Welcome to the Liver hub. On this page, you will find access to the latest liver clinical guidelines and guidance. You will also find the latest relevant news, articles and events.
You can find information on the Liver 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
BSG Alcohol Lead Steven Masson reflects on the latest report from a Westminster Parliamentary Commission on alcohol harm.
Latest Hepatology COVID-19 Advice
BSG Best Practice Document: Hepatocellular Carcinoma (HCC) Surveillance during the COVID-19 Pandemic
Latest Liver Guidelines
Guidelines on the use of liver biopsy in clinical practice from the British Society of Gastroenterology, the Royal College of Radiologists and the Royal College of Pathology
Events & Training
17 Jan | Online Event
Give us a "clue" - Clinical Endoscopist, Lower & Upper GI Endoscopy UpdateThis course is aimed at Clinical Endoscopists (formerly known as Nurse Endoscopists) but also would...continue reading
16 Nov | Online Event
Introduction to IQILS AccreditationThe IQILS accreditation programme will be hosting a virtual event for liver services in the...continue reading
17 Mar | Woodland Grange, Old Milverton Ln, Leamington Spa CV32 6RN