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Centre for Medical and Surgical Gastroenterology and Hepatology

Neurogastroenterology

Is a speciality that relates to disorders of the gastrointestinal tract associated with dysfunction of the nervous system that controls its function.

The gastrointestinal tract not only has an extensive nervous system within its walls but it also communicates directly with the central nervous system through nerves, hormones and immune cells. In addition there is evidence that the nervous system of the gut communicates directly with brain centres that control our psychological state in particular our emotions and stress levels. It is therefore not surprising that gut function is affected when there is dysfunction of this nervous system either directly through disease or indirectly through the effects of our psychological state and most often through the combination of these factors.

The role that the nervous system plays in mediating gastrointestinal disease is now increasingly being recognised. Hence Neurogastroenterology remains a niche speciality. The Neurogastroenterology team at Princess Grace is unique in the UK and consists of the leading consultants in the speciality with expertise in managing complex clinical problems. In addition to the leading neurogastroenterologists in Europe the team consists of dietitians, psychologists, pain management specialists and specialist nurses to provide state of the art care and support for patients in a responsible and sensitive environment.

This team is multidisciplinary and has specific expertise in managing patients with functional gastrointestinal disorders (e.g. irritable bowel syndrome, functional dyspepsia and unexplained chest pain); psychological aspects of gastrointestinal disease, gastrointestinal disorders associated with diabetes, neurological and rheumatological disease.

Patients also have access to state of the art investigative facilities capable of assessing all aspects of gut neuromuscular dysfunction. For further information please contact: -

consultant clinicians with a major interest in neurogastroenterological disorders include: