Imagine the surgeon doing liposuction, shaking the fat to break it down, and injecting it via an endoscope to close a fistula. This works, and the concept is known as autologous nano-fat transplantation. This case presented by Dr Rushil Solanki at #UEGWeek shows how this is used to close a refractory fistula in a 24 year old lady with Crohn’s disease. By injecting adipose-derived stromal cells, we can now promote tissue regeneration rather than simply closing defects. Say hello to the era of regenerative endoscopy 👏🌟 #ESGEatUEGWeek

Saw a patient today - male, 30s, presented to his GP with severe anxiety and no other symptoms. GP somehow tested for coeliac disease which came back strongly positive. TSH, Hb, ferritin all normal. Anxiety improved after gluten free diet. Has anyone else heard of this?

A public health warning during BBQ season 🚨⚠️ BBQ cleaning brushes is a potential health hazard, leading to approximately 130 hospital visits in the US each year. Most injuries occur when detached wire bristles stick to grilled food and are inadvertently swallowed. These thin bristles, often 1–2 cm long, are sharp and difficult to see on plain X-rays, leading to delayed or missed diagnosis. Clinical presentations causes by wire bristles include: 1. Oropharyngeal or tonsillar impaction, leading to throat pain or problems swallowing. 2. Hypopharyngeal or oesophageal penetration. 3. Migration into soft tissues of the neck + abscess formation. 4. GI perforation of the oesophagus, stomach or small bowel. 5. Migration into the gallbladder has also been reported, caused by a wire fistulation through the stomach. Bottom line: be careful when cleaning the BBQ this summer - avoid using these brushes if possible. Consider this in a patient with unexplained throat pain after a BBQ. 📹: The Good Doctor