In this episode of Guts n Gall, we are focusing on the on TIPS (transjugular intrahepatic portosystemic shunt) procedure. We cover:

• Understanding the normal anatomy of the hepatic vascular system as a foundation for comprehending TIPS.
• Exploring the indications for TIPS, particularly in patients with variceal bleeding and refractory ascites.
• Highlighting the contraindications of TIPS, including conditions like congestive heart failure and hepatic encephalopathy.
• Discussing the pre-procedural steps required for TIPS, such as lab workup, imaging studies, and cardiac testing.
• Breaking down the TIPS procedure
• Addressing potential complications of TIPS, including cardiac arrhythmias and liver capsule puncture.

Join Kayla Dadgar and Zuhal Mohmand in this Guts n Gall episode as they unravel the complexities of Irritable Bowel Syndrome (IBS). Listen in as we discuss:

• The clinical presentation and risk factors of IBS
• The multifactorial nature of IBS's pathophysiology.
• Diagnosing IBS
• Understand investigations, differential diagnosis, and when additional tests may be necessary.
• Management insights: Lifestyle modifications, patient education, dietary changes, and alternative therapies.
• Tailoring treatments with a focus on first and second-line options.
• A practical plan for a sample patient Isabelle

Welcome back to another episode of Guts n' Gall! In this episode, Jamie Zhen, an internal medicine resident from Ottawa, and Kayla Dadgar discuss celiac disease, a chronic immune-mediated gastrointestinal condition triggered by gluten intake in genetically predisposed individuals. They cover the following topics:

• The pathophysiology of celiac disease
• Risk factors and symptoms
• Presentation, typical and atypical of celiac disease
• Extra-intestinal manifestations
• Diagnosis and treatment of celiac disease.
• Changes in the recent ACG 2023 guidelines regarding celiac disease