Guts & Glory: The SGH Gastroenterology Podcast
43 episodes - English - Latest episode: 10 months ago - ★★★★ - 6 ratingsWelcome to Guts & Glory, hosted by SingHealth Internal Medicine residents Dillon and Ching Han, together with consultant gastroenterologist Dr Andrew Ong! Each episode, we hope to bring you guys the latest in gastroenterology and hepatology approaches, updates, and discussions that you can tune into anytime. Join us, whether you're on your way to pre-round at 5 am, typing your 7th discharge summary of the day, or going home after reviewing your blue letters at 10 pm. This podcast is meant for medical education purposes only. Find our show notes at https://padlet.com/gutsandglorysgh/notes
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Episodes
Guts & Glory
July 03, 2023 00:00 - 13 minutes - 9.65 MBTo our listeners who have tuned in since we started out in 2021, thank you for your support and encouragement! We'd never imagine that we would be able to create so much content, yet here we are 30 episodes later. We're so thankful to have been a part of your learning journey, whether you're a student, junior doctor, or a resident. For now, as Ching Han and Dillon move on to their respective Senior Residencies, we will be taking a break from new episodes; in the meantime, the rest of our ...
Episode #31: Guts & Glory x Third Spacing - Functional Abdominal Pain
June 19, 2023 05:00 - 35 minutes - 24.2 MBIn this episode, we collaborate with the vibrant team from Third Spacing - an independent podcast by healthcare students that explores the intersections between science and the humanities. Join us, as we discuss with our very own Dr Andrew Ong, the inner workings and approach towards patients with functional abdominal pain. Thank you for having us Third Spacing!
Episode #30: Diarrhea in the immunocompromised host
May 17, 2023 00:00 - 30 minutes - 21.3 MBDiarrhea takes many forms, and its etiologies differ from host to host. Whether in a young child, a returning traveler, or in today's episode, an immunocompromised host. Joining us today is Dr Jean Sim, Consultant in Infectious Diseases from Singapore General Hospital, who shares with us her approach towards diarrhea in an immunocompromised host. Do look out for our earlier episode on Approach to Chronic Diarrhea if you have not already done so!
Episode #29: Critical Care in the ICU
May 04, 2023 00:00 - 1 hour - 44.8 MBCritical Care, or Intensive Care Medicine, centers around the holistic management of critically ill patients who are at risk or have developed life threatening organ failures. A fundamental aspect of medicine, it is ever so important for doctors to recognize a patient as they turn unwell. Joining us today, is Dr Esther Tan Qiao Li, Consultant in Respiratory and Critical Care Medicine, in Singapore General Hospital. Wearing multiple hats, she is actively involved in the Extracorporeal Life S...
Episode #28: The road to Rome
April 17, 2023 12:00 - 54 minutes - 37.6 MBWith World IBS Day closing in on 19th April, join us as we discuss the approach to Irritable Bowel Syndrome! 10% of the world's population suffer from IBS, with significant impact on quality of life, and health care use; It is so important for us to be up to date on how we can diagnose and treat patients with IBS. We're joined by Dr Kewin Siah, gastroenterologist from the National University Hospital (NUH) who specialises in Functional Gastrointestinal Diseases. We are also joined by Ms ...
Episode #27: Pumping Iron
March 22, 2023 04:00 - 51 minutes - 50.5 MBJoin us today as we discuss Iron Deficiency Anemia - a common, yet complex disorder that differs in management between healthy individuals and patients with other co-morbidities such as congestive cardiac failure, or chronic kidney disease. We are fortunate to have with us Dr Esmeralda Teo, Consultant Haematologist with a special interest in Acute Leukemia and Cancer Survivorship. We discuss the approach to patients with anemia, how to interpret an iron panel, and the various treatment o...
Episode #26: A tough pill to swallow
March 18, 2023 01:00 - 49 minutes - 34.4 MBJoin us today as we approach the topic of dysphagia; an issue that is very prevalent especially in our elderly, inpatient populations. Take a break from the usual medical approaches, and find out more about how our very specialized speech therapists approach and address the issue of dysphagia. We are very fortunate to have with us Ms Wong Seng Mun, Senior Principal Speech Therapist from the Singapore General Hospital, to guide us through dysphagia, and swallowing assessments ranging from ...
Episode #25: Hepatocellular Carcinoma
January 27, 2023 04:00 - 1 hour - 45 MBIn our first episode of 2023, we delve into Hepatocellular Carcinoma, discussing the relevant investigations, current treatment modalities, as well as upcoming treatment possibilities. Joining us today, are Dr Evelyn Wong, Associate Consultant Oncologist, and Dr Chen Kaina, Senior Resident Gastroenterologist and Clinician Scientist, to share their perspectives on the management of hepatocellular carcinoma. With the endemicity of Hepatitis B in Singapore, together with the rise of Metabol...
Episode #24: A holistic approach to Obesity
December 30, 2022 14:00 - 1 hour - 48.3 MBJoin us today, as we discuss the difficult topic of Obesity. In Singapore, 30% of the population is overweight, while 10% are obese. With obesity, comes co-mordibities ranging from hypertension, dyslipidemia, sleep apnoea to ischemic heart disease. A difficult issue to address and tackle, we are joined with Senior Consultant Endocrinologist Dr Lee Phong Ching,, Director of the SGH Obesity Centre, as well as Dr Ravishankar Asokkumar, Consultant Gastroenterologist specialising in Bariatric...
Episode #23: Fecal incontinence from the surgical standpoint
November 07, 2022 04:00 - 51 minutes - 35.4 MBIn our first of many upcoming multi-disciplinary discussions, we have with us Dr Cherylin Fu, Senior Consultant Colorectal Surgeon, and Director of Pelvic Floor Disorders at the Singapore General Hospital. We discuss the ins-and-outs of fecal/bowel incontinence, beginning with the clinical approach and evaluation, investigations, and management of patients suffering from fecal incontinence. Fecal incontinence is a topic that is not frequently discussed in medical school or at the post-gr...
Episode #22: The Abdominal Examination
October 23, 2022 08:00 - 50 minutes - 34.8 MBWe are one! Thank you all so much for joining us on this incredible journey over the past year! It has been nothing but enjoyable, coming together to talk about various topics centering around gastroenterology and hepatology. On behalf of the team, we would like to thank you all for tuning in, and we hope that you've enjoyed and learnt as much as we have. To commemorate our 1st anniversary, our co-hosts Dillon & Ching Han have come together to talk about the abdominal examination - a vit...
Episode #22: The Abdominal Examination
October 23, 2022 08:00 - 50 minutes - 34.8 MBWe are one! Thank you all so much for joining us on this incredible journey over the past year! It has been nothing but enjoyable, coming together to talk about various topics centering around gastroenterology and hepatology. On behalf of the team, we would like to thank you all for tuning in, and we hope that you've enjoyed and learnt as much as we have. To commemorate our 1st anniversary, our co-hosts Dillon & Ching Han have come together to talk about the abdominal examination - a vit...
Episode #21: Managing an upper GI bleed
October 07, 2022 04:00 - 29 minutes - 20.5 MBIn our last episode, we dived into the clinical and biochemical evaluation of patients presenting with an upper GI bleed. We explored the various methods in stratifying patients, helping to determine who needs endoscopic evaluation more urgently. In the second episode of our 2-part series on UBGIT, we are joined once again by our Senior Residents Dr Tan Yu Bin, and Dr Li Huanghuan, where they share about the management of patients with UBGIT - from the initial resuscitation, transfusion br...
Episode #21: Managing an upper GI bleed
October 07, 2022 04:00 - 29 minutes - 20.5 MBIn our last episode, we dived into the clinical and biochemical evaluation of patients presenting with an upper GI bleed. We explored the various methods in stratifying patients, helping to determine who needs endoscopic evaluation more urgently. In the second episode of our 2-part series on UBGIT, we are joined once again by our Senior Residents Dr Tan Yu Bin, and Dr Li Huanghuan, where they share about the management of patients with UBGIT - from the initial resuscitation, transfusion br...
Episode #20: Fresh melena, stale melena, or iron stools?
September 23, 2022 04:00 - 29 minutes - 20.4 MBJoin us, in a 2-part series featuring our senior residents, Dr Tan Yu Bin, and Dr Li Huanghuan. In this episode, we explore the approach towards patients presenting with an upper gastrointestinal bleed (UBGIT). We delve into the clinical and biochemical evaluation, that contribute towards the risk stratification of patients, helping us decide who requires an endoscopy urgently or not. On a side note, we hope to hear of your methods in determining melena; whether it's through smell, sight...
Episode #19: Acute Liver Failure
September 05, 2022 15:00 - 44 minutes - 30.6 MBTimely recognition of patients with acute liver failure, and managing them at a liver transplantation center is essential in improving their survival. Joining us today, is Dr Terence Tan, consultant gastroenterologist from the Singapore General Hospital Liver Transplant Unit. We delve into the details behind Acute Liver Failure - discussing how we can evaluate patients suspected of ALF, the necessary workup, as well as important management principles to improve their outcomes.
Inflammatory Bowel Disease II
August 29, 2022 14:00 - 29 minutes - 20.3 MBEver wondered about the subtle nuances between treating Crohn's Disease or Ulcerative Colitis? Joining us this episode, is Dr Weber Chan, Director of the Inflammatory Bowel Disease Services at Singapore General Hospital. We delve into the management principles of inflammatory bowel disease, and discuss the changes in treatment options that have rapidly developed over the past decade. In a time where the incidence of IBD is increasing amidst developed countries, it is of growing importanc...
Episode #18: Inflammatory Bowel Disease II
August 29, 2022 14:00 - 29 minutes - 20.3 MBEver wondered about the subtle nuances between treating Crohn's Disease or Ulcerative Colitis? Joining us this episode, is Dr Webber Chan, Director of the Inflammatory Bowel Disease Services at Singapore General Hospital. We delve into the management principles of inflammatory bowel disease, and discuss the changes in treatment options that have rapidly developed over the past decade. In a time where the incidence of IBD is increasing amidst developed countries, it is of growing importan...
Hepatic Encephalopathy
August 10, 2022 02:00 - 46 minutes - 31.9 MBLights out and away we go, with the second season of Guts & Glory. Joining us in this new season is Dr Victoria Ekstrom, consultant gastroenterologist specializing in hepatology and transitional care. We delve into the inner workings of hepatic encephalopathy, exploring the pathophysiology, classifications, and management of patients with cirrhosis complicated by hepatic encephalopathy.
Episode #17: Hepatic Encephalopathy
August 10, 2022 02:00 - 46 minutes - 31.9 MBLights out and away we go, with the second season of Guts & Glory. Joining us in this new season is Dr Victoria Ekstrom, consultant gastroenterologist specializing in hepatology and transitional care. We delve into the inner workings of hepatic encephalopathy, exploring the pathophysiology, classifications, and management of patients with cirrhosis complicated by hepatic encephalopathy.
Episode #17: Hepatic Encephalopathy
August 10, 2022 02:00 - 46 minutes - 31.9 MBLights out and away we go, with the second season of Guts & Glory. Joining us in this new season is Dr Victoria Ekstrom, consultant gastroenterologist specializing in hepatology and transitional care. We delve into the inner workings of hepatic encephalopathy, exploring the pathophysiology, classifications, and management of patients with cirrhosis complicated by hepatic encephalopathy.
Episode #16: A Cute Pancreatitis
July 03, 2022 07:00 - 28 minutes - 19.9 MBJoining us this episode is Dr Chin Yung Ka, Senior Consultant Gastroenterologist from Singapore General Hospital. Dr Chin shares his approach to pancreatitis, and we discuss the principles behind stratifying and managing patients who present with acute pancreatitis, from hydration and feeding, to the indications for antibiotic therapy. This marks the end of our first season, and we are truly grateful to all our listeners who have been tuning in! We hope that you've enjoyed these episodes,...
Episode #15: Fatty Liver Disease
May 30, 2022 08:00 - 33 minutes - 22.8 MBNon-alcoholic fatty liver disease (NAFLD), or as experts are proposing to redefine to Metabolic associated fatty liver disease (MAFLD), is a growing concern amidst developed countries such as Singapore. Rising obesity trends, will lead to increasing incidence of MAFLD, with resultant chronic liver disease or even cirrhosis. Joining us this episode is Dr Mark Cheah, Consultant Gastroenterologist from Singapore General Hospital, who shares with us his thoughts and approach for patients wit...
Episode #14: Hepatobiliary Sepsis
May 21, 2022 13:00 - 33 minutes - 22.7 MBWhat is hepatobiliary sepsis? Joining us this episode, is Dr Ong Wai Choung, Senior Consultant Gastroenterologist from Singapore General Hospital, who specializes in interventional endoscopy on top of general gastroenterology. Dr Ong discusses the general approaches to patients who present with hepatobiliary sepsis - the clinical presentation, relevant investigations, and management steps required to stabilize and manage these patients.
Episode #14: Hepatobiliary Sepsis
May 21, 2022 13:00 - 33 minutes - 22.7 MBWhat is hepatobiliary sepsis? Joining us this episode, is Dr Ong Wai Choung, Senior Consultant Gastroenterologist from Singapore General Hospital, who specializes in interventional endoscopy on top of general gastroenterology. Dr Ong discusses the general approaches to patients who present with hepatobiliary sepsis - the clinical presentation, relevant investigations, and management steps required to stabilize and manage these patients.
Episode #13: Life of a Gastroenterology Senior Resident
May 10, 2022 14:00 - 35 minutes - 24.6 MBWould you rather be on bleeder call for an entire month, or run 10 back to back clinic sessions in a week? Be scoped by a hepatologist, or have a liver biopsy by an endoscopist? Take a break from the grind and join us in this special episode, where we speak with 4 of our very own Gastroenterology Senior Residents. Hear about their lives as senior residents, the transition from junior residency to senior residency, as well as some tips and advice on career choices.
Episode #13: Life of a Gastroenterology Senior Resident
May 10, 2022 14:00 - 35 minutes - 24.6 MBWould you rather be on bleeder call for an entire month, or run 10 back to back clinic sessions in a week? Be scoped by a hepatologist, or have a liver biopsy by an endoscopist? Take a break from the grind and join us in this special episode, where we speak with 4 of our very own Gastroenterology Senior Residents. Hear about their lives as senior residents, the transition from junior residency to senior residency, as well as some tips and advice on career choices.
Episode #12: Managing Gastroesophageal Reflux Disease
April 18, 2022 04:00 - 40 minutes - 27.9 MBJoin us in the second episode of this 2-part series on GERD! Dr Andrew Ong discusses with the help of 3 case studies, the non-pharmacological and pharmacological approach to treating patients with Gastroesophageal Reflux Disease, through targeting the various symptom triggers and symptom modulators.
Episode #11: Approach to Gastroesophageal Reflux Disease
April 10, 2022 13:00 - 28 minutes - 19.8 MBJoin us in this 2 part series, as our very own host, Dr Andrew Ong, goes through his approach to patients with symptoms suggestive of gastroesophageal reflux disease (GERD). Using 3 case studies, we discuss the definitions of GERD, and delve into understanding what are some of the symptom triggers and symptom modulators behind GERD.
Episode #10: Hepatitis B
March 20, 2022 09:00 - 38 minutes - 26.6 MBViral hepatitis affects millions of people around the world, with disproportionate impact in certain countries around the globe. Around 3.6% of Singapore's population are hepatitis B carriers, although many go about their lives unaware of this. Viral hepatitis screens, are commonly sent off for various indications - abnormal liver function tests, work up for chronic kidney disease, prior to immunosuppressive therapy etc. Thus, it is increasingly important for physicians to be able to int...
Episode #10: Hepatitis B
March 20, 2022 09:00 - 38 minutes - 26.6 MBViral hepatitis affects millions of people around the world, with disproportionate impact in certain countries around the globe. Around 3.6% of Singapore's population are hepatitis B carriers, although many go about their lives unaware of this. Viral hepatitis screens, are commonly sent off for various indications - abnormal liver function tests, work up for chronic kidney disease, prior to immunosuppressive therapy etc. Thus, it is increasingly important for physicians to be able to int...
Episode #9: Into the bowels of Inflammatory Bowel Disease
March 04, 2022 04:00 - 40 minutes - 27.7 MBEvidence has found that rapid industrialization and urbanization across the globe is a contributing factor to the increase in incidence of Inflammatory Bowel Disease. Join us, as we delve into the bowels of IBD, discussing the clinical history, physical examination, and relevant investigations for patients whom we suspect with this disorder. Joining us, is Dr Malcolm Tan, Consultant Gastroenterologist from Singapore General Hospital, who shares his approach to patients with IBD, and how...
Episode #9: Into the bowels of Inflammatory Bowel Disease
March 04, 2022 04:00 - 40 minutes - 27.7 MBEvidence has found that rapid industrialization and urbanization across the globe is a contributing factor to the increase in incidence of Inflammatory Bowel Disease. Join us, as we delve into the bowels of IBD, discussing the clinical history, physical examination, and relevant investigations for patients whom we suspect with this disorder. Joining us, is Dr Malcolm Tan, Consultant Gastroenterologist from Singapore General Hospital, who shares his approach to patients with IBD, and how...
Episode #8: Short Bowel Syndrome
February 27, 2022 08:00 - 36 minutes - 24.9 MBShort Bowel Syndrome, is a debilitating, malabsorptive condition, most often caused by the resection of significant amounts of small bowels, be it from inflammatory bowel disease, malignancy, mesenteric ischemia and so on. Dr Ennaliza Salazar, Consultant Gastroenterologist, and Director of the Singapore General Hospital Nutrition Service, shares with us her approach to patients with Short Bowel Syndrome. We delve into the remarkable ability of the intestines to undergo intestinal adaptat...
Episode #7: Interpreting Liver Function Tests
January 29, 2022 12:00 - 37 minutes - 25.7 MBAbnormal liver function tests, is a phenomena that many physicians will face throughout their careers. Patients may present with a myriad constellation of symptoms - asymptomatic and well, painless obstructive jaundice, a painful right hypochondrium etc. Recognizing an abnormal liver function test is only the first step. Dr Thinesh Lee, Director for Clinical Services for the SingHealth Duke-NUS Liver Transplant Centre and a senior consultant in the Department of Gastroenterology and Hepato...
Episode #6: History Taking Essentials
January 04, 2022 07:00 - 18 minutes - 12.7 MBMerry Christmas and a Happy New Year! Whether you're a medical student, a resident preparing for your station 2s or 5s, or clerking endlessly throughout the night, history taking remains an important mainstay in our daily practice. Start the new year joining us as Dr Andrew takes us through the essentials in history taking, going through important steps in building and maintaining rapport, creating a comfortable and conducive environment for our patients, and obtaining the relevant histor...
Episode #5: What floats your bloat?
November 29, 2021 03:00 - 31 minutes - 21.6 MBFluid, Flatus, Fat, Fetus, Faeces, or a Fatal mass? Join us today, as Dr Andrew Ong goes through his approach to bloating. We go through the relevant history, examination, and investigations centered around the common complaint of bloating. The term bloating has many variable meanings and thus, it is so important for us to dissect and identify what the patient truly means when they refer to bloating. We also discuss disorders, such as Abdomino-Phrenic Dyssynergia, and Dyssynergic Defaecat...
Episode #4: An Ascites Affair
November 05, 2021 14:00 - 36 minutes - 25.1 MBDid you know, that the development of ascites in cirrhosis heralds a poor prognosis, with increased morbidity and mortality in these patients? Following up on our series of lectures on cirrhosis, Dr Kevin Teh, Associate Consultant Gastroenterologist, speaks about ascites in chronic liver disease - how we should evaluate for ascites, and how we manage patients with symptomatic ascites secondary to chronic liver disease. We also discuss the indications behind large volume paracentesis, pro...
Episode #4: An Ascites Affair
November 05, 2021 14:00 - 36 minutes - 25.1 MBDid you know, that the development of ascites in cirrhosis heralds a poor prognosis, with increased morbidity and mortality in these patients? Following up on our series of lectures on cirrhosis, Dr Kevin Teh, Associate Consultant Gastroenterologist, speaks about ascites in chronic liver disease - how we should evaluate for ascites, and how we manage patients with symptomatic ascites secondary to chronic liver disease. We also discuss the indications behind large volume paracentesis, pro...
Episode #3: Variceal Bleeding
October 22, 2021 04:00 - 28 minutes - 19.5 MBThat all too familiar sense of dread, when you're informed of a upper GI bleed from a patient in your MO1/HO1 call, is something many of us have faced at some point at in the middle of the night. Dr Ravishankar Asokkumar, Consultant Gastroenterologist, shares what we can do to stabilize such patients, to optimise their chances of a successful endoscopy. Following up on our episode on cirrhosis, we discuss the acute management of esophageal and gastric varices, and delve into the primary an...
Episode #2: Approaching Chronic Diarrhea
October 06, 2021 07:00 - 30 minutes - 21.3 MBIn our second episode, our very own host, Dr Andrew Ong, goes through his approach towards patients with Chronic Diarrhea. With his help, we explore the importance of a detailed history, and clarify the indications for commonly ordered investigations such as stool O/C/P or GI PCR panels.
Episode #2: Approaching Chronic Diarrhea
October 06, 2021 07:00 - 30 minutes - 21.3 MBIn our second episode, our very own host, Dr Andrew Ong, goes through his approach towards patients with Chronic Diarrhea. With his help, we explore the importance of a detailed history, and clarify the indications for commonly ordered investigations such as stool O/C/P or GI PCR panels.
Episode #1: Cirrhosis De-livered
October 06, 2021 06:00 - 37 minutes - 25.5 MBJoin us in our very first episode, as Dr Jason Chang goes through a detailed overview of cirrhosis, covering the clinical evaluation, investigations, and complications that patients with cirrhosis face. Ever wondered when to arrange for an elastography, or whether a patient with cirrhosis and portal vein thrombosis can be anticoagulated? We answer them in our discussion here in this episode.