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Digital rectal exams 'no use' in Ca diagnosis

Dr Sohail Butt has dramatically improved diagnosis and treatment of coeliac disease in his practice after introducing rigorous screening.

Dr Butt, a GP in Ashford, Kent, was worried patients were 'slipping through the net' and introduced protocols for spotting symptoms and referring for endomysial antibody testing.

He has increased the number of patients diagnosed in his practice from 18 to 29 and doubled the proportion receiving regular treatment reviews.

Dr Butt said: 'It's only three or four patients per GP so it's not a lot of work, but annual reviews will reduce the risk of complications.'

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