Ian Penman
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View article: Multimethod study of Endoscopic Retrograde Cholangio Pancreatography (ERCP) service delivery: stakeholder perspectives on opportunities for quality improvement
Multimethod study of Endoscopic Retrograde Cholangio Pancreatography (ERCP) service delivery: stakeholder perspectives on opportunities for quality improvement Open
Background and aims Endoscopic Retrograde Cholangio Pancreatography (ERCP) is a technically challenging and relatively risky procedure. The British Society of Gastroenterology ERCP Endoscopy Quality Improvement Programme was established to…
View article: Clinical application of capsule sponge testing in symptomatic reflux disease: a national prospective cohort study
Clinical application of capsule sponge testing in symptomatic reflux disease: a national prospective cohort study Open
Capsule sponge testing is effectively at identifying the 30% of symptomatic reflux patients requiring further investigation with UGI endoscopy and aiding the diagnosis of Barrett's oesophagus in clinical practice. Judicious follow-up of th…
View article: 501. CLINICAL APPLICATION OF OESOPHAGEAL CELL COLLECTION DEVICE AND BIOMARKER TESTING IN SYMPTOMATIC REFLUX DISEASE: A NATIONAL RETROSPECTIVE COHORT STUDY
501. CLINICAL APPLICATION OF OESOPHAGEAL CELL COLLECTION DEVICE AND BIOMARKER TESTING IN SYMPTOMATIC REFLUX DISEASE: A NATIONAL RETROSPECTIVE COHORT STUDY Open
Background Oesophageal cell collection device (OCCD) and biomarker testing was implemented nationally across Scotland in 2020 following the COVID-19 pandemic for symptomatic reflux patients referred to secondary care. Collected cells under…
View article: Oesophageal cell collection device and biomarker testing to identify high-risk Barrett's patients requiring endoscopic investigation
Oesophageal cell collection device and biomarker testing to identify high-risk Barrett's patients requiring endoscopic investigation Open
Background Barrett's oesophagus surveillance places significant burden on endoscopy services yet is vital to detect early cancerous change. Oesophageal cell collection device (OCCD) testing was introduced across Scotland for Barrett's surv…
View article: National adoption of an esophageal cell collection device for Barrett’s esophagus surveillance: impact on delay to investigation and pathological findings
National adoption of an esophageal cell collection device for Barrett’s esophagus surveillance: impact on delay to investigation and pathological findings Open
Summary High quality Barrett’s esophagus surveillance is crucial to detect early neoplastic changes. An esophageal cell collection device (OCCD) was introduced as a triage tool for Barrett’s surveillance. This study aims to evaluate whethe…
View article: Tailoring follow-up endoscopy in patients with severe oesophagitis
Tailoring follow-up endoscopy in patients with severe oesophagitis Open
Objective We aimed to investigate the clinical utility of follow-up oesophagogastroduodenoscopy (OGD2) in patients with severe oesophagitis (Los Angeles grades C or D) through evaluating the yield of Barrett’s oesophagus (BO), cancer, dysp…
View article: British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy Open
Over 2.5 million gastrointestinal endoscopic procedures are carried out in the United Kingdom (UK) every year. Procedures are carried out with local anaesthetic r with sedation. Sedation is commonly used for gastrointestinal endoscopy, but…
View article: UK and Ireland Joint Advisory Group (JAG) consensus statements for training and certification in diagnostic endoscopic ultrasound (EUS)
UK and Ireland Joint Advisory Group (JAG) consensus statements for training and certification in diagnostic endoscopic ultrasound (EUS) Open
Background and aims International endoscopy societies vary in their approach for credentialing individuals in endoscopic ultrasound (EUS) to enable independent practice; however, there is no consensus in this or its implementation. In 2019…
View article: Individualised consent for endoscopy: update on the 2016 BSG guidelines
Individualised consent for endoscopy: update on the 2016 BSG guidelines Open
In 2016, the British Society of Gastroenterology (BSG) published comprehensive guidelines for obtaining consent for endoscopic procedures. In November 2020, the General Medical Council (GMC) introduced updated guidelines on shared decision…
View article: British Society of Gastroenterology interim framework for addressing the COVID-19-related backlog in inflammatory bowel disease colorectal cancer surveillance
British Society of Gastroenterology interim framework for addressing the COVID-19-related backlog in inflammatory bowel disease colorectal cancer surveillance Open
The COVID-19 pandemic has had profound implications across the breadth of national healthcare services. Inflammatory bowel disease (IBD) continues to carry an increased risk of colon cancer and national protocols for endoscopic surveillanc…
View article: UK endoscopy workload and workforce patterns: is there potential to increase capacity? A BSG analysis of the National Endoscopy Database
UK endoscopy workload and workforce patterns: is there potential to increase capacity? A BSG analysis of the National Endoscopy Database Open
Background The lack of comprehensive national data on endoscopy activity and workforce hampers strategic planning. The National Endoscopy Database (NED) provides a unique opportunity to address this in the UK. We evaluated NED to inform se…
View article: Prospective Validation of Edinburgh Dysphagia Score as a Triaging Tool beyond the COVID-19 Era
Prospective Validation of Edinburgh Dysphagia Score as a Triaging Tool beyond the COVID-19 Era Open
The Edinburgh Dysphagia Score (EDS) was previously developed to identify patients referred to secondary care with dysphagia, who were most likely to have oesophageal cancer. The aim of this study was to use the EDS prospectively during the…
View article: HFR-5 Increasing the low-risk threshold for patients with upper gastrointestinal bleeding during the COVID-19 pandemic
HFR-5 Increasing the low-risk threshold for patients with upper gastrointestinal bleeding during the COVID-19 pandemic Open
Introduction In light of the COVID-19 pandemic, speciality groups have recommended down-scaling endoscopy (OGD) provision to true emergencies only. Following review of a large UK study on Upper Gastrointestinal Bleeding (UGIB), we extended…
View article: Increasing the low-risk threshold for patients with upper gastrointestinal bleeding during the COVID-19 pandemic: a prospective, multicentre feasibility study
Increasing the low-risk threshold for patients with upper gastrointestinal bleeding during the COVID-19 pandemic: a prospective, multicentre feasibility study Open
Objective During the COVID-19 pandemic, we extended the low-risk threshold for patients not requiring inpatient endoscopy for upper gastrointestinal bleeding (UGIB) from Glasgow Blatchford Score (GBS) 0–1 to GBS 0–3. We studied the safety …
View article: Highlights from the literature
Highlights from the literature Open
Radiofrequency ablation (RFA) is key in the therapy of early neoplasia in Barrett’s oesophagus (BO). However, a small proportion of patients experience neoplastic recurrence (NR) after complete eradication of intestinal metaplasia (CEIM). …
View article: COVID-19 transmission following outpatient endoscopy during pandemic acceleration phase involving SARS-CoV-2 VOC 202012/01 variant in UK
COVID-19 transmission following outpatient endoscopy during pandemic acceleration phase involving SARS-CoV-2 VOC 202012/01 variant in UK Open
Infection prevention and control (IPC) measures put in place during the first phases of the COVID-19 pandemic were effective in reducing endoscopy-related transmission while allowing recovery of activity.
In late 2020 a novel, more infect…
View article: Risk stratifying gastric ulcers: development and validation of a scoring system
Risk stratifying gastric ulcers: development and validation of a scoring system Open
Objective Debate is ongoing regarding the need for universal endoscopic follow-up to ensure gastric ulcer healing. We aimed to assess the value of follow-up oesophago-gastro-duodenoscopies (OGDs) for gastric ulcer healing and stratify pati…
View article: Bowel cancer screening workforce survey: developing the endoscopy workforce for 2025 and beyond
Bowel cancer screening workforce survey: developing the endoscopy workforce for 2025 and beyond Open
Aim The demand for bowel cancer screening (BCS) is expected to increase significantly within the next decade. Little is known about the intentions of the workforce required to meet this demand. The Joint Advisory Group on Gastrointestinal …
View article: Radiofrequency ablation for Barrett’s oesophagus related neoplasia with the 360 Express catheter: initial experience from the United Kingdom and Ireland—preliminary results
Radiofrequency ablation for Barrett’s oesophagus related neoplasia with the 360 Express catheter: initial experience from the United Kingdom and Ireland—preliminary results Open
Background Radio-frequency ablation (RFA) for Barrett’s oesophagus (BE)-related neoplasia is currently used after endoscopic resection of visible neoplasia. The HALO 360 balloon has been used to ablate long segment BE. The Barrx™ 360 Expre…
View article: P367 Developing the gastroenterology/endoscopy workforce for 2025 and beyond: implications for endoscopy and bowel cancer screening
P367 Developing the gastroenterology/endoscopy workforce for 2025 and beyond: implications for endoscopy and bowel cancer screening Open
Introduction Delivering better outcomes for cancer is a major part of the Long Term Plan for the NHS. For colo-rectal cancer (CRC) better outcomes will mainly come from earlier diagnosis of CRC and polyps via the bowel cancer screening pro…
View article: P21 Endoscopy miss rates for upper GI cancers prior to implementation of updated BSG quality standards
P21 Endoscopy miss rates for upper GI cancers prior to implementation of updated BSG quality standards Open
Introduction Upper GI cancers (oesophageal and gastric cancers) continue to carry a poor prognosis and efforts have been focused on achieving early diagnosis to improve outcomes. Post-endoscopy upper GI cancer rates are currently estimated…
View article: Consensus Statements for Management of Barrett's Dysplasia and Early-Stage Esophageal Adenocarcinoma, Based on a Delphi Process
Consensus Statements for Management of Barrett's Dysplasia and Early-Stage Esophageal Adenocarcinoma, Based on a Delphi Process Open
Esophageal adenocarcinoma (EA) is increasingly common among patients with Barrett’s esophagus (BE). We aimed to provide consensus recommendations based on the medical literature that clinicians could use to manage patients with BE and low-…