ABSTRACT
Slow growth in the bivalve mariculture sector results from production inefficiencies, food safety concerns, limited availability of convenience products and low consumer demand. Here we assess whether bivalves could meet mass-market seafood demand across the bivalve value chain. We explore how bivalve production could become more efficient, strategies for increasing edible meat yield and how food safety could be improved through food processing technologies and new depuration innovations. Finally, we examine barriers to consumer uptake, such as food allergen prevalence and bivalve preparation challenges, highlighting that appealing and convenient bivalve food products could provide consumers with nutritious and sustainable seafood options-and contribute positively to global food systems.
ABSTRACT
Restorative procto-colectomy with ileal pouch anal anastomosis has become the most common elective surgical procedure for patients with ulcerative colitis and is becoming popular in those with familial adenomatous polyposis coli. The procedure itself is primarily carried out in specialist surgical centres but an increasing number are being performed and followed up in district general hospitals. These patients are now filtering through general surgical and gastroenterology clinics and are frequently seen in primary care. Pouchitis, an inflammatory condition of the ileal pouch, has become the third most important form of inflammatory bowel disease. As research develops in this area, other complications are being found. The aim of this review is to provide an up-to-date, evidence-based approach to the clinical management of these patients.
