#FG Blog- British Society of Gastroenterology minimum service standards and good practice statements for Endoscopic Retrograde Cholangiopancreatography (ERCP)

Mohsan Subhani1, Simon M Everett2 Affiliations 1School of Medicine University of Nottingham, United Kingdom 2Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK Endoscopic Retrograde Cholangiopancreatography (ERCP) is one of the highest-risk procedures routinely performed by endoscopists (1). It is one of the most complex endoscopic procedures, often reserved for more advanced therapeutic interventions rather than routine diagnosis. […]

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#FGblog – Eosinophilic oesophagitis: the past, present, and future.

Eosinophilic oesophagitis (EoE) is an allergic disease of the oesophagus characterised by an elevated eosinophil count on oesophageal biopsy. It classically presents with dysphagia in adults; symptoms in children can be more varied, including abdominal pain and vomiting as well as dysphagia [1]. It is a relative newcomer in the world of gastrointestinal disease, first […]

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#FGBlog – making waves: water exchange vs hybrid approach in colonoscopy

Water-aided colonoscopy is rapidly becoming more widely adopted by lower gastrointestinal endoscopists, and has previously been shown to increase patient comfort, adenoma detection rate and bowel cleanliness, albeit potentially at the cost of increased insertion time [1]. Two main variations in technique exist. Water exchange (WE) involves only using water to distend the bowel and […]

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#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 […]

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#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. […]

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#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 […]

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#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 […]

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