Liver

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

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Events & Training

19 Oct | UCLH, Education centre, 250 Euston Road

BSG AYP Study Day London 2022

This one day event will take place in UCLH, London, and is being delivered by...continue reading
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16 Sep | Royal College of Physicians and Surgeons of Glasgow

Endorsed Event: Glasgow Gastro Conference 2022

Celebrating its fifth year, we are delighted to announce our endorsement of Glasgow Gastro 2022,...continue reading
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16 Sep | RCP, 11 St Andrews Pl, London NW1 4LE

BSG HPB Trainees Symposium

Join us for this one-day conference on 16th September, organised by the BSG Pancreas Committee,...continue reading
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All events

Jul 14 | Online Event

BASL / BSG Alcohol Use Disorder Webinar Series

About This series of 6 webinars (hosted on Zoom) will discuss different elements of the...continue reading
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