Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.2.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Therapeutic Gastroenterology II

Main Study Course Information

Course Code
RGO_020
Branch of Science
Clinical medicine; Internal medicine
ECTS
29.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor
Ilona Vilkoite

Residency Speciality

Speciality
Gastroenterologist
Supervisor of Medical Speciality
Ilona Vilkoite
Contacts

-

About Study Course

Objective

To provide theoretical knowledge and acquisition of practical skills in the therapeutic gastroenterology specialty in accordance with the Terms of Reference enabling the physician to prepare for gastroenterology specialty certification.

Learning Outcomes

Knowledge

1.Digestive tract, including the hepatobiliary system and pancreas, disease aetiology, pathogenesis, development, clinic, examination and treatment. This knowledge includes histopathology, radiology, haematology, microbiology and parasitology, clinical pathology, immunology, pharmacology, genetics, molecular biology, epidemiology and statistics, as well as understanding of medical demography and health economics.

Skills

1.1. To be able to perform standard abdominal ultrasound investigation with result interpretation; 2. To interpret functional tests (24/48-hour oesophageal pH-metry, oesophageal manometry). 3. To apply and interpret the occult faecal blood tests results. 4. To evaluate visually body secretions (faeces, vomit). 5. To perform oral or transnasal long tube placement, including Sengstaken-Blakemore tube placement for bleeding oesophageal varices haemostasis. 6. To translate practically the knowledge regarding the liver puncture biopsies, to be able to execute said procedure. 7. To know and be able to apply knowledge of paracentesis in practice.

Competences

1.Ability to work as a specialist gastroenterologist in the gastroenterology department, as well as independently carry out consultations in hospitals and outpatient clinics.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-
To get acquainted with digestive tract diseases, their diagnosis, differential diagnosis, treatment, prevention and acquire the practical work experience in multifunctional Clinical Hospital setting using appropriate modern diagnostic and therapeutic facilities, to work with outpatient and hospital patient contingent including consultations in another profile departments, research facilities, training and scientific literature and international contacts, to enable the physician to develop inherent personal qualities needed for the gastroenterology specialty, to acquire theoretical knowledge and basic practical skills in the abdominal ultrasonography. For each seminar, prepare 7-12 slides on the topic of the seminar - for presentation and discussion. Prepare 2 clinical assignments in the form of 10-15 slides during the course. To describe 1 clinical case (case report) involving abdominal ultrasound.

Examination

Title
% from total grade
Grade
1.

Examination
-
-
Theoretical knowledge - according to the post-graduate program of studies. Practical Skills - the whole cycle during classes. Test with a mark in assessing the theoretical knowledge and practical skills.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Risk of oncology in the digestive tract

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Gastrtrointestinal oncological risks.

  1. Seminar

Modality
Location
-
-

Topics

The problem of irritable bowel syndrome

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Anemia and the digestive tract

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Prokinetic agents and their application

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Immunodeficiency states and the digestive tract

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Nonsteroidal anti-inflammatory drugs and the digestive tract

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Postoperative pathological syndromes

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Corrosive and radiation gastrointestinal injuries

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Rare diseases of esophagus and stomach

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Basics of rational digestive system pharmacotherapy

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Rare colon diseases

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Liver cirrhosis

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Differential diagnosis of abdominal pain caused by diseases of other systems

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Celiac disease. No-Gluten enteropathy

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Colorectal cancer problem

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Parasites of the digestive tract

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Food allergies

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Colorectal cancer problem

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Corrosives of the digestive tract, radiation damage

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Absorption function disorders of the small intestine. Nutrition.
Total ECTS (Creditpoints):
29.00
Number of Residency Seminars:
21
Length (weeks):
22
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

03.2009. MK noteikumi Nr.268 "Noteikumi par ārstniecības personu un studējošo, kuri apgūst pirmā vai otrā līmeņa profesionālās augstākās medicīniskās izglītības programmas, kompetenci ārstniecībā un šo personu teorētisko un praktisko zināšanu apjomu" ("LV", 58 (4044), 16.04.2009.) ar pēd.grozījumiem Ministru kabineta 24.05.2016. noteikumi Nr. 315/LV, 101 (5673), 26.05.2016./Stājas spēkā 01.06.2016.;

2.

Klīniskā medicīna. Prof. A.Lejnieka red. Rīga, Zvaigzne, 2012.;

3.

Pokrotnieks J. Gastrointestinālā endoskopija. Rīga, Pilatus, 2000, 144.lpp.;

4.

A.Danilāns. Hroniskas aknu slimības. I, II un III daļa. Rīga, Medicīnas apgāds, 2009-2012.;

5.

The European Board and Section of Gastroenterology & Hepatology. Par gastroenteroloģiju kā specialitāti ES. The Blue Book 2017 ar prasībām gastroenteroloģijā http://www.eubog.org/docs/Blue_Book.pdf;

6.

M.Feldman, L.S.Friedman, L.J.Brandt.: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management, 2-Volume Set. WB Saunders and Co.

Additional Reading

1.

Cotton and Williams' Practical Gastrointestinal Endoscopy: The Fundamentals. 7th Edition, 208 pp. New York, Wiley, 2014.;

2.

Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 8th Edition. 2-Volume Set, 2015.;

3.

Zakim and Boyer's Hepatology. 7th Edition. Elsevier, 2017.

Other Information Sources

1.

The Gastroenterology Training Handbook for Specialists Registrar

2.

EASL Clinical Practice Guidelines

3.

Z.Maratka, J.R.ArmengoldMiro. Endoscopic Diagnosis in Gastroenterology and N.O.T.E.S. Normedia DVD Gastro. Version 5.2 (2013);

4.

World Endoscopy organization (WEO) mājaslapa ar MST 3.0 un citām digestīvās endoskopijas aktualitātēm

5.

United European gastroenterology mājaslapa

6.

Gastroenteroloģijas Atbalsta biedrības un Latvijas Gastroenterologu asociācijas mājaslapa