Research Topics
| P R GibsonSummaryAffiliation: Monash University Country: Australia Publications
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Publications
Personal view: food for thought--western lifestyle and susceptibility to Crohn's disease. The FODMAP hypothesisP R Gibson
Department of Gastroenterology, Box Hill Hospital, Victoria, Australia
Aliment Pharmacol Ther 21:1399-409. 2005..The present paper describes a new hypothesis for one such environmental factor...
Reinforcing the mucus: a new therapeutic approach for ulcerative colitis?P R Gibson
Monash University, Department of Gastroenterology, Box Hill Hospital, Box Hill, Victoria 3128, Australia
Gut 54:900-3. 2005..The simplicity and apparent safety of this therapeutic approach offers new insights into the importance of the mucus barrier in the pathogenesis and treatment of ulcerative colitis...
Increased gut permeability in Crohn's disease: is TNF the link?P R Gibson
Department of Gastroenterology and Monash University Department of Medicine, Box Hill Hospital, Box Hill, Victoria 3128, Australia
Gut 53:1724-5. 2004
Relationship between disease severity, quality of life and health-care resource use in a cross-section of Australian patients with Crohn's diseasePeter R Gibson
Monash University Department of Medicine and Department of Gastroenterology, Box Hill Hospital, Box Hill, Victoria, Australia
J Gastroenterol Hepatol 22:1306-12. 2007..This study aimed to correlate disease severity with health-related quality of life and with health-care resource use, to allow evaluation of the cost effectiveness of these treatments...
Comparison of the efficacy and safety of Eudragit-L-coated mesalazine tablets with ethylcellulose-coated mesalazine tablets in patients with mild to moderately active ulcerative colitisP R Gibson
The Royal Melbourne Hospital, Melbourne, Vic, Australia
Aliment Pharmacol Ther 23:1017-26. 2006..There are no comparative studies of coated mesalazine...
Overview of inflammatory bowel disease in Australia in the last 50 yearsPeter R Gibson
Monash University Department of Medicine, Box Hill Hospital, Box Hill, Victoria, Australia
J Gastroenterol Hepatol 24:S63-8. 2009..Underpinning the success has been clinical excellence and adaptation of clinicians to the changing landscape of disease severity and therapeutic options. The future is indeed bright if such trends continue...
Evidence-based dietary management of functional gastrointestinal symptoms: The FODMAP approachPeter R Gibson
Monash University Department of Medicine, Box Hill Hospital, Box Hill, Victoria, Australia
J Gastroenterol Hepatol 25:252-8. 2010..The link between food intake and symptom induction is recognized. This review aims to describe the evidence base for restricting rapidly fermentable, short-chain carbohydrates (FODMAPs) in controlling such symptoms...
Review article: fructose malabsorption and the bigger pictureP R Gibson
Department of Gastroenterology and Monash University Department of Medicine, Box Hill Hospital, Victoria, Australia
Aliment Pharmacol Ther 25:349-63. 2007....
The concept of small intestinal bacterial overgrowth in relation to functional gastrointestinal disordersPeter R Gibson
Department of Medicine, Monash University, Box Hill Hospital, Victoria, Australia
Nutrition 26:1038-43. 2010..Controversy will continue until concepts are broadened, consensus in definition is reached, and evaluation of efficacy of candidate therapies is more rigorous...
Dietary poorly absorbed, short-chain carbohydrates increase delivery of water and fermentable substrates to the proximal colonJ S Barrett
Monash University Department of Medicine, Box Hill Hospital, Box Hill, Vic, Australia
Aliment Pharmacol Ther 31:874-82. 2010..Functional gut symptoms are induced by inclusion and reduced by dietary restriction of poorly absorbed short-chain carbohydrates (FODMAPs), but the mechanisms of action remain untested...
Relationship of hydrolase activities to epithelial cell turnover in distal colonic mucosa of normal ratsP R Gibson
University of Melbourne Department of Medicine, The Royal Melbourne Hospital, Victoria, Australia
J Gastroenterol Hepatol 14:866-72. 1999....
Colonic epithelial cell activation and the paradoxical effects of butyrateP R Gibson
University of Melbourne Department of Medicine, Victoria, Australia
Carcinogenesis 20:539-44. 1999..In conclusion, some of the paradoxical effects of butyrate do not appear to represent inherent differences between normal and transformed cells. Rather, the response may be determined by the state of activation of the cells...
Quantification of fructans, galacto-oligosacharides and other short-chain carbohydrates in processed grains and cerealsJ R Biesiekierski
Department of Medicine, Monash University, Box Hill, Victoria, Australia
J Hum Nutr Diet 24:154-76. 2011..These and other short-chain carbohydrates can also be poorly absorbed in the small intestine (named fermentable oligo-, di- and monosaccharides and polyols; FODMAPs) and may have important implications for the health of the gut...
Comparison of the prevalence of fructose and lactose malabsorption across chronic intestinal disordersJ S Barrett
Department of Medicine, Monash University and Box Hill Hospital, Level 8 Clive Ward Centre, 16 Arnold Street, Box Hill, VIC 3128, Australia
Aliment Pharmacol Ther 30:165-74. 2009..Fructose malabsorption, lactose malabsorption and an early rise in breath hydrogen after lactulose (ERBHAL) may play roles in induction of symptoms in gastrointestinal conditions...
Management of distal ulcerative colitis: frequently asked questions analysisS L James
Department of Gastroenterology and Monash University Department of Medicine, Box Hill Hospital, Melbourne, Victoria, Australia
Intern Med J 38:114-9. 2008..The changes in guidelines have raised several management questions, many of which are addressed in this review...
Delayed adverse reactions to total-dose intravenous iron polymaltoseM L Haines
Department of Gastroenterology and Hepatology, Monash University, Melbourne, Victoria, Australia
Intern Med J 39:252-5. 2009..Severe systemic reactions occurred in 8%. Patients should be warned of the chance of delayed reactions and an alternative iron preparation should be considered if parenteral iron is again indicated...
The potential value of faecal lactoferrin as a screening test in hospitalized patients with diarrhoeaD R Van Langenberg
Monash University Department of Medicine, and Department of Gastroenterology and Hepatology, Box Hill Hospital, Melbourne, Victoria, Australia
Intern Med J 40:819-27. 2010..This study aimed to determine the utility of faecal lactoferrin (FL), a readily measurable marker of intestinal inflammation, in hospitalized patients with diarrhoea...
Review article: vitamin D and inflammatory bowel disease--established concepts and future directionsM Garg
Department of Gastroenterology and Hepatology, Eastern Health, Box Hill, Vic, Australia
Aliment Pharmacol Ther 36:324-44. 2012..Its influence in IBD remains uncertain...
Safety of iron polymaltose given as a total dose iron infusionE Newnham
Department of Gastroenterology, Box Hill Hospital, Box Hill, Vic, Australia
Intern Med J 36:672-4. 2006..Fear of anaphylaxis should not inhibit the use of total dose iron infusion and the practices of premedication and of medical supervision during the first 15 min of the infusion should be abandoned...
Diarrhoea during enteral nutrition is predicted by the poorly absorbed short-chain carbohydrate (FODMAP) content of the formulaE P Halmos
Department of Medicine, Monash University, Box Hill, Vic, Australia
Aliment Pharmacol Ther 32:925-33. 2010..Although it is recognized that diarrhoea commonly complicates enteral nutrition, the causes remain unknown...
Measurement of faecal fat excretion: an evaluation of attitudes and practices of Australian gastroenterologistsM Lust
Department of Gastroenterology and Monash University Department of Medicine, Box Hill Hospital, Melbourne, Victoria, Australia
Intern Med J 36:77-85. 2006..Rather than discard the test, efforts should more appropriately be directed to improving baseline knowledge to ensure its optimal performance and interpretation...
Mechanisms by which food intake elevates circulating levels of hyaluronan in humansJ R E Fraser
Department of Medicine, University of Melbourne, The Royal Melbourne Hospital, Melbourne, Vic, Australia
J Intern Med 258:460-6. 2005..The discriminating value of plasma hyaluronan in clinical practice may be greatly enhanced by sampling in fasted subjects at rest...
Quality, clinical influence and tolerance of computed tomography enteroclysis in patients with suspected small bowel diseaseA Moss
Department of Gastroenterology and Hepatology, Box Hill Hospital, Melbourne, Victoria, Australia
Intern Med J 39:733-43. 2009..This study aimed to define the technical success, clinical influence and tolerance of CTE in patients with suspected small bowel disease...
Vaccination and screening for infections in patients with inflammatory bowel disease: a survey of Australian gastroenterologistsA Gupta
Department of Gastroenterology, Westmead Hospital, Sydney, New South Wales, Australia
Intern Med J 41:462-7. 2011..To survey the practice among gastroenterologists in Australia relating to screening for latent infections and vaccination of patients with inflammatory bowel disease prior to treatment with tumour necrosis factor alpha (TNF-α) inhibitors...
A rapid infusion protocol is safe for total dose iron polymaltose: time for changeM Garg
Department of Gastroenterology and Hepatology, Eastern Health, Melbourne, Victoria, Australia
Intern Med J 41:548-54. 2011..This results in reduced patient acceptance, and hospital resource strain. We aimed to assess prospectively the safety of a rapid intravenous protocol and compare this with historical controls...
Review article: the pathophysiological roles of the renin-angiotensin system in the gastrointestinal tractM Garg
Department of Gastroenterology and Hepatology, Eastern Health, Vic, Australia Eastern Health Clinical School, Monash University, 5 Arnold St, Box Hill, Victoria, Australia
Aliment Pharmacol Ther 35:414-28. 2012..The renin-angiotensin system (RAS) is a homeostatic pathway widely known to regulate cardiovascular and renal physiology; however, little is known about its influence in gastrointestinal tissues...
Systematic review: The evidence base for long-term management of coeliac diseaseM L Haines
Department of Gastroenterology, Monash University Department of Medicine, Box Hill Hospital, Box Hill, and Walter and Eliza Hall Institute, Parkville, Vic, Australia
Aliment Pharmacol Ther 28:1042-66. 2008..While gluten-free diet is an effective treatment for coeliac disease, the need for and goals of long-term management of patients are poorly defined...
Systematic review: fatigue in inflammatory bowel diseaseD R Van Langenberg
Monash University Department of Gastroenterology and Hepatology, Medicine, Box Hill Hospital, Box Hill, Melbourne, Vic, Australia
Aliment Pharmacol Ther 32:131-43. 2010..Fatigue is common, disabling yet underappreciated, in patients with chronic diseases, including inflammatory bowel disease (IBD)...
Non-axial bone fracture but not depression as a risk factor for coeliac diseaseV P Tan
Department of Gastroenterology, Monash University, and Department of Medicine, Box Hill Hospital, Melbourne, Victoria, Australia
Intern Med J 40:225-7. 2010..Patients presenting with non-axial fractures may be a subgroup in whom coeliac screening may be indicated. There needs to be greater awareness of atypical presentations of coeliac disease...
Self-administered, inhaled methoxyflurane improves patient comfort during nasoduodenal intubation for computed tomography enteroclysis for suspected small bowel disease: a randomized, double-blind, placebo-controlled trialA Moss
Department of Gastroenterology and Hepatology, Box Hill Hospital, Melbourne, Australia
Clin Radiol 66:125-31. 2011..To determine the efficacy and safety of self-administered, inhaled analgesic, methoxyflurane, used to improve patient comfort during computed tomography enteroclysis (CTE)...
The fate of epithelial cells in the human large intestineD H Barkla
Department of Anatomy, Monash University, Melbourne, Australia
Pathology 31:230-8. 1999..Apoptotic cells were rarely observed in the crypt epithelium. The findings of this study support the "recycling" model of epithelial cell death in the surface compartment of the human colon...
Quantifying exposure to diagnostic medical radiation in patients with inflammatory bowel disease: are we contributing to malignancy?E Newnham
Department of Gastroenterology and Monash University Department of Medicine, Box Hill Hospital, Victoria, Australia
Aliment Pharmacol Ther 26:1019-24. 2007..While potential risks of diagnostic medical radiation are acknowledged, actual exposure of patients in routine clinical practice is poorly documented...
Dietary fibre: a roughage guideS L James
Department of Gastroenterology, Box Hill Hospital, Box Hill, Victoria, Australia
Intern Med J 33:291-6. 2003..Nevertheless, encouraging the intake of a high-fibre diet is likely to have a range of health benefits and physicians are encouraged to follow simple practical guidelines in their everyday practice...
Effect of dietary fatty acids on the intestinal permeability of marker drug compounds in excised rat jejunumD F Vine
Department of Pharmaceutics, Victorian College of Pharmacy, Monash University, Parkville, Australia
J Pharm Pharmacol 54:809-19. 2002..These studies indicate that dietary fatty acid changes can result in moderate changes to the active and passive transport properties of excised rat jejunum...
Dietary fiber and colorectal neoplasiaS Sengupta
Department of Surgery, Colorectal Unit, Royal Melbourne Hospital and the University of Melbourne, Melbourne, Australia
Dis Colon Rectum 44:1016-33. 2001..Lifelong and early exposure may be important but are difficult to study. Other risk factors interact with the effects of dietary fiber...
Review article: appropriate use of corticosteroids in Crohn's diseaseP M Irving
Department of Gastroenterology, Box Hill Hospital and Monash University, Melbourne, Australia
Aliment Pharmacol Ther 26:313-29. 2007..Furthermore, their use is associated with a range of side effects, such that long-term treatment carries unacceptable risk...
Hypoalbuminaemia and coeliac diseaseV Tan
Department of Medicine, Box Hill Hospital, Box Hill, Victoria 3128 Australia
Gut 57:922, 930. 2008
Urokinase and the intestinal mucosa: evidence for a role in epithelial cell turnoverP R Gibson
Department of Medicine, The Royal Melbourne Hospital, Victoria, Australia
Gut 43:656-63. 1998..The functions of urokinase in intestinal epithelia are unknown...
Effects of methylnaltrexone in patients with narcotic bowel syndrome: a pilot observational studyP R Gibson
Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia
Intern Med J 42:907-12. 2012..Narcotic bowel syndrome (NBS) describes disabling chronic severe abdominal pain that worsens despite continuing or escalating doses of opiates. Therapy is very limited...
Total body dual X-ray absorptiometry is a good measure of both fat mass and fat-free mass in liver cirrhosis compared to "gold-standard" techniques. Melbourne Liver GroupB J Strauss
Body Composition Laboratory, Monash Medical Centre, Victoria, Australia
Ann N Y Acad Sci 904:55-62. 2000....
Use and abuse of faecal occult blood tests in an acute hospital inpatient settingA Friedman
Eastern Health and Monash University, Department of Medicine, Box Hill Hospital, Melbourne, Victoria, Australia
Intern Med J 40:107-11. 2010..The role of the faecal occult blood test (FOBT) is untested. The aims of this study were to define the use of FOBT in a general hospital setting and to determine its influence on patient management...
Resistance to butyrate-induced cell differentiation and apoptosis during spontaneous Caco-2 cell differentiationJ M Mariadason
University of Melbourne, Department of Medicine, The Royal Melbourne Hospital, Victoria, Australia
Gastroenterology 120:889-99. 2001..We determined whether response to butyrate is dependent on the basal differentiation status of colonic epithelial cells...
Management of iron deficiency in patients admitted to hospital: time for a rethink of treatment principlesI Ahmad
Monash University Department of Medicine, Melbourne, Victoria, Australia
Intern Med J 36:347-54. 2006..CONCLUSION: Current management is haphazard, with underutilization of i.v. iron and failure to initiate any regimen for iron repletion being common. It may be time for a change in approach to repletion of iron in ill patients...
Annular purpura and ulcerative colitis: response to infliximabV Tan
Department of Gastroenterology, Box Hill Hospital, Box Hill, Victoria, Australia
Dig Liver Dis 39:488-9. 2007
Early Australian experience with infliximab, a chimeric antibody against tumour necrosis factor-alpha, in the treatment of Crohn's disease: is its efficacy augmented by steroid-sparing immunosuppressive therapy? The Infliximab User GroupM Mortimore
Royal Brisbane Hospital, Queensland, Australia
Intern Med J 31:146-50. 2001..The factors that determine a clinical response in some patients but not others are unknown...
