Consultant Gastroenterologist | PhD health service delivery | Therapeutic endoscopy 🔭 | Polypectomy 🌳 | Once described as ‘high yield’

London
Joined July 2009
🔁 Revisiting a hidden gem from our recent releases Visceral artery pseudoaneurysms 🩸 Uncommon, often missed — but can be catastrophic. 🧠 Spot it radiologically 💥 Treat fast 👥 MDT essential Brilliant review by @Sam_Pannick and team — a must-read for anyone dealing with GI bleeding. 📖 fg.bmj.com/content/early/202… #FGInPractice #Gastroenterology #InterventionalRadiology #MedTwitter @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media @my_ueg @EsgarSociety
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🚨 Check out this fantastic new review by @Sam_Pannick and team on visceral artery pseudoaneurysms 👏 🎉. Essential reading for any gastroenterologist 🤓 ✅ Can cause life threatening bleeding 🩸 ✅ Best diagnosed and treated radiologically 🩻 ✅ You need a good MDT approach 👥 fg.bmj.com/content/early/202… @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media #GITwitter #gastroenterology #Endoscopy #EUS #MedEd
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Great to work with established (not old 😂) friends on this fantastic review of visceral artery pseudo-aneurysms. Can often catch out unsuspecting gastroenterologists & needs a good interventional radiology team for best treatment @FrontGastro_BMJ fg.bmj.com/content/early/202…
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Amazing #uegweek rounded off with top case discussions by @robertamaselli1 and @ugogrossi Great to hear about the surgical ship, see a friend from #EVKDüsseldorf and finally meet @drkeithsiau! Congratulations to @my_ueg for a fantastic event – at Vienna, Austria
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This was an unbelievably assured presentation. High quality science and expertly discussed - worthy prize winner! 🥇 👏@IBDMD @DCharabaty
Thrilled to share that I presented our study, “FIRST MECHANISTIC STUDY TO COMPARE THE EFFECTS OF JAK INHIBITOR AND ANTI-TNF THERAPY ON MICROVASCULAR FUNCTION. DOES THE MECHANISM OF THE DRUG PLAY A ROLE?” at #UEGweek today and won Best Abstract in the #JAKinhibitors & treatment of #IBD category! Grateful for this incredible conference and the opportunity to connect with such inspiring senior researchers The biggest and most sincere thank you to my mentor @SinhIBD for this opportunity!
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Thrilled to share that I presented our study, “FIRST MECHANISTIC STUDY TO COMPARE THE EFFECTS OF JAK INHIBITOR AND ANTI-TNF THERAPY ON MICROVASCULAR FUNCTION. DOES THE MECHANISM OF THE DRUG PLAY A ROLE?” at #UEGweek today and won Best Abstract in the #JAKinhibitors & treatment of #IBD category! Grateful for this incredible conference and the opportunity to connect with such inspiring senior researchers The biggest and most sincere thank you to my mentor @SinhIBD for this opportunity!
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6-month post-op ileocolonoscopy 🔭 is still THE gold standard for assessing post-op Crohn's recurrence. But watch out for intestinal ultrasound making waves 👀 The main challenge is all the new surgical anastomotic techniques - our endoscopic scores haven't kept up 🏎️ #uegweek
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When's the right time to stop 🚬 in Crohn's? NOW! DNA 🧬 damage from smoking is long-lasting ⏰ and makes post-op 🏥 Crohn's recurrence much more likely. Recent ex-smokers may need aggressive treatment to prevent recurrence, same as current smokers #IBD #UEGWeek
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Understanding, investigating and treating evacuation disorders - interesting roles for prucalopride & bisacodyl in changing rectal physiology #uegweek
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Great to come to Vienna and see northwest London on the main stage! Ms Emma Carrington @ImperialNHS encouraging early referrals to IBD surgery - builds patient rapport and allows time for anaesthetic & surgical team to assemble #uegweek
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The safest drug is the one that works - early treatment in moderate-severe Crohn's in the PROFILE study was more effective and had fewer adverse events #UEGWeek
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Hugely impressive multi-year study looking at pre-diagnostic immune system signatures in #IBD. Over 160,000 people took part #UEGWeek
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Combination of top-quality cutting edge science and high end walk-on effects only at #uegweek
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UGI bleed hot takes Endoscopy sweet spot probably still 12-24 hours - worse outcomes before that 🔭⏰ Lower prevalence of gastric ulcers with DOACs compared to warfarin, even without antiacid Rx H.pylori aetiology may affect clinical interpretation of GBS score #UEGWeek
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US program leaders - are there any highlights you'd want to see in a recommendation letter for a UK graduate applying for PGY-1? My trainee is crossing the pond and I want to make sure we give him the best support. @BilalMohammadMD @kidney_boy @neilRsharmaMD @tberzin
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Goodbye KleanPrep old friend ☹️ Shame to have a useful product discontinued, even though it was now our 2nd or 3rd line option. What's your 2nd line bowel prep going to be?
45%Plenvu
45%Extra Moviprep
9%Extra Movicol first
11 votes • Final results
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Is FIT test performance affected by haemoglobinopathies? @kevinjmonahan @drahmirahmad @GI_Pearls @stevenbollipo
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