen
19 days ago

Hi Chris. Many thanks for your comments.
Yes; the 228 non-FGID patients had an alternative “organic” diagnosis.
We did not look at differences according to who reviewed the patients and did not collect these data – good point for taking this forward!
A good start would be for the whole team to adhere to the Rome IV criteria when making diagnoses – and we found in this audit that the information is there and using the criteria routinely should be quite straightforward. This might also result in more harmonised management – but this could be reviewed in a follow-on audit.