Mistakes in acute diverticulitis and how to avoid them
The incidence of acute diverticulitis is rising worldwide.
Acute diverticulitis is an inflammatory complication of diverticulosis and can either be uncomplicated or complicated. Making the distinction between uncomplicated and complicated acute diverticulitis is essential because treatment strategies differ between the two.Here, we discuss 10 mistakes frequently made when managing patients with acute diverticulitis. We focus on using the correct terminology, diagnostic preference and several treatment options, such as omitting or administering antibiotics, radiological interventions and various aspects of surgery. Acute diverticulitis is an important topic because its incidence is rising worldwide and it is becoming a considerable burden on healthcare systems. Most of the discussion included here is evidence-based, supplemented with many years’ combined clinical experience where evidence is lacking.
EDS Visceral Medicine Course
April 2-4, 2020 / Belgrade, Serbia
Registration and application for travel grants are open!
Get prepared for a specialization in pancreatology
Pancreas 2000 is now accepting applications for Course 10 by January 31, 2020.
How to identify possible scientific partners
Follow these tips on how to find potential research collaborators.
Finding new potential collaborators and the exchange with colleagues to promote your research is crucial for GI specialists.
Pedro Rodrigues, a new member of the Young Talent Group in 2020, shares the most useful tips on how to identify a possible scientific partner.
Tip 1: Do attend the most important meetings in your field of expertise.
Tip 2: Try to synergize with good people.
Tip 3: Identify partners that complement your research and interests.
Tip 4: Engage researchers from different areas in order to create your own multidisciplinary network.
Tip 5: Collaborate with researchers that do not come with problems, but with solutions.
Tip 6: Select partners from all over the world.
Tip 7: Don’t forget to move!!!
Tip 8: Be involved in relevant associations and groups, and ask for help whenever necessary.
Tip 9: Don´t be shy! Just do it.
Liver biopsy for evaluation of fibrosis in chronic liver disease: Yes or no?
Two experts present their viewpoints
Chronic liver disease affects many millions of people worldwide and is a major cause of premature death. Assessing liver fibrosis in patients with chronic liver disease can determine disease stage and progression, and also response to therapy, but whether this is best performed via a liver biopsy or noninvasive methods is a matter for debate.
Here, two European experts present their opposing viewpoints on how to assess fibrosis in the setting of chronic liver disease.
- Almpanis Z, Demonakou M and Tiniakos D. Evaluation of liver fibrosis: "Something old, something new…". Ann Gastroenterol 2016; 29: 445–453.
- Lackner C and Tiniakos D. Fibrosis and alcohol-related liver disease. J Hepatol 2019; 70:294–304.
- European Association for the Study of the Liver and Asociacion Latinoamericana para el Estudio del Higado. EASL-ALEH Clinical Practice Guidelines: Non-invasive tests for evaluation of liver disease severity and prognosis. J Hepatol 2015; 63: 237–264.
- Castera L, Friedrich-Rust M and Loomba R. Noninvasive assessment of liver disease in patients with nonalcoholic fatty liver disease. Gastroenterology 2019; 156: 1264–281.
An elusive lesion in the colon
How to ensure detection of subtle lesions during screening colonoscopy?
A 55-year-old female patient with no family history of colorectal cancer (CRC) underwent a scheduled screening colonoscopy. The colonoscopy was performed by an experienced endoscopist (adenoma detection rate [ADR] of 54%), using a high-resolution colonoscope with narrow-band imaging (NBI) cabaility. Carbon dioxide was used for bowel insufflation. The patient was sedated with midazolam and propofol, with adequate oxygen supplementation and continuous monitoring of her blood pressure and oxygen saturation. The video shows the colonoscopy and two photos (figure 1) are provided of the ascending colon and of the area near the hepatic flexure during withdrawal of the scope.
Case Question 1:Which of the following statements is correct?
Case Question 2:What is the minimum length of time you should spend inspecting the right colon (including the cecum, ascending colon and hepatic flexure)?
Case Question 3:Which of the following is more likely to increase the adenoma detection rate (ADR)?
Mistakes in... booklet 2019 out!
The booklet in 2019 contains eight most recent Mistakes in… articles, covering a wide range of topics.
Mistakes in... session at UEG Week 2019
Learn from experts about mistakes in the gastroenterology field and how to avoid them.
Mistakes in decompensated liver cirrhosis and how to avoid them
Protecting against future decompensation episodes is key
Patients with early stages of chronic liver disease and even those with compensated cirrhosis can present without any clinical symptoms, which means that liver disease and ongoing liver damage can remain unidentified for many years. However, morbidity and mortality drastically increase once the stage of ‘decompensated cirrhosis’ has been reached.1,2 Decompensated cirrhosis describes the development of clinically overt signs of portal hypertension and/or impairment of hepatic function (e.g. variceal bleeding, ascites or overt hepatic encephalopathy). The first hepatic decompensation event significantly increases the risk that further complications of liver cirrhosis and decompensation episodes will occur.2 Moreover, individuals who have advanced stages of liver cirrhosis are four times more susceptible to infection, which is, in turn, the most frequent trigger of hepatic decompensation.3,4
Enhance your knowledge about ERCP
Gastrointestinal Neuroendocrine Tumours
Learn about NETs
What not to do at UEG Week
Most common things you should avoid when attending UEG Week, to help you get the most out of your congress participation.
Attending international conferences is important to stay up to date in the world of digestive health. For junior specialists, a big congress like UEG Week can be overwhelming. Henriette Heinrich is Gastroenterology Consultant in the Stadtspital Triemli, Zuerich, Switzerland, and incoming chair of the Young Talent Group. She has summarised the most common things you should avoid when attending UEG Week, to help you get the most out of your congress participation.
1. Not attending!
2. Not planning ahead @UEG Week
3. Not paying a visit to the Young GI Lounge (Hall 8.0)
4. Not jumping into the UEG Talent Pool
5. Not attending the Young GI Network event "Let’s meet!"
6. Not checking out the Education Booth (Hall 8.0)
7. Staying offline
- The UEG Week Mobile App (see pitfall number two)
- Online content to watch or rewatch (again, see pitfall number two)
- The UEG Week live video chats, during which surgeons and gastroenterologists battle it out and we explore the compatibility of having a job and a family. YOUR ONLINE INPUT AND QUESTIONS ARE HIGHLY APPRECIATED!
- Missing the news updates about UEG Week on Twitter, Instagram and Facebook
8. Missing out on seriously important events on research funding for scientists
- EU funded Cooperation Networks in GI: How to get involved?
- Fellowships and grants: How UEG can help your career
- EU funding opportunities and strategy in digestive health