Steatotic liver disease. - spectrum of MASLD/MetALD/ALD (quantify alcohol use) - hepatic inflammation --> fibrosis and cirrhosis - FIB-4 as a screening tool to exclude F3-4

Primary sclerosing cholangitis.

Autoimmune hepatitis.

Periappendiceal red patch in ulcerative colitis - aka caecal patch, appendiceal orifice inflammation - a curious finding - does not influence management - does not mean that the disease is extensive

In high risk non-variceal UGIB, OTSC should be considered over TTS clips as first line (STING-2) - high risk in this study defined as Rockall score ≥7 - OTSC lead to higher successful haemostasis and lower rebleeding rates - no differences in mortality or need for surgery

S2S vs E2E anastomoses in Crohn's disease - retrospective series (n=127) - similar rates of endoscopic recurrence - lower surgical recurrence with S2S Possible reasons: - less faecal stasis - greater distance b/w stapler line and neo-TI inflammation

Surgical indications for ulcerative colitis - CRC as a reason for colectomy is increasing over time - ⬆️medical therapies ->⬆️ duration of disease before surgery - ⬆️cumulative inflammation -> ⬆️colitis assoc. dysplasia/cancer - stages of CRC has remained stable (~40% with LNM)

Starting a list of IBD-related accounts on bluesky #IBDTwitter go.bsky.app/CuwqDNF

New pod: Immune checkpoint GI complications we talk incidence, presentations, management and $$it Check it out here podcasts.apple.com/gb/podcast/two… open.spotify.com/episode/39Ywrw… James Haridy Jonathan Segal