Gastro Care 4 U

Gastro Care 4 U Dr. Alex Leow is Consultant Gastroenterology and Hepatology at Pantai Hospital Kuala Lumpur.

Between academic talks, I had the chance to experience Kochi — a city where cultures, faiths, and history meet the sea.K...
24/08/2025

Between academic talks, I had the chance to experience Kochi — a city where cultures, faiths, and history meet the sea.

Kochi was once a thriving spice port, the very reason the Portuguese first set sail eastwards. Their foothold here in the early 1500s marked the beginning of European colonisation in India, and it was from Kochi that they expanded to capture Melaka, Malayan peninsula in 1511 — reshaping global trade and power in the early 16th century.

From the sacred interiors of St. Francis CSI Church, where Vasco da Gama was once laid to rest, to the Santa Cruz Cathedral Basilica, elevated by Pope John Paul II in 1984 and adorned with Gothic arches, frescoes, and a rare seated statue of Jesus — the city’s spiritual heritage left a deep impression.

Along the waterfront, I witnessed both the grandeur of the Chinese fishing nets, timeless silhouettes from the 14th century, and the intimate skill of fishermen casting nets by hand. The joy of a fresh catch reminded me that Kochi’s soul still beats with the rhythm of the sea.

The journey continued through Jew Town, the Paradesi Synagogue, and Mattancherry Palace, where vivid murals and intricate carvings spoke of Kerala’s layered past. At the Dhobi Khana laundry, I was struck by the endurance of tradition — generations keeping alive the humble craft of hand-pressing clothes with charcoal irons.

And of course, no exploration is complete without food — a Kerala thali on a banana leaf, simple yet rich in flavour, reflecting the warmth of local hospitality.

Kochi is not just a destination; it is a living crossroads of spice, faith, and history. Truly an enriching exploration alongside the professional journey.

Grateful for the opportunity to contribute at the 9th National Conference of Colitis and Crohn’s Foundation of India (CC...
22/08/2025

Grateful for the opportunity to contribute at the 9th National Conference of Colitis and Crohn’s Foundation of India (CCFI) in Kochi, under the theme “Shaping the Future of IBD Care.”

I had the privilege of delivering a lecture on “The IL-12/23 Disconnect: A New Paradigm in IBD with Ustekinumab” and also presenting in the Rapid Fire sessions on “Approach to High-Grade Dysplasia in Flat Mucosa with Deep Remission in Longstanding UC” and “A Patient on PD-L1 Inhibitor Develops Bloody Diarrhoea.”

It was also a wonderful opportunity to reconnect with friends and colleagues from across India and around the world — always a great catch-up and exchange of ideas.

Many thanks to Dr. Mathew Philips and the CCFI for the kind invitation and for curating such an inspiring scientific program. Truly an honour to share ideas and learn alongside esteemed colleagues, all working toward better care for patients with IBD.

Had such a meaningful couple of days discussing IBD care, thanks to the kind invitation from Takeda Philippines. It was ...
16/08/2025

Had such a meaningful couple of days discussing IBD care, thanks to the kind invitation from Takeda Philippines. It was wonderful meeting Prof. Sollano, Dr. Carla, Dr. Joseph Bocobo, Dr. Karen, and Dr. Jun Ruiz.

We explored how the right choice of biologics in Crohn’s disease and ulcerative colitis truly transform outcomes and quality of life. I also shared four patient journeys to highlight how point-of-care intestinal ultrasound supports diagnosis and tight monitoring. The energy and enthusiasm on intestinal ultrasound were inspiring, and I’m looking forward to returning to Manila this October for the intestinal ultrasound workshop as invited faculty.

A special thank you to Professor Sollano for such a wonderful dinner and evening — the setting at The Volt was unique, with amazing food and inspiring artwork. My personal favourite was a piece by Fernando Amorsolo, a perfect close to an enriching exchange.

GUT 2025 marked the first-ever joint annual scientific meeting of the Malaysian Society of Gastroenterology & Hepatology...
10/08/2025

GUT 2025 marked the first-ever joint annual scientific meeting of the Malaysian Society of Gastroenterology & Hepatology with the UMMC Endoscopy Workshop — and what a success it was, drawing over 750 delegates!

I was honoured to serve as faculty for the AEG Endoscopic Ultrasound Pre-Congress Workshop alongside Dr. Thawee Ratanachu Ek (3rd Goh Khean Lee Distinguished Lecturer), Prof. Ida Hilmi, Dr. James Emmanuel, and Dr. Stanley Khoo. It was also a privilege to join Prof. Ida Hilmi and Dr. Nik Razima as panel speakers at the Johnson & Johnson Lunch Satellite Symposium on The Future of IBD Management – Exploring Advanced Treatments and Beyond — a truly energising and insightful discussion.

Congratulations to my mentor, Prof. Sanjiv Mahadeva, for delivering the prestigious 25th MSGH Oration — an inspiring talk on The Influence of Culture on Disorders of Gut-Brain Interaction in Asians

It was wonderful to reconnect with Professor Lawrence Ho, Professor Francisco Guarner, Professor Benedict Devereaux, Dr. Chua Tju Siang, Assoc. Professor Julajak and Assoc. Prof. Sunny Wong. Met with my Korean mentor, Prof. Jong Ho Moon’s outstanding nursing team from SoonChunHyang University School of Medicine, Bucheon — Head Nurse Ms. Kim Sang Yeun and Charge Nurse Ms. A Ri Song — and have an in-depth exchange with Prof. Honggang Yu from China, a pioneering AI researcher in digestive endoscopy and the driving force behind the ENDOANGEL AI GI system.

I am looking forward to in Penang!

今天星洲日报医识力登场!原文链接: https://shorturl.at/cDRzV便便卡肛排不出 小灌肠速效通便 惟勿频用问:上次廖医生解答时提到“出口梗阻型便秘”的问题,我也面对相同的情况。Q1:请问如何解决接近肛门部位的硬粪便?Q2...
10/08/2025

今天星洲日报医识力登场!原文链接: https://shorturl.at/cDRzV

便便卡肛排不出 小灌肠速效通便 惟勿频用

问:上次廖医生解答时提到“出口梗阻型便秘”的问题,我也面对相同的情况。

Q1:请问如何解决接近肛门部位的硬粪便?
Q2:是否有必要做进一步检查?

如果大便卡在肛门口排不出来,可以暂时使用一些肛门栓剂或微型灌肠剂(microenema),例如市面上常见的小容量肛用灌肠产品。这类灌肠剂能迅速软化靠近肛门的干粪块,并刺激排便反射,通常在几分钟内见效,适合短期应急使用。不过,这类产品不建议天天用,以免肠子变得越来越依赖该药的刺激。

平时最重要的是养成规律的排便习惯。建议每天早餐后固定时间尝试排便,因为这个时间点肠子的蠕动最强。如果有便意千万不要憋,越憋大便越容易干硬卡住。另外,坐厕所时可以在脚下放一个小凳子,让膝盖抬高,模拟蹲姿,这样肛门肌肉会比较放松,排便会顺畅些。

中长期改善方面,可以使用一些软便药,例如聚乙二醇(PEG)、乳果糖或乳酸镁。这些药物能增加粪便的含水量,使其保持柔软,有助于规律排便。同时应继续摄取充足纤维,像是洋车前子壳(psyllium)、麦麸等“非发酵性纤维”,它们有助于形成体积大、湿润的大便,减少靠近肛门处变干的问题。

如果这些方法都尝试过仍没有改善,就要考虑是否有出口性阻力,例如肛裂、痔疮、直肠下垂,或盆底肌肉协调失常。这种情况建议进一步由肠胃科或大肠外科医生评估,例如做肛门指检、肛门压力测定或排便造影。

便秘超过3个月宜排查

如果你的便秘问题已经超过3个月,影响生活,或者每次都排不干净,就应该考虑检查。尤其是你有在吃一些容易让肠子变慢的药物,或者有甲状腺、糖尿病等慢性病,更要留意。

如果排便时常常痛、流血、肛门有肿块,或者曾做过肛门手术,那更应该让医生检查,看看有没有结构上的问题。

常见的检查包括抽血(检查甲状腺和血钙)、肛门检查、或做一些功能测试(像肛门压力测定、排便造影)。找出真正的原因,才能选对治疗方式。

Honoured to speak at the 🇰🇭 Cambodia Association of Gastrointestinal Endoscopy 8th Annual Scientific Meeting, where I sh...
02/08/2025

Honoured to speak at the 🇰🇭 Cambodia Association of Gastrointestinal Endoscopy 8th Annual Scientific Meeting, where I shared insights on Biologic Therapy in IBD and the expanding role of Intestinal Ultrasound (IUS) in IBD monitoring.

Proud to represent the Asian Educational Network in IBD alongside Prof Ooi Choon Jin and Prof Raja Affendi during the IBD symposium.

It was also a pleasure to meet with good friend from Korea, Prof Hwoon-Yong JUNG 🇰🇷. What a wonderful catch-up!

In Cambodia, where access to biologics remains limited, Intestinal Ultrasound may become a pivotal tool for early diagnosis and tight disease monitoring in IBD. It also holds great promise in monitoring treatment response in intestinal tuberculosis—particularly relevant in regions with high TB prevalence.

The strong interest and thoughtful questions from the audience were truly encouraging. Although time constraints limited deeper discussion on IUS techniques, I’m glad the session helped spark a lot of interest in IUS.

We’ll be back—with a dedicated hands-on workshop to share the knowledge. Looking forward to continuing the journey of IBD care and monitoring pin Cambodia.

This week couldn’t have ended more fittingly than with Sin Chew article today feature on gallbladder stones, bile duct s...
27/07/2025

This week couldn’t have ended more fittingly than with Sin Chew article today feature on gallbladder stones, bile duct stones, and bile duct inflammation. https://shorturl.at/CY3ZA

The article echoed what unfolded daily for this week's ERCP and cholangioscope—each case reinforcing the complexity and variability of biliary pathology.

Monday:
We started the week with a challenging case of recurrent pancreatitis attributed to sphincter of Oddi dysfunction. A papillotomy was successfully performed earlier, offering relief and a clear pathway forward for this patient’s recurrent flares. Patient came in for removal of previous biliary stent.

Tuesday:
An elderly patient with a history of recurrent bile duct infections was referred after multiple hospital admissions. Our ERCP with cholangioscopy uncovered stones previously missed in earlier imaging—a stark reminder of the value of direct visualization into the bile duct.

Wednesday:
A straightforward but satisfying case of bile duct stone with accompanying pain and liver enzyme derangement. Stone was successfully cleared, reaffirming the role of timely ERCP in acute biliary obstruction.

Thursday:
A sudden turn in an elderly lady on blood thinners—severe abdominal pain revealed multiple large bile duct stones. Due to bleeding risk, we opted for temporary biliary stenting, with plans to return for definitive therapy.

Friday:
What began as an admission for unrelated elective surgery turned urgent. Sudden abdominal pain and elevated liver enzymes prompted workup. CT and MRCP were unrevealing, but cholangioscopy confirmed bile duct stones, proving once again its indispensable role in occult choledocholithiasis.

Saturday:
Another case of abdominal pain and liver injury in a patient on antiplatelets. Imaging revealed dilated ducts and impacted stones. We proceeded with biliary stenting as a temporizing measure.

The weekend’s article emphasized that the presence of gallstones alone doesn’t mandate surgery, but rather symptoms and complications drive intervention. Precisely what we encountered this week. The week of stones.

Had an amazing time at the IBUS Hybrid Module 1 Workshop Taipei at National Taiwan University Hospital! It was a true ho...
14/07/2025

Had an amazing time at the IBUS Hybrid Module 1 Workshop Taipei at National Taiwan University Hospital! It was a true honour to be invited as a trainer alongside incredible experts in the field of IUS and IBD—Professor Christian Maaser (past president of IBUS), Dr. Yoon-Kyo An, Dr. Shintaro Sagami, Dr. Federica Furfaro, Dr. Jun Miyoshi, Dr. Kayal Vizhi Nagarajan, and Dr. Zhi-Che Chen.

Big thanks to Professor Shu-Chen Wei for organizing such a well-run and well-received meeting. We had 35 international participants from Hong Kong, Taiwan, Thailand, Indonesia, New Zealand, Australia, USA, Macau, Korea, and India—an energetic and truly global group!

I had the pleasure of delivering a session on "How to Break the Learning Ceiling of Intestinal Ultrasound (IUS)."
My main takeaway: learning IUS isn’t just about ticking off scans. It’s about understanding your own pace, embracing structured practice, and aligning training with real-world complexity.

Here’s a simple roadmap I shared:
Phase 1: Get hands-on with healthy volunteers
Phase 2: Move on to patients with active but uncomplicated disease
Phase 3: Challenge yourself with post-op cases, altered anatomy, and real clinical uncertainty

Practical tip: Start scanning immediately after your Module 1 course. Master your probe handling early. Plan and phase out your Module 2 attachment so that you can optimise your learning capacity before and in between your attachments.

And here’s something exciting on the horizon—IBUS is currently developing a new online platform to support image interpretation learning. This platform aims to close the gap in image interpretation skills and raise the overall standard of IUS training globally. After all, image acquisition and image interpretation mastery go hand in hand—each complements the other in building true clinical competency.

And of course—what’s an IBUS gathering without some fun?
🎤 The karaoke night was absolutely legendary. Every participant sang, proudly representing their country. Even Christian stepped up for his first-ever performance! It was a night to remember.

Grateful for the friendships and the joy of teaching and learning together.

What a privilege to be invited as a speaker at   in Chiba, Japan 🇯🇵.My talk, “Intractable colitis: Elusive target or tre...
14/07/2025

What a privilege to be invited as a speaker at in Chiba, Japan 🇯🇵.

My talk, “Intractable colitis: Elusive target or treatable truth”, explored the challenges we face when managing difficult ulcerative colitis—and the hope we carry when we get it right.

Truly meaningful to share the discussion with friends and colleagues from every corner of the world. These moments of learning and shared purpose are what keep us going.

Also had the honour of co-chairing the oral poster session with Dr. Ken Takeuchi—every presenter brought their A-game, showcasing impressive research and unwavering dedication to advancing IBD science.

And what a faculty dinner it was! We were treated to a stunning string harmonic performance by the incredibly talented Dr. Taku Kobayashi, Dr. Shinichiro Shinzaki and their team. It was truly entertaining—and as always, music speaks to the heart in ways words never can.

We’re also excited about advancing the Intestinal Ultrasound (IUS) initiative in Asia. Met many friends at this arena. Had a great group discussion with Prof. Christian Maaser (Past President of IBUS) on what lies ahead. The future looks bright under the spirit of One Asia—and ultimately, it’s our patients who will benefit the most. Looking forward to this new chapter.

A heartfelt thanks to the organisers for such a well-run and impactful meeting. Until we meet again—onwards in the fight for better IBD care.

Asian EUS Congress 2025 | Taipei 🇹🇼Heartfelt congratulations to Professor 王秀伯 and his dedicated team for organising a tr...
23/06/2025

Asian EUS Congress 2025 | Taipei 🇹🇼
Heartfelt congratulations to Professor 王秀伯 and his dedicated team for organising a truly outstanding congress!

The scientific programme was nothing short of fantastic — from the evolutionary journey of EUS shared by legends Prof. Mitsuhiro Kida and Prof. Kenjiro Yasuda, to an inspiring talk by Dr. Kenneth Binmoeller on the invention of the Axios lumen-apposing stent

So many valuable insights and innovations shared by experts in the field.
Truly honoured to be invited and be part of this vibrant meeting.

Grateful for the chance to reconnect with colleagues and friends in the world of Endoscopic Ultrasound.

A fantastic intestinal ultrasound (IUS) Hands-On Workshop held as part of the IBD Masterclass organised by AbbVie!IUS is...
15/06/2025

A fantastic intestinal ultrasound (IUS) Hands-On Workshop held as part of the IBD Masterclass organised by AbbVie!

IUS is revolutionizing IBD care by offering a fast, non-invasive, radiation-free, and cost-effective way to monitor disease activity in both Crohn’s disease and ulcerative colitis.

Huge thanks to our patients who selflessly volunteered to be scanned — your contribution made real-time learning possible.

We had a highly motivated group of learners who engaged actively in hands-on IUS practice, guided closely by our experienced trainers:

🔹 Prof Jacob Begun (Brisbane, Australia)

🔹 Dr Thompson Lim (Singapore)

🔹 Dr Shahreedhan and myself (Malaysia)

Great energy, meaningful discussions, and practical scanning skills — all coming together to advance IBD care in our region.

It is an honor to present "I May Look Alright," a song composed for the APAGE Clinical Forum for IBD, Penang 2025, in ob...
17/05/2025

It is an honor to present "I May Look Alright," a song composed for the APAGE Clinical Forum for IBD, Penang 2025, in observance of World IBD Day 2025.

This song is inspired by the real-life experiences of our patients living with inflammatory bowel disease. I had the privilege of performing it live at the opening ceremony of the forum, and today, we share the official music video with the world.

Dedicated to every individual facing the challenges of IBD, this piece stands as a tribute to your strength, your resilience, and your journey. We see you, we hear you—and you are not alone.

We invite you to watch the video, share your reflections, and help us spread this message of empathy and solidarity. Let us raise awareness—one story, one song at a time—as we commemorate 19 May: World IBD Day.

This song is dedicated to all patients living with Inflammatory Bowel Disease. (IBD) Voices Inspired by Our Patients Living with IBDVocal Performance by Alex...

Address

Pantai Hospital Kuala Lumpur, 8 Jalan Bukit Pantai, 59100 Kuala Lumpur
Kuala Lumpur
59100

Opening Hours

Monday 13:00 - 17:00
Tuesday 08:00 - 17:00
Wednesday 08:00 - 17:00
Thursday 08:00 - 17:00
Friday 08:00 - 17:00
Saturday 08:00 - 12:00

Telephone

+60172838388

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