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)?
ESNM Hands-on Course for Gastrointestinal Motility Training
Get hands-on training in the motility field. Register by Jan. 1, 2020.
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
9. Not bringing your team
Why students should attend UEG Week
3 medical students reveal how they experienced UEG Week.
Ivelina Georgieva, Giusi Sciume and Nikolay Manov study medicine in Italy and Bulgaria and attended UEG Week for the first time in 2018. In this video, they tell Radislav Nakov and Gianluca Ianiro why attending a big international congress can be helpful for undergraduate students’ careers as well and what they liked most about UEG Week.
Mistakes in chronic hepatitis B management and how to avoid them
All patients require long-term monitoring.
Hepatitis B virus (HBV) infection is the most common chronic viral infection in the world. Despite the availability of a preventative vaccine, more than 250 million people worldwide are chronically infected with HBV. The complications of chronic HBV infection—cirrhosis and hepatocellular cancer (HCC)—account for more than 850,000 deaths per year.1 HBV is transmitted haematogenously and sexually, with the majority of HBV infections being transmitted vertically (or perinatally) in high prevalence regions.2 HBV infection acquired at birth or in early childhood results in chronicity in >95% of cases, whereas only 5–10% of those who are infected in adulthood will progress to chronic infection.
Mistakes in the management of ECF and how to avoid them
Gl fistulae can be one of the most challenging complications of intestinal disease to manage
Gastrointestinal fistulae can be one of the most challenging complications of intestinal disease to manage. These abnormal tracts connect the epithelialised gut surface to either another part of the gut, another organ or tissue, or to the skin (table 1). This connection can cause enteric contents to bypass important absorptive surfaces, resulting in insidious malnutrition or overt diarrhoea, infection within other organs or the exquisitely embarrassing occurrence of having faeculant material in a woman’s vagina or on a person’s skin. Understandably, this can have a major impact on a person’s quality of life and psychological wellbeing and hamper overall prognosis in terms of general health and wellbeing. Through careful multidisciplinary management of the situation much can be done to address the fears and expectations of patients: careful stoma management, medical therapies to control output, nutritional support and consideration of the central role that surgery plays in resolving a fistula.
What you always wanted to know from UEG Rising Stars...
Current and previous awardees answer our questions.
The Rising Stars Award provides a durable platform for young researchers to further improve and progress in their professional career. Current and previous UEG Rising Stars told us more about their experience receiving this award and how they benefited.
Take the next step in your research career and apply to become a Rising Star!Watch video interviews with other UEG Rising Stars.
How did the Rising Star Award contribute to your career in the long run?
What meant winning the UEG Rising Star Award to you and how has your career developed since you received the award?
What is the right moment and career stage to apply for the Rising Star Award and what will increase candidates’ chances to receive it?
Do you have any tips for Rising Star Award applicants? What should they consider and what should they focus on?
Do you have any tips for researchers from countries that offer fewer scientific opportunities? How can they compete in the run for the Rising Star Award?
How did you experience receiving the Rising Star Award and presenting your research on the stage?
Has the Rising Star Award made an impact on your career so far?
What was your motivation to apply for the Rising Star Award and what are your expectations?
Women in endoscopy
Marianna Arvanitakis talks about the situation and obstacles for women in interventional endoscopy.