Ulrike Kapp-Popov


T  +43 (0) 699 1997 16 16


E  e-learning@ueg.eu

 

 

Ruby Sutton


T  +43 699 1997 16 18


r.sutton@ueg.eu

 

Summer School in Prague 

This intense, clinically-oriented course is an educational concept for gastroenterology trainees, combining state-of-the-art lectures with practical skills training.
Apply by February 14, 2020

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.

 Figure 1 | Images of the ascending colon and of the area near the hepatic flexure during withdrawal of the colonoscope under conventional white-light and narrow-band imaging conditions. 

Case Question 1: 

Which of the following statements is correct?
A. There is a serrated lesion without dysplasia
B. There is a serrated lesion with dysplasia
C. There is an adenoma with low-grade dysplasia 
D. There is an adenoma with high-grade dysplasia

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)?
A. 3 minutes
B. 4 minutes
C. 5 minutes
D. 6 minutes

Case Question 3:

Which of the following is more likely to increase the adenoma detection rate (ADR)?
A. Better training 
B. Chromoendoscopy
C. A mucosal exposure device/cap
D. All of the above 

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 

Optimal management is required to sufficiently treat patients who have decompensated liver cirrhosis, to protect them from future decompensation episodes and prevent further deterioration of hepatic function. However, decompensated liver cirrhosis is a highly complex disease and there are many pitfalls that may occur with regard to comorbidities, management of acute complications and appropriate medication. 
In this article, we cover some of the mistakes frequently made when managing decompensated liver cirrhosis and ways to prevent them. The discussion is based on the available evidence and our personal clinical experience.  

ERCP

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!

The biggest mistake you could make, of course, is not attending UEG Week at all. But fear not, if wild animals, bosses or other commitments keep you from attending, there is still the opportunity to access all the important talks from this year’s UEG Week and all previous UEG Weeks. Watch the content you missed any time, any place, anywhere via UEG Week 24/7. But still... you should really attend UEG Week. 

2. Not planning ahead @UEG Week 

This is probably one of the major pitfalls! First of all, try to make sure you benefit from early bird registration and if you are an undergraduate student, trainee or PhD student from reduced fees for registration.
For first-time visitors and the curious serial attendee, watch out for this year’s scavenger hunt at the Young GI Lounge to help you find your way around! Be prepared to be overwhelmed by the sheer magnitude of what the UEG Week programme has to offer, no matter how many times you’ve attended. It’s like a GI candy store — and you have an unlimited budget. 
If you do not plan ahead, you will be torn between all the exciting, cutting-edge, hot-off-the press scientific presentations, the networking and the educational events like the Postgraduate Teaching (PGT) Programme. You will be an overexcited, highly disoriented, happily zooming-around butterfly, but completely exhausted and queuing for a taxi at the end of the day to go back to your hotel and sleep (missing out on various networking social events that we’ll cover later).  
But fear not, we can fix you up.
Use the UEG Week Mobile App to structure your day and the UEG Week Pathways to help tailor your perfect programme. If you are absolutely torn between two parallel sessions, stay calm and watch the session you missed online later. Because your registration for UEG Week conveniently gives you free access to the UEG Library, which features UEG Week 24/7! 
And if you really are not a person to use a smart phone or computer, there is always the programme wall on-site in Hall 8.0 where pathways are signposted day by day to help you find your way. Furthermore, it is a great meeting spot.  

3. Not paying a visit to the Young GI Lounge (Hall 8.0) 

If you are young or already a seasoned clinician and scientist in the GI field, a visit to the Young GI Lounge to recharge and connect is highly recommended (and actually mandatory!). Not only are coffee, tea, cookies and other snacks on offer, you can also charge your phone or computer, meet interesting people and most of all attend cutting-edge events tailored to the needs of young GIs.
From checking your CV, to tips for getting your article published in UEG Journal and getting on-the-spot mentoring from experts in the field, the Young GI Lounge is the place to be.

4. Not jumping into the UEG Talent Pool 

Kickstart or refresh your career by jumping into the (heated) UEG Talent Pool, which is not only open during UEG Week, but all year round! Maybe next year you’ll be faculty? So, don’t forget your swimming gear and goggles…

5. Not attending the Young GI Network event "Let’s meet!" 

One of the worst things to happen is to be left queuing in front of the venue because you haven’t got a ticket to mingle, network and party with basically anyone who matters in the GI world (see pitfall number two). You could call it the MET Gala of Gastroenterology. Be there or be square. 

6. Not checking out the Education Booth (Hall 8.0)

Well, if you don't check out the Education Booth, you will basically be missing out on all the educational resources that will get you through the year until the next UEG Week. Like the image hub, the “Mistakes in…” series, the online courses, the UEG Library and UEG Week 24/7. Or the guideline repositories. This year, there’ll also be a fun memory game showcasing some of the images from the image hub, so why not go and try your luck to see if you can get the fastest time! 

7. Staying offline

Rookie mistake. Of course, it's great to be somewhere in person, but staying offline means you’ll be missing out on things designed to enhance your enjoyment of the meeting:
  • 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 

There are several events at UEG Week that focus on research funding opportunities. Not attending these events will deliver a serious blow to your research ambitions! Be there or get left behind ;-)
Events to look out for:
  • 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 

Seriously? There is no I in team and gastroenterology is teamwork! And what could be better for team spirit than a trip to Barcelona?!
UEG is proud to offer special fees for allied healthcare professionals and nurses as well as the UEG Week programme for nurses, so the whole team really can get involved! 

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. 

Undergraduate students benefit from our special fees and can attend the whole congress (incl. Postgraduate Teaching, Hands-on Area and Young GI Network programme) for only € 60. Register for 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. 

Treatment options for chronic hepatitis B (CHB) are mostly non-curative. Although antiviral therapy can provide adequate viral suppression, cases of functional cure (or hepatitis B surface antigen [HBsAg] loss) are limited and therefore long-term therapy is required. CHB is a dynamic disease, which means that all patients with CHB require long-term monitoring to inform treatment and management decisions. The treatment paradigm in CHB is undergoing rapid change—a number of novel agents are entering the clinical trial pipeline with the therapeutic goal of HBsAg loss or functional cure. It will be important to optimise patient management in advance of these clinical trials, and maintaining viral suppression will be an important prerequisite for many of them. In addition, viral suppression is mandated in a number of patient groups, especially those with advanced disease and cirrhosis, to prevent the complications of CHB.
Here we highlight some of the mistakes frequently made by clinicians when managing CHB and provide an evidence and experience-based approach to its management. 

Basic research training for gastroenterology researchers

A 3-day educational programme built on a platform of evidence-based medicine and adult learning principles.
Apply by January 24, 2020

 

 

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.  

Enterocutaneous and enteroatmospheric fistulae both connect the gut to the skin, but the difference between them is whether there is skin around the fistula opening (enterocutaneous) or the fistula opens onto a laparostomy wound (enteroatmospheric). Most enterocutaneous fistulae develop following surgical intervention; however, fistulae can occur spontaneously. Spontaneous fistulae typically arise with mucosal inflammation such as that occurring with Crohn’s disease, but they can also appear in patients with neoplasia, following radiation treatment, or in the presence of foreign bodies or infections (e.g. tuberculosis or actinomycosis). 
Here, we focus on the errors that can be made when managing enterocutaneous fistulae, based on our clinical experience and the available evidence. 

New & improved Basic Science Courses

Your opportunity! Your chance to select the topic that best matches your research focus!
Find out more

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? 

The Rising Star Award gave me the visibility at the national stage and helped locally to propel my academic career. The award confirmed my choice to enter gastroenterology as a medical specialisation and GI research as a topic of clinical investigation. It also catapulted me into UEG as an organisation. After the award ceremony, I was asked by Reinhold Stockbrügger to sit with the "Young Investigator Meeting" and that really caught my interest in UEG. As such, being a Rising Star allowed me to compete for leadership roles within UEG that would have been difficult to do without the award. 
Joost PH Drenth, The Netherlands, Rising Star 2004


What meant winning the UEG Rising Star Award to you and how has your career developed since you received the award?

The logical answer would be “a lot”. On the other hand, I have to say “really a lot”, indeed. There are different reasons to say that. First, the competition is very tough and the selection process, too. So, winning the award means that you did a great job and it is great that a European expert community appreciated that. Second, usually you are well known in your research field and, more in general, in your country. However, winning the UEG Rising Star Award gives you the opportunity to be known by the whole European medical community, and this helps to increase your visibility and enlarging your contacts for new amazing collaborations. Third, UEG keeps very much in mind who won the UEG Rising Star Award and makes lots of efforts to involve them and to support their activities. In practice, this means a lot for your research or clinical activity. In conclusion, I have to say that the UEG Rising Star Award is a great opportunity and the decision to apply for that was one the best one I took in my life! Good luck with your application!
Edoardo Vincenzo Savarino, Italy, Rising Star 2016


What is the right moment and career stage to apply for the Rising Star Award and what will increase candidates’ chances to receive it?

I find it difficult to pinpoint the right moment or career stage to apply for UEG’s Rising Star Award. After all, there are so many different paths to a successful career! In any case, I believe a critical aspect is to show that you have a vision. You might still only have one or two key publications in your CV, but if you appropriately describe how these are having a major impact in your field, while further fueling your independence, I would say your chances of being awarded will greatly increase. On this note, getting involved with UEG activities, namely those promoted by UEG Education and the Young Talent Group, may help in both expanding and solidifying your track record and individuality. This type of undertakings shows how passionate you are about your work and career, an essential pre-requisite for thriving as a successful scientist. This will certainly transpire in your application.
Rui Castro, Portugal, Rising Star 2015


Do you have any tips for Rising Star Award applicants? What should they consider and what should they focus on? 

First of all, it is crucial to make yourself familiar with the content of the application form and the required formalities. This includes having an updated list of publications and H-index. Then, you should think carefully about how you want to present yourself and your research. This is the most important part of the application and it might be helpful to consult a mentor/senior colleague to get the broad view of your research accomplishments. Then you need to work on presenting this in a short but precise way. Again, it can be helpful to show the text to colleagues and get their feedback.
Johan Burisch, Denmark, Rising Star 2019


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?

There are two key tips that I would like to give researchers aspiring to become a Rising Star:
Firstly, choose your supervisor and mentor very wisely. Make sure that your supervisor/mentor has a track record of developing and supporting young researchers and also has time to dedicate for you.
Secondly, try to spend some time abroad, even if this is for a few months (obviously the longer the better) in a centre of excellence where you can learn a research technique and complete a research project. This is an important step in establishing a longstanding collaboration, becoming an independent researcher and increasing your research productivity. Finally, attend international congresses (such as UEG) to get inspiration and research ideas.
Emmanuel Tsochatzis, Greece, Rising Star 2014


How did you experience receiving the Rising Star Award and presenting your research on the stage?

I was leaving home after a very busy day attending my patients with pancreatitis. I closed my office’s door and checked my email on my smartphone. There it was, a message starting with the sentence: "UEG Rising Star Award 2017: Congratulations". It was absolutely awesome and I embraced a colleague who was nearby. The UEG Rising Star Award is very special to me, because it recognizes the effort of young people trying to advance in the field of research, to develop their own line of investigation, to lead projects and collaborate with other colleagues. The most important part of my talk was my last slide: I thanked my Mentor Miguel Pérez-Mateo, who died in 2008. He told me the most important tips and concepts about a research career, encouraged me to be active in education and research, and always supported me, it was the perfect moment to remember him.
Enrique de-Madaria, Spain, Rising Star 2017


Has the Rising Star Award made an impact on your career so far?

I was very honoured to receive the UEG Rising Star award in 2018 after being nominated by the European Pancreatic Club. For me the award is all about exposure and connections. It is not merely a recognition of past achievements but a real boost for my career. It gave me the opportunity to expose my research at the UEG week where I could reach out to an audience of basic scientists and clinicians working in different areas of gastroenterology. Moreover, UEG delegated me in 2019 to attend the annual meeting of the Japanese Society for Gastroenterology, a truly unique opportunity meeting new colleagues and establish new connections in a country I never had visited before. 
Ilse Rooman, Belgium, Rising Star 2018


What was your motivation to apply for the Rising Star Award and what are your expectations?

I was inspired to apply for the Rising Star Award as I am well aware of the UEG and the fantastic work they do, as well as having admiration for previous Rising Stars. As one of a pair of clinically active parents I have worked tremendously hard to establish my research programme and my independence. Following my lab’s recent successes, with the support of mentors and my national society the time was right to put myself forward for this prestigious award. By nature it is normal to question and I think often underestimate what you have achieved, but you have to be brave, back yourself and apply for awards like this. Winning this award has been a tremendous honour. It genuinely helps forge my confidence, quashing some of those inevitable doubts about what I have devoted my career towards. It is a great opportunity to share my current research and ideas with a wide audience and fantastic stepping stone for my ongoing translational research.  
Thomas Bird, UK, Rising Star 2019
Neurogastroenterology is one of most enigmatic subfields of gastroenterology. I have devoted my past 10 years to the study of innervation, neuroplasticity and neuro-inflammation in the enteric nervous system, particularly in the pancreas and large intestine.  The UEG Rising Star Award will enhance my visibility, open new possibilities for building novel research networks, and thereby increase my chances to make even greater contributions to the field in the near future. Owing to the active integration of the awareness to the organization and course of the congress, I will closely interact with promising researchers from all around the world and get inspiration from their brilliant ideas for my research. I therefore think that the biggest advantage of being a Rising Star is the unique networking opportunity behind it. 
Ihsan Ekin Demir, Germany, Rising Star 2019
Attend the “Rising Stars in gastroenterology and hepatology from Europe and Japan” session in the Young GI Lounge at UEG Week Barcelona 2019, and join the informal get-together with the presenters at the end of the session!

Women in endoscopy

Marianna Arvanitakis talks about the situation and obstacles for women in interventional endoscopy.

Marianna Arvanitakis is an Associate Clinical Professor in the Department of Gastroenterology, Hôpital Erasme, Brussels and specialises in pancreatic disease, nutrition and endoscopy.

In this video, YTG member Ivana Mikolasevic talks to her about the situation and obstacles for women in endoscopy, in particular interventional endoscopy.
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