EGAR Collaborative

It was another successful outing for EGAR at the Scottish Society of Gastroenterology this Friday ! Showcasing talented juniors Dan, Layla and Stuart from Edinburgh. Coming to the BSG near you soon!

Please disseminate this amongst colleagues, trainees and clinical endoscopists to use at endoscopy to predict risk of malignancy and need for repeat endoscopy. Reduce unnecessary OGDs in 🇬🇧. @BritSocGastro @BSGNurses @BSGTrainees 👇

Really pleased to share that the Edinburgh Gastric Ulcer Score is now available as a calculator on @mdcalc mdcalc.com/calc/10606/edi…! @EGARCollaborat1 @rahul_kalla @FrontGastro_BMJ @BritSocGastro

Really helpful data

📄 NEW in Frontline Gastroenterology Persistent H. pylori—to biopsy or not to biopsy? 🧫 In this UK audit of 51 patients: Median of 3 prior eradication attempts Culture positive in only 41% 86% resistant to both clarithromycin & metronidazole No resistance to tetracycline All resistance profiles covered by local bismuth-free & bismuth-based protocols 🔍 Histology or CLO testing often confirmed infection even when culture was negative. 💡 Conclusion: Biopsy for culture rarely changed management—should we re-think? 🔗 doi.org/10.1136/flgast… #HPylori #Gastroenterology #FGresearch #AntibioticResistance #Endoscopy @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @WorldGastroOrg @AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media @ESGE_news @my_ueg

Next up - our brilliant F1 doctor Natalie reports on our data that gastric bx can be avoided in those with persistent HPylori by implementing revised and tailored eradication protocol. One small step towards green endoscopy! @FrontGastro_BMJ fg.bmj.com/content/early/…

BSG CSSC 3rd prize presentation for our gastric ulcer score brilliantly presented virtually by @rebeccakg6. Cost savings and a small step towards green endoscopy. @FrontGastro_BMJ @BritSocGastro

Great to see such a fantastic journal flourishing under great leadership @PhilSmithIsBack and team! @FrontGastro_BMJ

🤩 Very excited to announce our new impact factor 😊. FG going onwards and upwards 🚀 . Thanks to all our brilliant editors, reviewers and all of you who have submitted your fantastic work to the journal 🙏 👏. Remember we are a home for everyone, do continue to submit your work here 🫵 ! @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @Jonathansegal85 @DCharabaty @lisa_shark @drkeithsiau @hureinasofia @RMBeattie50 @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media #GITwitter #livertwitter #gastroenterology #Endoscopy #MedEd

🔍👵👴 Small-bowel capsule endoscopy (SBCE) in the frail elderly: Is it worth the risk? 🤔💉 Explore how frailty affects outcomes and why conservative treatment may be better for some in this work by @rebeccakg6 @rahul_kalla ! ⚖️ fg.bmj.com/content/16/1/30 #SBCE #ElderlyCare #FrailPatients #DigestiveEndoscopy #GIEndoscopy @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

Great Scot! 🏴‍☠️ This Edinburgh group has reduced unnecessary repeat OGDs with a locally developed gastric ulcer protocol! 🍽️ Key findings: ✅ 95.7% negative predictive value for gastric cancer ✅ No missed cancer diagnoses ✅ Reduced follow-up OGDs by 54% A safer, more efficient approach to gastric ulcer management! 👨‍⚕️ Full paper here - fg.bmj.com/content/16/2/1… #GastricUlcer #OGD #HealthcareInnovation #PatientSafety #ClinicalProtocol #MedicalResearch #Scotland @rebeccakg6 @rahul_kalla @GastronautIan @john_plevris @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

An unmet need in GI bleed management -Triage of inter-hospital transfers? What is the best approach? @FrontGastro_BMJ @BritSocGastro fg.bmj.com/content/early/…

Well done to Solomon Ong and Duncan Rutherford- Anne Ferguson and Derek Gillen Research Prizes today at the Scottish Society of Gastroenterology, Dunblane. Proud supervisor 🤩. @ScotSocGastro @NHSResearchScot @CSO_Scotland @EdinUni_IRR @rahul_kalla @dunc_rutherford #ibd #crohns

Evaluation of the Edinburgh Gastric Ulcer Score (EGUS) in clinical practice - new FG article, #onlinefirst at bit.ly/3OkTenh @rebeccakg6 and colleagues show that adherence to their proposed protocol ⬇️ unnecessary OGDs by more than half (!) without missing gastric cancers. Another example of patient-centred practice-changing research from FG! @rahul_kalla @john_plevris @GastronautIan @magoo21 @EGARCollaborat1 @sheiybani @VivekGoodoory @RexWHHui @DunnePdj @DrJMKennedy @OTavabie @PhilSmithIsBack

Next up - validation our GI ulcer score allowing tailoring of FU gastroscopy in the high risk ulcers. Well done @rebeccakg6 and team!

Our EGAR team report the utility of SBCE in frail patients. Congrats to @rebeccakg6 on getting this important work to publication.

"Small bowel bleeding in the frail elderly is most likely to be associated with angioectasia...Investigating these patients with small bowel capsule endoscopy is unlikely to alter management and clinical outcome." bit.ly/4etN4vL Is it time to #choosewisely and #getitrightfirsttime when it comes to SBCE? 💊 📷 Excellent paper from @rebeccakg6, @Alexoscopy, @kirsty_lennon, @Porterrj0, @rahul_kalla and @john_plevris on clinical outcomes in frail elderly patients undergoing SBCE. @sheiybani @VivekGoodoory @RexWHHui @DunnePdj @DrJMKennedy @MohsenSubhani @OTavabie @dr_aditi_kumar @PhilSmithIsBack

Great to see our GI ulcer score being externally validated in Birmingham by @NJEMCP and team ! Encouraging to see similar findings here #BSGlive24. Our prospective data coming soon ….. @rebeccakg6

👇🏾our EGAR poster examining the utility of capsule endoscopy in the frail population - is it time to consider carefully selecting patient for SBCE based on CFS scoring ? #BSGlive24 @rebeccakg6 leading on this one! 🙌 @BritSocGastro