Main points:
- do surveillance well
- get your pathologist to do p53 IHC
- Cytopsonge might save on endoscopy. Watch that space! #FGDebate
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Rebecca Fitzgerald
75 posts
Rebecca Fitzgerald
@RC_Fitzgerald
Researching early cancer detection solutions. With 4 boys and ageing parents I know about balancing academic and private live. Keen to encourage aspiring GIs.
Cambridge Katılım Eylül 2014
24 Takip Edilen318 Takipçiler
@IanForgacs don't worry Ian, it is only your oesophagus that is at risk if you have heartburn! #FGDebate
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This is where the #Cytosponge could also be advantageous. Just need to determine biomarkers for surveillance but p53 looks good #FGDebate
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@IanForgacs Because of sampling bias and late dysplasia sadly I do think we need lots of biopsies #FGDebate
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@FrontGastro_BMJ Good question. Patients with confirmed dysplasia. Does have side effects -EG stricture and costs so not for all #FGDebate
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@saragreensara Interesting but needs more data. Not ready for routine use yet. #FGDebate
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@IanARowe @FrontGastro_BMJ @IanForgacs Agree. This is still research territory. Clinical surveillance needs careful white light OGD + path
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Advanced imaging needs skilled endoscopists to interpret the images, which can have very subtle changes #FGDebate
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@IanForgacs Good data support careful endoscopists using white light is generally the best way. #FGDebate
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@FrontGastro_BMJ @IanForgacs I think dedicated lists and endoscopists as routine, centralization for long segment and dysplasia #FGDebate
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Rebecca Fitzgerald retweetledi
@IanForgacs Is this the case of centralisation the Dutch have advocated? #FGDebate
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@IanForgacs Yes I think so if it's worth doing it needs doing well! #FGDebate
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Great thing about #Cytosponge is can use it in primary care, little sampling bias and objective biomarker to diagnose #Barretts #FGDebate
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Rebecca Fitzgerald retweetledi
@RC_Fitzgerald @IanForgacs Here is the link to the @BritSocGastro guidelines on this bsg.org.uk/clinical-guide… #FGDebate
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@CharlieMuz @IanForgacs I agree non-endoscopic methods need to take over diagnosis and surveillance? #FGDebate
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@IanForgacs Thanks! We really tried to make the guidelines practical & user-friendly. Check them out on BSG website #FGDebate
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