#FGBlog: #FGBlog: How can we support patients with advanced chronic liver disease better in our units?

Deaths from advanced chronic liver disease are increasing over the past 50 years1. Regardless of what type of gastroenterologist you are, you can probably think of a case of a patient with advanced chronic liver disease who has died. You may even have reflected on whether the circumstances could have been different if only we […]

Read More…

#FGBlog: Measuring disability in IBD, and its predictive value in treatment decisions

The importance of Patient Reported Outcome Measures (PROMs) in inflammatory bowel disease (IBD) is now widely appreciated. Despite this, only relatively recently were PROMs routinely incorporated into clinical trials as outcomes. Current tools available include the IBD questionnaire (IBDQ) for measuring health-related quality of life (HRQoL) and IBD-control for measuring patients’ perspective of disease control. […]

Read More…

#FGBlog: Should senior trainees start teaching endoscopy?

  As trainees progress through their career, they are encouraged or even expected to train and supervise junior colleagues. Traditionally, this has been reserved for inpatient management, basic procedures such as vascular access, and more advanced procedures such as chest drains or central venous access. Whilst surgical training in the UK often pair a junior […]

Read More…

#FGBlog: Dedicated Barrett’s oesophagus surveillance lists: the future for better dysplasia detection?

Getting surveillance for Barrett’s oesophagus (BO) right is critical for early detection and prevention of oesophageal adenocarcinoma. When identified early, Barrett’s can be treated effectively with minimally invasive endoscopic techniques. Despite clear national guidelines on when and how to perform surveillance for BO, adherence to these guidelines is variable. In the most recent edition of […]

Read More…

#FGBlog: New colonoscopy training pathway and certification: will we rise to the challenge?

  Colonoscopy is the gold standard technique to assess the lower gastrointestinal tract, allowing direct visualisation of the bowel mucosa, targeted biopsy, and appropriate therapy including resection of precancerous lesions. Although the quality of colonoscopy has improved, there is a still wide variation in quality of colonoscopies performed in the United Kingdom (UK).1, 2 With […]

Read More…

A new approach to coeliac disease diagnosis?

It is well-established that UK endoscopy services are under pressure, with post-Covid waiting lists pushing demand to an all-time high.1 Whilst a no-biopsy approach has been advocated in the diagnosis of coeliac disease (CD) in children since 2012, British Society of Gastroenterology (BSG) guidelines issued in 2014 still advise four duodenal biopsies for the diagnosis […]

Read More…