BSPGHAN Annual Meeting 2022

January 26-28th 2022
Registration Opening Soon

DIAGNOSIS AND MANAGEMENT OF FUNCTIONAL GASTROINTESTINAL DISORDERS: A CLINICAL AUDIT

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Christine Spray
Christine Spray
6 months 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
5 months 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.