The work that Dr Mark Wright et Al have done on this is really fantastic. Read my blog on behalf of Frontline Gastro as to why we need to focus on this and how this is a step in the right direction.

EVOLVE BASL education feed

📖 Read the latest #FGblog 'How can we support patients with advanced chronic liver disease better in our units?' by Gio McGinty here: bit.ly/3xT30rD

Philip Dunne Rex Wan-Hin Hui James Kennedy Mohsen Subhani Vivek Goodoory

Remember you can always find our latest up-to-the-minute content at fg.bmj.com/content/early/… !

Philip Dunne Vivek Goodoory Gio McGinty Mohsen Subhani Rex Wan-Hin Hui James Kennedy

Remember you can always find our latest up-to-the-minute content at fg.bmj.com/content/early/… !

Philip Dunne Vivek Goodoory Gio McGinty Mohsen Subhani Rex Wan-Hin Hui James Kennedy

Extremely timely guidance with the progression of SHiNE-UK!

Frontline Gastroenterology
Call for New Editor in Chief

fg.bmj.com/fg/wp-content/…

👄 Know your pyostomatitis vegetans from your stomatitis gangrenosum? What is the most common orofacial adverse effect of anti-TNF treatment?

Answers to these questions and more in this excellent deep dive on oral manfiestations of IBD from Joshi et al: bit.ly/49kDUPk

Don't miss the FG Editor's highlights from our latest issue, covering critical topics:
•FIT utilization
•IBD& hospital admissions
•Diet in CD & UC
•Nutrition training
•UGIB training

URL: bit.ly/4cSsWDC

#Gastroenterology Mark Beattie Mohsen Subhani Gio McGinty

Enjoy Sunday's #FGdebate ? Re-live September's debate on biopsy strategies in coeliac disease here: bit.ly/3vGbT7c

Gio McGinty Mohsen Subhani Vivek Goodoory Philip Dunne James Kennedy Rex Wan-Hin Hui

Just out!

'Real-world effectiveness of upadacitinib in Crohn’s disease: a UK multicentre retrospective cohort study'

bit.ly/4aMZSvJ

💊 62.8% treatment persistence @ 52 weeks
💊 Highly refractory CD cohort

Gio McGinty Mohsen Subhani Vivek Goodoory Philip Dunne Rex Wan-Hin Hui

Guidelines are unanimous;

For look risk procedures like paracentesis we need not check INR and should not give FFP

Liver, gastroenterology, hematology, and interventional radiology societies agree

So why the variation in managing “the cirrhotic coagulopathy”?

🧵

'Gratitude to all who joined us today! Your insights are invaluable. Special thanks to our expert panellists Stuart Mcpherson, Gemma Wells, Oliver Tavabie, and our gracious host Mohsen Subhani.

Let's keep the conversation going!'

#LiverTwitter #FGDebate BASL education feed BSG Trainees EASLnews

Gemma Wells Stuart Mcpherson I think there is a perceived idea around futility in patients with liver disease, coupled with systemic stigma of those with 'self-inflicted' diseases related to individual decisions. But mortality in dACLD is >DKA/Sepsis - our role is to educate those in AIM #FgDebate

Satellite liver transplant centres improve transplant assessment outcomes for CLD

Developing a formal regional LT assessment pathway across the UK would improve equity of access to transplantation.

Article link: bit.ly/3VOuk4k

@thebiledoc @djosh78 Stuart Mcpherson #FGdebate

#FGDebate I believe some stems from confidence in managing this and also the frame of mind that this is an acute medical emergency. These were my take homes when I implemented the bundle at two different Trusts.

#FGDebate think we need to be reframing what is needed. Time in a transplant centre as part of a fellowship post CCT or OOP is just as good. But it isn't officially an ATP.

UK national trainee survey showed that

•No ATP experience= ↓ confidence in Rx complex liver disease
•>2/3 preferred consultant posts in specialist centres

🔎 How can we ensure widely accessible training & appeal to non-specialist centres?

#MedEd BASL education feed BSG Trainees

Getting to do the ATP seems to be be geared towards level 2/3 hepatologists. Is that label really required? I feel that you will be judged for having done or not done the ATP regardless of where you work #FGDebate

#FGDebate each trust needs to find a way to embed this into the process. Need to bring acute medicine along on the journey as front door experts. Need to be training people in proper QI methodology to ensure it is properly embedded.

#FGDebate we need to make it attractive for hepatologists to work in DGHs. Shape of Training distinguishing between hepatology vs luminal going to make this worse sadly.