Mistakes in managing perianal disease and how to avoid them

Perianal disease is very common and can impair quality of life significantly. It is crucial to identify the serious causes of these symptoms, but also to reduce the burden of the less dangerous conditions that nevertheless can be debilitating and interfere with an individual’s work and life. 

Perianal disease takes many forms, is very common and can impair quality of life significantly. The symptoms of perianal disease, including pain, bleeding, discharge and pruritus, are common to several conditions that are sometimes difficult to disentangle.

It is crucial to identify the serious causes of perianal symptoms, but also to reduce the burden of the less dangerous conditions that nevertheless can be debilitating and interfere with an individual’s work, social or intimate life. Below we discuss some of the frequent and important mistakes made in the management of perianal disease based, where possible, on evidence, and where not, on clinical experience.

All UEG Week 2016 content is included in the UEG Education Library

In addition to the recordings on UEG Week 24/7, the scientific material of UEG Week 2016 is available in the UEG Education library, including all abstracts, posters and the syllabus of the Postgraduate Teaching Programme.
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All e-posters and abstracts of UEG Week 2015 are available in the Education library including citation.
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Translating the basics at UEG Week 2014

If you're a GI researcher interested in basic and translational science, you could be forgiven for not registering for the postgraduate teaching programme at UEG Week 2014. Well, if you happen to be arriving in Vienna this weekend, I invite you to give it a try—you might leave with your next big grant project idea on your hands!

The postgraduate teaching programme on Saturday and Sunday will focus on the most recent and urgent clinical needs in how to better diagnose, manage and treat GI diseases, with basic and translational science having an increasing role in providing answers. For more information, please have a look at the postgraduate teaching programme online.  If you prefer to enjoy the city sights during the weekend and start fresh on Monday morning, there will be plenty of opportunity to learn and interact. Indeed, UEG has increased the number of translational/basic science symposia available during this year's core meeting. The first symposium takes place on Monday morning, with a session on nuclear receptors and the molecular pathways governing insulin resistance and lipotoxicity in non-alcoholic steatohepatitis. In the afternoon, you can learn about novel regulatory mechanisms involving cytokines and intestinal inflammation in inflammatory bowel disease. Four (!) additional translational/basic science sessions take place on Tuesday, with topics ranging from the implications of molecular pathogenesis on endoscopic therapy for Barrett's oesophagus to the development of cystic pancreatic lesions, dysbiosis and intestinal barrier defects, and bile acids and nuclear receptors. The final day of the meeting will feature the latest on genetics and upper GI cancer, focusing on its clinical relevance, as well as the emerging role of microbiota in non-alcoholic fatty liver disease. This also seems like the perfect opportunity to draw your attention to the Young GI Network activities taking place during UEG Week 2014, where delegates below the age of 40 will have the unique opportunity to talk with and receive guidance from experienced scientists and physicians. To make these interactions easier and more casual, UEG has prepared a dedicated lounge at the venue where you can network with peers from around the world and form new collaborations over a smooth cup of coffee. For more information please check out the plans for the Young GI Network at UEG Week 2104. We would love to hear your thoughts on the translational/basic science content at this year’s meeting! Please feel free to comment here or tweet with one or more of the following hashtags: #UEGWeek #Science #UEGEducation. Alternatively, why not come and talk to us in person at the UEG Education Lounge, which is located in Hall Z. As a final reminder, and in case you won't be able to join us in person this year, UEG will be live streaming a significant amount of sessions through UEG Week Live. As an alternative, or if you cannot decide on which parallel session to attend, we also have things covered; all recorded presentations will be made available via UEG 24/7.

A pancreatic potpourri at UEG Week 2014

The countdown to UEG Week 2014 is on and for those of you interested in all things pancreatic, there are rich pickings at this year's meeting.

Saturday morning on the postgraduate teaching programme starts things off with a session dedicated to pancreatic adenocarcinoma, the eighth most common cancer in Europe. The mysteries of diagnosis, staging investigations and treatment options will all be dissected. In the afternoon the focus turns towards necrotizing pancreatitis, with presentations by both a gastroenterologist and a surgeon. Sunday moves onto the tricky issue of cystic pancreatic lesions, considering diagnostic evaluation, follow up and the role of observation or resection. If you're not arriving at UEG Week until Monday then don't despair! The opening plenary session includes a talk on the effect of lymphotoxin in KRAS-induced pancreatic tumorigenesis and is followed later on in the morning by a free paper session dedicated to cellular crosstalk in pancreatic cancer. There are plenty of sessions to choose from on Monday afternoon too. Straight after the lunch break, check out the symposium on therapeutic EUS or the free paper session on the challenges of imaging pancreatic cancer. There is even a session dedicated to the pancreatic highlights from this year's DDW. Later in the afternoon there are two symposia on offer—one on quality endoscopy (from East to West) that includes talks on pancreatobiliary disease and pancreatobiliary EUS and one on current and future standards in pancreatic cancer. Alternatively, you might be interested in going along to one of the free paper sessions—immunopathogenesis of pancreatitis and hepatitis (part of the Today's Science, Tomorrow's Medicine pathway) and minimally invasive interventions in the pancreas. If you get out of bed on time on Tuesday morning, you will be rewarded with an update on the management of acute pancreatitis and a free paper session on hot topics in cholestatic and pancreatic disease. This is followed by a translational session on cystic pancreatic lesions and the diagnostic and therapeutic challenge they pose. The diagnosis of cystic pancreatic lesions is also the focus of a round table discussion on Tuesday lunchtime (note that numbers are limited for this particular session). An early afternoon symposium considers what to do in the face of abnormal liver and pancreatic function tests, while a free paper session takes on the topic of challenges in the treatment of pancreatic and biliary cancer. Following the session on acute pancreatitis during the morning, the multidisciplinary management of chronic pancreatitis is the focus of a symposium late on Tuesday afternoon. In addition, the clinical dilemma posed by cystic pancreatic lesions is again under consideration, but this time in a free paper session. The final day of UEG Week 2014 begins with a free paper session on chronic pancreatitis, specifically the pathophysiology and management of pain and fibrosis. As a suitable finish to UEG Week there are sessions reviewing the most interesting developments of 2014, including one dedicated to the pancreas. Posters session are running throughout the meeting on Monday, Tuesday and Wednesday, so do seek them out too! We'd love to hear what pancreas content you find interesting throughout the meeting, so please do tweet to let us know by including one or more of the following hashtags: #UEGWeek #Pancreas #UEGEducation. And don't forget that if you're not able to make it to UEG Week in person that many of the talks will be made available as they happen via UEG Week Live – just follow the livestream on the UEG website. If you can't catch every talk as it happens (in person or via the livestream), then you're in luck because all recorded sessions will be made available via UEG 24/7. Enjoy!