🚀 BSG EndoBridge Series (7/15): Neoplasia in Inflammatory Bowel Disease

🔗 fg.bmj.com/content/17/e1/…

Key messages:
🎯 Control inflammation — cumulative inflammatory burden is a major driver of colorectal neoplasia
🔍 High-quality surveillance matters: HD imaging, chromoendoscopy inspection
✂️ Visible, well-demarcated dysplasia should be considered for complete endoscopic resection
📸 Characterise lesions systematically using the SCENIC framework
🏥 Complex, non-polypoid, fibrotic or poorly lifting lesions should be referred early to expert centres
🤝 Colectomy is no longer the default—but remains essential for selected patients with invisible, multifocal, unresectable or high-grade dysplasia

📖 Open Access x 6 months

#BSG2026 #BSGEndoBridge #FrontlineGastroenterology #IBD #Colitis #Crohns #Endoscopy #EMR #ESD #ColorectalCancer

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy @EndoCollabcom @JAG_Endoscopy @SimonMEverett @gastro3570 @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub @NorikoSuzuki3

💫 New review alert on "Obesity management medications for the surgeon" by Harris et al. 🔗 bit.ly/4etZdUU

🔵 This is a valuable comprehensive review that highlights important considerations to have when using GLP1- RAs for the 🏥 surgical management of obesity and . The potential role of GLP-1 RAs for cancer treatment, medication side effects and complications are also discussed ie cholelithiasis, cholecystitis. Don't miss out on this excellent clinical resource❗

👏 Thank you to authors: Matthew Harris @Shareef_Mahdi Cameron Fairfield Leo Brown @martinswadley Alexander Dimitri Miras

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @ulstergastro #GITwitter #GIX

🏆🏆🏆 The #FGCup final week is here!

Somehow even more exhilarating than 10 ends of nerve shredding curling, this final pits 2 extremely high quality hepatology papers in a head to head to decide the 2026 #FGCup winners.

@scottisaacsmd and @brennap9 with a #FG classic, a lovely review for all gastroenterologists on the role of diabetic medications in MASLD, a hugely important and increasingly prevalent topic.

@nmurug with a fantastic study on a novel treatment for severe alcoholic hepatitis, an area crying out for new treatments and research.

This will run until the weekend, when we will announce the winners!

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @EASLedu
@BritSocGastro
@AASLDtweets

Get your votes in! Two fantastic papers, make sure you have your say in which one goes through to the next round!

@BSGTrainees @BASLedu @EASLedu @AASLDtweets @ESGE_news @Drfattyliver @liverphysio

#FGCup round 3!

Get voting below and visit the #FG website to see the papers!

fg.bmj.com

🏆🏆 The #FGcup is live!!

The #FGcup kicks off with 8 heavyweight Editors' Choice papers from 2025, battling it out for the crown 👑

We’ll be highlighting why each paper made the cut over the coming days, before the knock-out rounds begin.

How it works 👇
🔹 Head-to-head ic vote
🔹 Voting opens 6–7am on each match day
🔹 Rounds 1 & semi-finals: 72 hours to vote
🔹 Grand final: 7 days of voting
🏅 Winner crowned 1 March

📅 Feb 4–28
📖 Frontline Gastroenterology

Who’s your pick to win?

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BMJ @scottisaacsmd @nmurug @amarnath7 @lisa_shark @IBS_Maastricht @Drfattyliver
@Jonathansegal85 @RMBeattie50 @BMJOpen_Gastro @Gut_BMJ @BritSocGastro

#Award #FGCup #Competition #HeadToHead #BattleOfTheBrains #ClinicalShowdown #KnowledgeCup #MedEdCompetition #FGDebate

🌟 How confident are you at diagnosing, classifying and managing perianal Crohn's disease? 🌟

👬 pCD affects 20% of people with Crohn's disease, and describes fistulising and non-fistulising manifestations
🏥 It is associated with substantial symptom burden and psychosocial historically under-researched. Recent global collaborative initiatives have begun to address critical knowledge gaps in this under-served IBD cohort

This fantastic review summarises recent advances in the field, offering gastroenterologists and surgeons an up-to-date overview of the evolving pCD landscape.

Read the full paper here! 👇 👇 👇

bit.ly/45dA63s

Congratulations to Dr Eathar Shakweh and co-authors. @eathar_s @easan_anand @TheoHPelly @philtozer1 @DrAilsaHart @StMarksHospital @TOpClassConsrtm @BowelsOfStMarks

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @Jonathansegal85

@ACPGBI @BSGTrainees

#IBD #CrohnsDisease #PerianalCrohns #PerianalIBD #FistulisingCrohns #PerianalFistula #CrohnsCare #IBDResearch #TranslationalResearch #PatientCentredCare #FistulaAwareness #CCUK #CrohnsandColitis

🚨 🚨 EIGHT days to go until the #FGGlobal Christmas Webinar🚨 🚨

REGISTER ⬇️ ⬇️ ⬇️
bit.ly/3KzWa0R

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees gastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media @Augishealth @roux_group

#GITwitter #livertwitter #gastroenterology #Endoscopy #Endobariatrics #MedEd #Obesity #MASLD #GLP1 #UGIsurgery #Bariatrics

A 🆕GIRFT handbook for IBD care is here!

Packed with practical advice and actions & an updated pathway to help clinicians deliver high-quality, evidence-based care.

🔗 ow.ly/QZmZ50XuI0N

#IBD #NHS #Gastroenterology

@Dukes_Club @BritSocGastro @CrohnsColitisUK @ACPGBI

BIG NEWS - the largest-ever surveys of GI & colorectal trainees in the UK is in — and the verdict is clear:

❌ Training is not fit for purpose
📉 Overloaded with service work
😩 Endoscopy access is limited
💤 Out-of-hours training nearly non-existent
🤯 Trainees working on days off ⚕️ Future consultants are worried — and many plan to go LTFT.

📊 The papers and their responses from BSG & JAG are out now in @FrontGastro_BMJ –> fg.bmj.com/content/early/…

#GItwitter #LiverTwitter #MedEd #Gastroenterology #ColorectalSurgery #Endoscopy #TraineeVoices #WorkforcePlanning #MedicalTraining #NHS #BSG #JAG
@BritSocGastro @BSGtrainees @JAG_endoscopy @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

🧾 New in Frontline Gastroenterology:

This is one of those great reviews which FG is renowned for!

Communicating risks associated with IBD therapies is one of the most challenging – yet vital – aspects of clinical care.

This high-quality review explores:
🔹 How patient risks often differ from clinical evidence
🔹 Why undertreated IBD may pose greater dangers than treatment itself
🔹 The role of shared decision-making, visual tools & predictive models in bridging the gap
🔹 Special considerations across populations – older adults, reproductive health, prior malignancy

💡 A must-read for clinicians aiming to improve patient engagement and outcomes through clear, evidence-based dialogue and decision aids.

👉 fg.bmj.com/content/early/…

#IBD #SharedDecisionMaking #PatientVoice #Gastroenterology #FOAMed

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s
@IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
@BASLedu @BSGtrainees @WorldGastroOrg @SEEDendoscopia @EASLedu
@AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media @ibdgijami @jonnyBlackwell @AlenkaBrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @Bealoquebea @DrBuHayee @jklimdi @wingyanjoyce @Jonathansegal85

🩸New in @FrontGastro_BMJ:
Patients with IBD have a 57% increased risk of venous thromboembolism (VTE) within 30 days post-discharge (OR 1.57).
🛌 Risk after non-surgical admissions even higher (OR 1.70).
💉Should extended thromboprophylaxis be routine?

👉 bit.ly/3HiI0zC
#IBD #VTE #Gastroenterology #IBDResearch

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s
@IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @SEEDendoscopia @EASLedu
@AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media @Dukes_Club @ACPGBI @SubhaharanD @drkrpradeep

🚨 New article alert 🚨 🗣️ Anyone interested in IBD must read this fantastic review by @RMBeattie50 and colleagues on adolescent IBD: recent data and practical management 👏

This cohort require a tailored MDT approach addressing physical, social and psychological issues 💪 🧑‍link below 👇 👇 👇

fg.bmj.com/content/early/…

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media

#GITwitter #livertwitter #gastroenterology #Endoscopy #MedEd
#IBD #Crohns #UlcerativeColitis #Gastroenterology #GITwitter #GIresearch #Colitis #IBDLife #DigestiveHealth #IBDAwareness #PrecisionGI #TranslationalGI #Gastro #GastroX #IBDScience #GutHealth

NEW FOR 2025 ⚠️ 🚨 ⚠️ - Frontline gastroenterology is accepting endoscopy video articles! 📹 fg.bmj.com/pages/authors

“What is the charge? Winning a trophy? A succulent European trophy?”

The BSG IBD surveillance guidelines are now out‼️🆕 ⁦@Gut_BMJ⁩

1️⃣ When to survey and risks of cancer
2️⃣ Management of dysplasia
3️⃣ How to describe IBD lesions
4️⃣ Pouch surveillance

📸: gut.bmj.com/content/early/…

Great resource for anyone involved with Pouch patients. Gastro and surgical expertise represented! @Dukes_Club

✨@FrontGastro_BMJ is hosting a spectacular webinar on the “The problematic pouch”

✨ Learn about medical and surgical management of pouchitis

✨Speakers:
➡️👩🏻‍⚕️@DCharabaty Director of IBD at Sibley Memorial Hospital/Johns Hopkins University
➡️🧑🏻‍⚕️@Jonathansegal85 GI consultant acCC
➡️🧑🏻‍⚕️@GianlucaPellino colorectal surgeon from the Universitat Autonoma de Barcelona
➡️🧑🏻‍⚕️@philtozer1 colorectal surgeon from St. Mark’s Hospital

📆Date: April 30

⏱️Time: 7- 8 pm (BST), 8-9pm (CEST), 2-3 pm (EST), 12-1pm (MST), 10-11pm (GST), 1130pm-1230 am (IST)

👩🏻‍💻Link: 
bsg.org.uk/Events/BSG-Web…

📋 Register via my.demio.com/ref/pc60tqx2DQ…

🚨 🚨 🚨 FG PROUDLY PRESENTS....

The first #FGglobal X BSG LIVE webinar - The Problematic Pouch on Wednesday 30th April 2025. Based on joint clinic scenarios and the FG article - chronic pouchitis, what every gastroenterologist needs to know by Kamal et al, hear from a global tackle all things pouch! 🏥 📒 ✒️

We have an INCREDIBLE line up of speakers - Gastroenterologists @JonathanSegal2 and @DCharabaty and Colorectal Surgeons @philtozer1 and @GianlucaPellino

Sign up here and don't miss out! 👇 👇 👇
lnkd.in/egE338QS

Link to the review paper here: lnkd.in/eR_Bxc9i

@BritSocGastro @BSGTrainees @BSGNurses @FrontGastro_BMJ @dr_aditi_kumar @OTavabie @eathar_s @KGananandan @IrenePerezMD @zare_benjamin @TrevorTabone @DrJMKennedy @dtleiberman @DunnePdj @medicalreg @Bealoquebea @LisaYounge2 @drkeithsiau @CrohnsColitisUK @IBDUKTEAM @Y_ECCO_IBD @AmerGastroAssn @CrohnsColitisFn @geteccu

#gastroenterology #gastro​ #endoscopy​ #gastroenterologist​ #pouchitis #chronicpouchitis #pouchproblems #IBD #bsg #inflammatoryboweldisease

🖨️ HOT OFF THE PRESS 🔥 🔥 🔥 The May 2025 edition of FG is out! From #polypectomy to #MASLD to #IL-23 therapies - we have everything covered! 🖨️

Read about it now ▶️ ▶️ ▶️ fg.bmj.com/content/16/3?c…

@PhilSmithIsBack @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @KGananandan @zare_benjamin @medicalreg @dtleiberman

#FGGlobal #GastroTwitter #GastroResearch #IBDResearch #MASLD #DGBI #LiverTwitter #HepatologyResearch #GIEndoscopy #EndoEd #GIMedEd #DigestiveHealth #MedTwitterGastro #GastroCollab