Elizabeth Ratcliffe
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View article: Acute upper gastrointestinal bleeding in the UK: 2022 audit update
Acute upper gastrointestinal bleeding in the UK: 2022 audit update Open
Background Acute upper gastrointestinal bleeding (AUGIB) is a common medical emergency with evolving demographics and management strategies, particularly in medical/endoscopic therapy and transfusion strategies. Objective To provide key da…
View article: Systematic mapping of registered interventional studies addressing the top 10 research priorities in Barrett’s oesophagus and gastro-oesophageal reflux disease
Systematic mapping of registered interventional studies addressing the top 10 research priorities in Barrett’s oesophagus and gastro-oesophageal reflux disease Open
Objectives The top 10 research priorities (RPs) for Barrett’s oesophagus (BO) were published in 2017. This study aimed to identify the current research landscape on addressing RPs. Design Systematic mapping review. Data sources ClinicalTri…
View article: Long-term outcomes of endoscopic submucosal dissection for gastric dysplasia and early neoplasia in a United Kingdom Caucasian population
Long-term outcomes of endoscopic submucosal dissection for gastric dysplasia and early neoplasia in a United Kingdom Caucasian population Open
BACKGROUND Endoscopic submucosal dissection (ESD) is increasingly used to treat gastric dysplasia and early neoplasia in the West. Unlike Eastern countries, data for Caucasian patients in the United Kingdom is limited due to its limited im…
View article: Gaps in acute upper GI bleed (AUGIB) endoscopy training: a UK trainees and trainers’ survey
Gaps in acute upper GI bleed (AUGIB) endoscopy training: a UK trainees and trainers’ survey Open
Introduction Trainees report inadequate exposure and training barriers in acute upper gastrointestinal bleed (AUGIB) endoscopic management. This UK-wide survey evaluated the experiences of trainees and trainers in AUGIB endoscopy training.…
View article: Incidence and Predictors of Acute Kidney Injury Following Advanced Ovarian Cancer Cytoreduction at a Tertiary UK Centre: An Exploratory Analysis and Insights from Explainable Artificial Intelligence
Incidence and Predictors of Acute Kidney Injury Following Advanced Ovarian Cancer Cytoreduction at a Tertiary UK Centre: An Exploratory Analysis and Insights from Explainable Artificial Intelligence Open
Background/Objectives: The incidence of acute kidney injury (AKI) following advanced epithelial ovarian cancer (EOC) surgery has not been extensively studied. This study aimed to investigate the incidence of AKI and identify preoperative a…
View article: UK endoscopy trainer survey: perspectives on current endoscopy training delivery, experience, barriers and opportunities
UK endoscopy trainer survey: perspectives on current endoscopy training delivery, experience, barriers and opportunities Open
Objective UK endoscopy training is delivered by trainers possessing well developed endoscopy and teaching skills to help learners perform high-quality endoscopy. Train The Trainer (TTT) courses are effective, but additional trainer support…
View article: Using Saliva Epigenetic Data to Develop and Validate a Multivariable Predictor of Esophageal Cancer Status
Using Saliva Epigenetic Data to Develop and Validate a Multivariable Predictor of Esophageal Cancer Status Open
Background: Salivary epigenetic biomarkers may detect esophageal cancer. Methods: A total of 256 saliva samples from esophageal adenocarcinoma patients and matched volunteers were analyzed with Illumina EPIC methylation arrays. Three datas…
View article: Dedicated endoscopy for Barrett’s esophagus randomized blinded pilot study: comparing a dedicated Barrett’s surveillance service with standard care
Dedicated endoscopy for Barrett’s esophagus randomized blinded pilot study: comparing a dedicated Barrett’s surveillance service with standard care Open
Background and Aims Barrett's esophagus endoscopic surveillance is prone to poor guideline adherence. This study was undertaken to obtain pilot data comparing standard care with a dedicated Barrett's endoscopy service. Methods Adults with …
View article: UK-wide survey of gastroenterology and hepatology trainees in 2022: endoscopy, workforce planning and the Shape of things to come
UK-wide survey of gastroenterology and hepatology trainees in 2022: endoscopy, workforce planning and the Shape of things to come Open
Objective Shape of Training has shortened the gastroenterology curriculum in the UK from a 5 to 4-year programme. There are ongoing concerns that this will negatively impact training and the attainment of competencies expected at consultan…
View article: Dedicated service for Barrett’s oesophagus surveillance endoscopy yields higher dysplasia detection and guideline adherence in a non-tertiary setting in the UK: a 5-year comparative cohort study
Dedicated service for Barrett’s oesophagus surveillance endoscopy yields higher dysplasia detection and guideline adherence in a non-tertiary setting in the UK: a 5-year comparative cohort study Open
Objective Barrett’s oesophagus (BO) endoscopic surveillance is performed to varying quality, dedicated services may offer improved outcomes. This study compares a dedicated BO service to standard care, specifically dysplasia detection rate…
View article: Quality of life measures in dysplastic Barrett’s oesophagus are comparable to patients with non-dysplastic Barrett’s oesophagus and do not improve after endoscopic therapy
Quality of life measures in dysplastic Barrett’s oesophagus are comparable to patients with non-dysplastic Barrett’s oesophagus and do not improve after endoscopic therapy Open
Objective Barrett’s oesophagus (BO) is a precursor lesion, via dysplastic phases, to oesophageal adenocarcinoma. Although overall risk from BO is low, it has been shown to adversely affect health-related quality of life (HRQOL). The aim wa…
View article: JAG consensus statements for training and certification in colonoscopy
JAG consensus statements for training and certification in colonoscopy Open
Introduction In the UK, endoscopy certification is awarded when trainees attain minimum competency standards for independent practice. A national evidence-based review was undertaken to update and develop standards and recommendations for …
View article: JAG consensus statements for training and certification in flexible sigmoidoscopy
JAG consensus statements for training and certification in flexible sigmoidoscopy Open
Introduction Joint Advisory Group (JAG) certification in endoscopy is awarded when trainees attain minimum competency standards for independent practice. A national evidence-based review was undertaken to update standards for training and …
View article: Development and validation of a multivariable risk factor questionnaire to detect oesophageal cancer in 2-week wait patients
Development and validation of a multivariable risk factor questionnaire to detect oesophageal cancer in 2-week wait patients Open
We have developed and validated a risk stratification tool using a questionnaire approach. This could aid prioritising patients at high risk of having oesophageal cancer for endoscopy. Our tool could help address endoscopic backlogs caused…
View article: Dedicated services for Barrett’s esophagus—a survey and service assessment of provision in United Kingdom hospitals
Dedicated services for Barrett’s esophagus—a survey and service assessment of provision in United Kingdom hospitals Open
Elizabeth Ratcliffe, Yong Liew, Jen Kuan, Yeson Kim, Maja Kopczynska, James Britton, John McLaughlin, Shaheen Hamdy, Yeng Ang
View article: Developing patient-orientated Barrett’s oesophagus services: the role of dedicated services
Developing patient-orientated Barrett’s oesophagus services: the role of dedicated services Open
Introduction Barrett’s oesophagus (BO) is common and is a precursor to oesophageal adenocarcinoma with a 0.33% per annum risk of progression. Surveillance and follow-up services for BO have been shown to be lacking, with studies showing in…
View article: UK-wide study of the opinions of gastroenterology trainees: COVID-19, Shape of Training and the future workforce
UK-wide study of the opinions of gastroenterology trainees: COVID-19, Shape of Training and the future workforce Open
Introduction The COVID-19 pandemic has disrupted training. Gastroenterology higher specialty training is soon to be reduced from 5 years to 4. The British Society of Gastroenterology Trainees Section biennial survey aims to delineate the i…
View article: OTU-15 BSG trainees section survey 2020 – the impact of COVID-19 on UK gastroenterology training
OTU-15 BSG trainees section survey 2020 – the impact of COVID-19 on UK gastroenterology training Open
Introduction The impact of the COVID-19 pandemic has disrupted training during the initial peak and partial recovery. Gastroenterology higher speciality training (HST) is reaching an inflection point with a reduction from five years to fou…
View article: PTH-71 Exploring the role of dedicated services for Barrett’s oesophagus care in UK NHS hospitals
PTH-71 Exploring the role of dedicated services for Barrett’s oesophagus care in UK NHS hospitals Open
Introduction Barrett's oesophagus (BO) services in the UK are run with different models. Though it is not currently advised in guidelines, studies suggest a benefit from dedicated services showing better adherence to surveillance protocols…
View article: PTU-83 The Gastroenterology and Hepatology Higher Specialist Trainee workforce 2020 – the issues our trainees face
PTU-83 The Gastroenterology and Hepatology Higher Specialist Trainee workforce 2020 – the issues our trainees face Open
Introduction The COVID-19 pandemic has had a significant impact on workforce, morale and training. Even prior to this, there were considerable challenges facing gastroenterology training due to the shape of training initiative. Methods The…
View article: Endoscopy training in the UK pre-COVID–19 environment: a multidisciplinary survey of endoscopy training and the experience of reciprocal feedback
Endoscopy training in the UK pre-COVID–19 environment: a multidisciplinary survey of endoscopy training and the experience of reciprocal feedback Open
Objective Training in gastrointestinal endoscopy in the UK occurs predominantly in a real world one-to-one trainer to trainee interaction. Previous surveys have shown surgical and gastroenterology trainees have had mixed experiences of sup…
View article: How can gastroenterology training thrive in a post-COVID world?
How can gastroenterology training thrive in a post-COVID world? Open
Gastroenterology training is understandably arduous. The UK Gastroenterology curriculum spans diseases of the liver, luminal gastrointestinal (GI) tract and pancreatobiliary system. Trainees must complete periods of specialty nutrition and…
View article: Gastroesophageal reflux disease and Barrett’s oesophagus: an overview of evidence-based guidelines
Gastroesophageal reflux disease and Barrett’s oesophagus: an overview of evidence-based guidelines Open
Gastroesophageal reflux disease is an extremely common condition worldwide, with the published prevalence rates varying from 2.5% in China to 51.2% in Greece. Its economic and morbidity burden is vast, and optimizing care for this conditio…
View article: Biotechnology and Bioengineering: Volume 116, Number 5, May 2019
Biotechnology and Bioengineering: Volume 116, Number 5, May 2019 Open
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