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Endoscopy

Welcome to the endoscopy hub.  On this page, you will find access to the latest endoscopy clinical guidelines and guidance.  You will also find the latest endoscopy news and articles and any relevant events.

You can find information on the Endoscopy Section Committee on their page.

MHRA alert regarding N-butyl-2-cyanoacrylate (Histoacryl)

The MHRA has issued an alert regarding N-butyl-2-cyanoacrylate (Histoacryl) after being notified about problems with batches that have failed to polymerise when deployed. They have also warned of potential supply problems in the near future. Cyanoacrylate is recommended in the BSG 2015 guidelines for the management of gastric variceal haemorrhage in cirrhotic patients (level 1a, grade A). Thrombin can also be considered, albeit with a weaker evidence base (level 4, grade C). Many units around the UK already use thrombin (FlosealTM) and Endoscopy Units may wish to consider having this available as an alternative to cyanoacrylate for patients with bleeding gastric varices until the situation is resolved.

The BSG does not routinely issue drug or device alerts but in this instance, all members should be aware of the problems with Histoacryl to allow forward planning, given the often life-threatening and emergency nature of gastric variceal haemorrhage.

Ian Penman, VP Endoscopy
John Dillon, VP Hepatology

Advanced Endoscopy Fellowships

As we continue to restart our service provision following the COVID-19 pandemic, one of the issues for the gastroenterology specialty will be the repercussions for endoscopy training.

To support our trainees, BSG is developing a central database of all advanced endoscopy fellowships in the UK & Ireland to be hosted on the BSG website. This will enable trainees to access information on a single portal, and plan their future careers in endoscopy.

View the latest endoscopy fellowships here

COVID-related endoscopy research studies and audits – are you interested?

COVID-19 has had a major impact on GI endoscopy. There are many challenges we face to establish sufficient endoscopy capacity going forwards. Solutions will involve new ways of working and utilising novel technologies. We have been overwhelmed (but not surprised) by the enthusiasm of colleagues with positive ideas and the range of diverse proposals from around the UK.

To address endoscopy in a COVID-19 world we have established a BSG Endoscopy COVID  Research Group (as part of the existing Endoscopy CRG) which will oversee our strategy to ensure that whatever we do has a clear and strong evidence base – and where that does not exist- embed research or audit within any service changes.

We are very keen to make sure that good ideas and research work progress collaboratively and have the potential for maximal benefit for patients and service delivery. We wish to avoid duplication and ensure that groups are not reinventing the wheel and this programme of work will be inclusive and collaborative. We have established a series of Working Groups (WG). If you would like to be involved in any of this work or have ideas or suggestions, please contact as below:

Colin Rees (Chair, BSG Endoscopy clinical Research Group)

Ian Penman (VP Endoscopy, BSG)

Latest News

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BSG 2021 Annual Meeting Online – Abstract Guidance

Join us in celebrating Digestive Health Month!

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14 Jul | Online Event

Sustainability in Gastroenterology Webinar and the BSG AGM

Sustainability in Gastroenterology Join us on 14th July for our webinar on Sustainability in Gastroenterology....continue reading
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Events & Training

27 May | Online Event

Endorsed Event: Current Issues and Considerations in Endoscope Decontamination

We are delighted to endorse the Current Issues and Considerations in Endoscope Decontamination virtual education...continue reading
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03 Jun | Online Event

Clinical Nutrition in the Prevention and Treatment of Disease

Join us for our first BSG webinar focusing on nutrition. This webinar is free to...continue reading
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10 Sep | Royal College of Physicians and Surgeons of Glasgow

Endorsed Event: Glasgow Gastro 2021

We are delighted to endorse the Glasgow Gastro 2021 event, run by the Royal College...continue reading
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