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Welcome 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 fo ...
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To 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 Chin…
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Episode #31: Guts & Glory x Third Spacing - Functional Abdominal Pain
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In 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 …
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Episode #30: Diarrhea in the immunocompromised host
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Diarrhea 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. D…
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Episode #29: Critical Care in the ICU
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Critical 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 Re…
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With 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, gas…
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Join 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 …
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Join 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,…
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Episode #25: Hepatocellular Carcinoma
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In 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 …
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Episode #24: A holistic approach to Obesity
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Join 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 …
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Episode #23: Fecal incontinence from the surgical standpoint
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In 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 …
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We 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 w…
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In 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 D…
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Episode #20: Fresh melena, stale melena, or iron stools?
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Join 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 r…
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Timely 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 …
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Episode #18: Inflammatory Bowel Disease II
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Ever 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 ra…
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Lights 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…
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Joining 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 t…
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Non-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 …
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What 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, rele…
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Episode #13: Life of a Gastroenterology Senior Resident
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Would 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 r…
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Episode #12: Managing Gastroesophageal Reflux Disease
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Join 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.By Dillon, Ching Han, Andrew
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Episode #11: Approach to Gastroesophageal Reflux Disease
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Join 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.…
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Viral 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, w…
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Episode #9: Into the bowels of Inflammatory Bowel Disease
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Evidence 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. Joinin…
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Short 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 wi…
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Episode #7: Interpreting Liver Function Tests
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Abnormal 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 fo…
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Merry 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 …
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Fluid, 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…
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Did 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 mana…
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That 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 endos…
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In 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.By Guts & Glory, SGH Gastroenterology & Hepatology
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Join 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 …
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