Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.1.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Therapeutic Gastroenterology I

Main Study Course Information

Course Code
RGO_015
Branch of Science
Clinical medicine; Internal medicine
ECTS
60.00
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. During the course, prepare 3 clinical tasks in the form of 10-15 slides. Describe 1 clinical case (case report) at least at the level of national publications.

Examination

Title
% from total grade
Grade
1.

Examination
-
-
A written answer to 2 problem questions, where the answer evaluates the theoretical basis, its modernity, completeness, a summary of literature and experience.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Symptoms of diseases of the digestive system. Red flag symptoms and their explanation

  1. Seminar

Modality
Location
On site
Specialized room

Topics

The most common syndromes of the digestive system.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Problems of treatment of gastroduodenal ulcers

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Acute conditions in the upper digestive tract.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Acute situations in the intestinal tract. Acute and chronic mesenteric ischemia.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

GERS: problems in diagnosis and therapy. Laryngopharyngeal reflux. Functional burning.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Drug-induced intestinal damage.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Acute pancreatitis

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Diagnostic and therapeutic problems of functional digestive tract diseases

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Acute liver failure. Hepatorenal syndrome

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Chronic liver failure. Liver transplant patients.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Pharmacotherapy of diseases related to gastric hydrochloric acid.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Enzyme replacement therapy

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Inflammatory bowel diseases. Ulcerative colitis

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Problems of diagnosis and treatment of Crohn's disease

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Bacterial translocation and abnormal proliferation syndromes

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Rare intestinal diseases

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Probiotics, prebiotics and symbiotics

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Fatty liver disease. Non-alcoholic and alcoholic steatohepatitis.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Constipation. Intestinal transit and methods of its determination.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

The most common anorectal diseases. Hemorrhoids from a gastroenterologist's point of view

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Bleeding from the colon

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Bleeding from an unknown source

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Acute enteritis. Alimentary toxicoinfection

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Malnutrition. Lactase deficiency

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Rare diseases of the pancreas

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Biomarkers in gastroenterology

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Portal hypertension

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Cholestasis

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Hyperbilirubinemia. Rare liver diseases

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Cholecystitis and cholangitis

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Pancreatobiliary Pathology Associations. Pathology and functional disorders of the sphincter of Oddi.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Complications and complications of gallstone disease
Total ECTS (Creditpoints):
60.00
Number of Residency Seminars:
33
Length (weeks):
44
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

M.Feldman, L.S.Friedman, L.J.Brandt.: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management, 2-Volume Set. 11ed. 2020 WB Saunders and Co.

2.

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

3.

24.03.2009. 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.) [stājas spēkā 17.04.2009.] Izdoti saskaņā ar Ārstniecības likuma 27. pantu un 33. panta trešo daļu (MK 13.12.2016. noteikumu Nr. 784 redakcijā) . Spēkā esošā red. 01.01.2022.-31.12.2023.

4.

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

5.

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

6.

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

Additional Reading

1.

V. Chandrasekhara, B. J. Elmunzer, M. Khashab, V. R. Muthusamy. Clinical Gastrointestinal Endoscopy. 3rd Ed 2018. Hardcover ISBN: 9780323415095.

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.

United European gastroenterology mājaslapa

2.

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

3.

Gastroenteroloģijas Atbalsta biedrības un Latvijas Gastroenterologu asociācijas mājaslapa

4.

Gremošanas slimību biedrība

5.

Latvijas Jauno gastroenterologu biedrība

6.

World Gastroenterology Organization Guidelines

7.

Rome Foundation funkcionāli gremošanas trakta traucējumi

8.

European Socienty of Gastrointestinal Endoscopy elearning & guidelienes

9.

European Crohn’s and Colitis Organization