BSG at UEGWeek 2018 Our society was well represented as this year's UEGWeek event, which took place in Vienna, Austria.

This collection features reports from our bursary recipients and photos from award ceremonies. BSG members Drs James Lee and Adam Farmer were both recognised as UEG's Rising Stars of 2018.

Drs James Lee (top left) and Adam Farmer (top right) at the UEG Week 2018 Conference in Vienna, Austria.

Dr. James Lee's application for the Rising Stars Award was supported by the BSG's Research Committee in 2017. The 2018 report from UEG is available here. Watch his interview below.

Bursary Recipients

Our Education Committee supported the travel and accommodation costs of attending #UEGWeek2018 for 5 BSG members. Read snippets of their reports below.

Author: Yulrich dela Cruz, Upper GI Nurse Endoscopist

"The 22nd European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) conference which was held in conjunction with the 26th United European Gastroenterology (UEG) week in Vienna, Austria was an exceptional educational event. Various topics were covered during the conference from the value of nursing in endoscopy and gastroenterology, to measuring service performance, delegation to unregistered staff, and mentoring and training in order to retain and sustain the endoscopy workforce. Equally interesting were the discussions on future trends in endoscopy, like the use of artificial intelligence and microbiome therapy. Hands-on training on bio-simulators have also been made available to conference participants interested in learning endoscopic techniques like polypectomy, ligation, and clipping.

The ESGENA conference and the UEG week as a whole was an excellent venue for me to learn about new trends and developments in gastroenterology and endoscopy. The questions and comments from the audience after each session kept things interesting and interactive and enabled participants to benchmark their own practices against current guidelines and emerging trends. Moreover, it allowed me to meet other colleagues not only from Europe, but also Iran and Australia, thereby expanding my professional network.

For me, the session that was most valuable was the free paper session where several speakers from different parts of Europe, including myself, presented abstracts about interesting projects and studies in gastroenterology and endoscopy. My abstract, which was about my 7-month journey from Endoscopy Nurse to Nurse Endoscopist, was selected from a pool of thirty entries. Authors of successful entries were asked to present their abstract during the conference’s free paper session. In my presentation, I shared about my experience in Health Education England’s clinical endoscopist training, highlighting both the challenges I faced and the support mechanisms that helped me successfully complete the said fast-track programme.

It was helpful not only because I was able to share about my experience, but because I felt it initiated further discussion or at least sparked interest on nurses becoming endoscopists through an intensive, fast-track training pathway. Similarly, the presentations from other authors, like process optimisation in endoscopy and preparing patients with autism for endoscopic procedures, were also thought-provoking and made me realise how much more I can learn from others.

Managing to win best paper for abstract-based presentations was icing on top of an already amazing conference. It was a pleasant surprise, and as a prize, I will receive free registration and free one night hotel stay for the next ESGENA conference in Barcelona, Spain."

Photos submitted by Yulrich dela Cruz.

Author: Dr James Hawken, Gastroenterology Registrar

Attending UEG Week 2018 for the first time was a real privilege. It was a conference packed with highly relevant talks in a wide range of topics. The atmosphere was vibrant, stimulating but also relaxed. I was able to refresh my knowledge in some areas and gained new insights in others. The sessions managed to combine relevant guidelines, expert opinion and new developments, making it a very educational few days.

My personal conference highlights were:

• Peri-anal Crohn’s Disease: In the last few months I have been involved with the care of a few patients with difficult to treat peri-anal Crohn’s so was keen to attend this session. The talks were structured from radiological, medical and surgical perspectives, emphasising the importance of the multi-disciplinary team in managing the condition. From a gastroenterology perspective, the role of antibiotics, immunomodulators and biologics was discussed including the evidence base for different treatment modalities.

• Updates in Cirrhosis: On the final afternoon I attended Updates in Cirrhosis. This covered a range of topics including management of varices, management of ascites and screening for HCC. Both guidelines and personal perspectives were given. This session was full of useful information to take away and use in day-to-day practice. My number one ‘Take Home Message’ was about TIPS and the potential benefits of ‘Early’ TIPS over ‘Rescue’ TIPS, based on a recent study by Thabut et al, published this year in the Journal of Hepatology.

• Foreign Bodies - A forgotten Emergency: A fascinating session on the management of swallowed foreign bodies, which included practical advice on what to do when a patient is admitted with a swallowed razor blade, battery or food bolus. The management of body packers was also discussed. This topic does not seem to be frequently covered and as such was refreshing and informative.

• Young GI Network: I will be sitting the ESEGH in 2019 and was pleased to see that the Young GI Network had arranged a session on preparing for the exam. We heard from both sides, with talks given by Examiners and a trainee who recently sat the exam. I left with a clearer idea of what the exam entails and which resources to draw on in preparation.

• Clinical Case Presentation: On the final day of the conference I put up clinical case poster presentation, regarding a patient with chronic gastrointestinal bleeding from angiodysplasia associated Acquired von Willebrand Syndrome. He was successfully treated with immunoglobulins and rituximab. There was a lot of interest in the poster and I had some interesting conversations with gastroenterologists from a number of countries, including Canada and Mexico.

Author: Dr Sophie Arndtz, Clinical Fellow in Luminal Endoscopy

I attended UEG Week 2018 in Vienna on receipt of a BSG Education Committee Travel Bursary. I had not attended an international meeting before, however my sub-specialist interest in advanced endoscopy and current post as a research fellow had make me increasingly aware of the need for international collaboration and dissemination of new findings and best practice.

In addition to the scientific programme, there was opportunity for networking at the Young GI Network’s “Let’s Meet” event, where colour-coded GI themed wristbands were issued as part of an ice-breaker activity to encourage interaction between different nationalities and sub-specialities.

Overall, I found the meeting to be of excellent education value and returned home with increased knowledge and understanding to improve my own clinical care and inspire my ongoing clinical research activity.

Author: Dr Tom Butler, Academic Clinical Fellow & ST3 Gastroenterologist

I had the privilege to attend United European Gastroenterology Week in Vienna, thanks to a bursary from the British Society of Gastroenterology. I presented my poster presentation entitled ‘gut inflammation demonstrates a diurnal rhythm and the clock is disrupted in a murine model of colitis’, based on research collected during my academic clinical fellowship at the University of Manchester.

The conference had some great sessions that highlighted our close relationship with surgical colleagues. UEG Week was opened by Professor of Surgery Andre D’Hoore from Belgium. He discussed the considerations required when approaching surgical management in IBD as well as the various advancements in surgical approach in the last few years. This included new techniques for anastomosis and stricturoplasty.

I was inspired by the wealth of innovative clinical trials in gastroenterology. The abstract prize-winner was Nicolein Schepers, presenting the multi-centre APEC trial to determine a difference between ERCP with sphincterotomy versus conservative treatment in severe acute biliary pancreatitis without cholangitis. There was no difference in the primary outcome of composite death and severe complication. The dissemination of negative trial results is vital to protect patients and avoid unnecessary intervention.

The best session at UEG Week was the Mistakes in… topic, as an extension of the great learning resource on the UEG website. Experts discussed a topic based around the common misconceptions. For example, in Crohn’s Disease, Tim Raine from Cambridge highlighted that oral 5-ASAs have no role in maintenance of medical remission in Crohn’s Disease. In ‘mistakes on call’, Xavier Dray highlighted the importance of CT scan, rather than emergency endoscopy in triaging patients after caustic ingestion. Highlighting common misconceptions in routine management are just as important as introduction of new cutting edge therapies.

Overall, UEG Week was a great experience and I left with further knowledge to manage patients and further ideas to orientate my research interests.

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