Kofi Oppong

@Steven_Swinford Polk paqdc

@Steven_Swinfordp see

@Kesavan_Kandiah Dont think so, focus on quality important but doesn't have to equate with centralisation, affects all ERCPists #BSG2016

@ferguschedgy increasing, particularly biliary and GB drainage . Necrosectomy needs pancreatic MDT.proper training essential #BSG2016

Enjoyed the debate! thanks all for participating. Hope to see you Tuesday (afternoon!) at BSG #BSG2016

@ferguschedgy Success resolution of collection, and sepsis. I quote 20% comp. Serious complication rare in experienced hands #BSG2016

@Kesavan_Kandiah @Dunkleyi we are fortunate that we have a good working environment and nurse retention is good #BSG2016

@BritSocGastro Thanks, wouldnt do it without CO2. Main specific contraindication poorly adherent collection and interposed vessels #BSG2016

@JayneEaden @BritSocGastro Ah, thanks for the correction! #BSG2016

@ferguschedgy No direct randomised study im aware of. Comparisons have been with historical data #BSG2016

@Dunkleyi Nurse involvement critical. one of senior nurses was co-author on our first paper. Training in house #BSG2016

@ye_yehtunoo thanks! #BSG2016

@JayneEaden @BritSocGastro Tuesday am of the annual conference #BSG2016

@JayneEaden We were the first to describe its use it as first choice for infected pancreatic necrosis #BSG2016

@ferguschedgy Absolutely, particularly high risk interventions where surgery has been the conventional approach.MDT working a must #BSG2016

@ferguschedgy big advanatge working with pancreatic surgeon. MR Charnley we did it together, based on experience of cyst drainage #BSG2016

@ferguschedgy big advantage working with pancreatic surgeon MR Charnley we did it together. Based on experience of cyst drainage ~BSG2016

@JayneEaden Surgery for necrosectomy carries significant mortality. EUS guided approach can be done under sedation and with less mortality

@JayneEaden amongst other things I co-developed EUS guided necrosectomy for pancreatic necrosis which is safer than surgery #BSG2016

I will be discussing work that has contributed to developing and refining the therapeutic and diagnostic roles of EUS #BSG2016