BRITISH SOCIETY OF GASTROENTEROLOGY ANNUAL SCIENTIFIC MEETING 26-29 MARCH 2007 : GLASGOW Monday 26 March 09.30-17.00 09.30 09.50 10.10 10.30 10.50 11.10 11.30 11.55 12.15 12.40 13.00 14.00 14.45 15.15 15.30 15.50 16.10 16.35 17.00 POSTGRADUATE COURSE : ‘Modern gastrointestinal Endoscopy : Looking at and below the surface’ : Clyde Theatre : Chair – Professor AI Morris and Professor FKL Chan (am); Dr A Cole and Dr I Penman (pm) Treatment of upper gastrointestinal bleeding (with video clips) Modern endoscopic treatment of non-variceal upper gastrointestinal bleeding (Dr KR Palmer, Edinburgh) Modern treatment of variceal bleeding (Professor AK Burroughs, London) Discussion Diagnosisis of gastrointestinal neoplasia and pre-neoplasia – new endoscopic techniques Magnification and chromo-endoscopy (Dr DP Hurlstone, Sheffield) Narrow band, auto-fluorescence and confocal Endoscopy (Dr ID Penman, Edinburgh) Discussion Coffee Recently established methodologies (I) Capsule Endoscopy : practical uses and complications (Dr M McAlindon, Sheffield) Enteroscopy – is double balloon an advantage? (Dr AJ Morris, Glasgow) Discussion Lunch (+ launch of E-based Lesion Recognition System) – Professor AI Morris Debate : ‘This house supports the BSG Guidelines on surveillance of Barrett’s oesophagus’ For : Mr R Stuart, Glasgow Against : Professor RJ Playford, London Recently established methodologies (II) Endoscopic ultrasound : what are its proven benefits (Dr A Cole, Derby) Discussion Tea Training and Service in the future Training and certification for the new techniques – a new model needed? (Dr JRB Green, Stoke on Trent) Modern endoscopic services and standards (including implications of a national colon cancer screening programme for endoscopy services) (Dr R Valori, Gloucester) The role/s of the gastrointestinal endoscopist in the future (Professor AI Morris, Liverpool) End Monday 26 March 17.30-19.30 Trainees in Gastroenterology – ‘MMC : the end of gastroenterology as we know it’ Clyde Theatre– Chair – Dr Robert Logan Introduction (Professor Roger Barton, JAG Chairman) Debate : ‘this House believes that Modernising Medical Careers is the end of gastroenterology as we know it’ For : Dr J Green, Llandough Against : Dr A McIntyre, Manpower Co-Ordinator, RCP Tigs AGM This session is generously sponsored by Procter and Gamble Pharmaceuticals 2 Tuesday 27 March 07:30 – 08.45 ‘Question the Expert’ Breakfast Meeting – The Castle Suite of the Crowne Plaza Hotel (adjacent to SECC) ‘Endoscopic mucosal resection; when I do, what I do and when I don’t’ (Dr BJ Rembacken, Leeds) 08.30-12.00 08.30-08.50 08.50-09.10 09.10-09.30 09.30-09.50 09.50-10.05 O-001 10.05-10.20 O-002 10.20-10.50 10.50-12.00 10.50-11.10 11.10-11.20 11.20-12.00 INFLAMMATORY BOWEL DISEASE : ‘Using immunomodulation wisely’ : Clyde Theatre : Chair – Dr S Bloom and Dr J Satsangi Azathioprine – New perspectives (Professor M Neurath, Mainz) Safety of biological therapies – trick or TREAT! (Professor J-F Colombel, Lille) Anti-TNF therapy – Lessons from rheumatology (Dr D Isenberg, London) An alternative perspective – defective innate immunity and the use of GM-CSF (Dr S Bloom, London) The use of adalimumab in refractory Crohn’s disease: a tertiary referral centre experience (G Ho, L Smith, S Aitken, J Rose, B Ruddell,P Bramley, K Palmer, I Arnott, A Shand, J Satsangi) Infliximab as rescue therapy in acute severe UC: a survey of the Scottish Society of Gastroenterology (SSG). (CW Lees, D Heys, AG Shand, ID Penman, KR Palmer, C Mowat, H Jafferbhoy, R Boulton-Jones, A Williams, H Gillett, C Evans, J Todd, N Church, K Vaidya, J Rose, IDR Arnott, J Satsangi) Coffee Chair : Dr R Cowen and Dr J Satsangi Update on National IBD Audit (Dr K Leiper, Liverpool) Case presentation (Dr IDR Arnott, Edinburgh) Debate : second-line medical therapy in acute severe ulcerative colitis – saving colons, or risking lives? Motion : Colectomy is the treatment of choice in acute severe colitis resistant to first-line medical therapy. For : Mr AI Windsor (London) Against : Professor M Kamm (London) 12.05 Clyde Theatre : STATE-OF-ART LECTURE : ‘Optimising growth in early-onset inflammatory bowel disease’ (Professor Anne Griffiths, Toronto) Chair : Dr S Bloom 09.00-12.00 LIVER FREE PAPERS : Lomond Theatre : Chair – Dr J Freeman and Dr S Ryder A comparison of scoring systems for organ allocation on the liver transplant waiting list (MR Foxton, P Muiesan, N Heaton, J O'Grady, M Heneghan) 1 year survival in Budd Chiari syndrome treated with TIPS – an international study (M Heydtmann, S Raffa, S Olliff, A Plessier, T Luong, F Fabris, A Luca, J Abraldes, G. Vizzini, M Primgnani, S Murad, D Valla, E Elias, J Garcia) 09.00-09.15 O-003 09.15-09.30 O-004 3 09.30-09.45 O-005 09.45-10.00 O-006 10.00-10.15 O-007 10.15-10.45 10.45-11.00 O-008 11.00-11.15 O-009 11.15-11.30 O-010 11.30-11.45 O-011 11.45-12.00 O-012 Ischemia-reperfusion injury promotes hematopoietic stem cell recruitment to the murine hepatic microcirculation in vivo (DPJ Kavanagh, PF Lalor, DH Adams, J Frampton, N Kalia) Reprioritisation of liver export protein synthesis in patients with decompensated alcoholic liver disease (R Hamid, DC McMillan, T Preston, C Slater, N Joshi, A Stanley) Prognostic factors in biliary tract carcinoma: multivariate analysis of 259 patients (WR Matull, L Ayaru, A Dias, D Dhar, BR Davidson, SP Pereira) Coffee Hepatitis E in Southwest England (HR Dalton, W Stableforth, U Warshow, P Thurairajah, S Hazeldine, R Ramnarace, C Sieberhagen, J Mitchell, M Banks, S Ijaz, R Bendall) Are MUC4 and/or MUC5AC useful tumour markers for biliary tract cancer (BTC)? (WR Matull, A Loh, F Andreola, Z Adiguzel, M Deheragoda, U Qureshi, DM. Swallow, SP Pereira) A novel simple noninvasive test for the prediction of cirrhosis in chronic hepatitis C: a validation and comparison of 707 patients (TJ Cross, P Rizzi, M Bruce, P Berry, B Portmann, PM Harrison) TIPSS in treatment of refractory ascites – a single centre experience (N Kochar, D Tripathi, H Ireland, DN Redhead, PC Hayes) Histological predictors of oesophageal varices. a single blinded retrospective analysis (T Thomas, S Menon, G Mortimer, D Semeraro, V Lai, AS Austin, J Freeman) GASTRODUODENAL/ENDOSCOPY SYMPOSIUM : ‘Acute Upper GI Haemorrhage’ : Hall 1 : Chair – Professor EM El-Omar and Dr JRB Green Risk assessment in UGIT bleeding (Dr H Dalton, Truro) Management of UGIT bleeding – Practical aspects (a) It’s Friday afternoon and Mrs Good, a fit 86 year old on NSAIDs for mild osteoarthritis has a haematemesis (Professor F Chan, Hong Kong) (b) Few days later she rebleeds … (Mr G Fullarton, Glasgow) (c) Later that day Mr Bad, a 58 year old diabetic with an aortic valve replacement, on warfarin, also has a haematemesis (Professor AI Morris, Liverpool) It’s Thursday night and Mr Ugly, a 76 year old presents with melaena … (Dr M Allison, Newport) Coffee BSG audit on upper GI bleeding (Dr KR Palmer, Edinburgh) Service provision for haematemesis – bleeding the NHS dry? (Dr IG Barrison, St Albans) 09.00-12.00 09.00-09.30 09.30-10.30 09.30-09.45 09.45-10.00 10.00-10.15 10.15-10.30 10.30-11.00 11.00-11.30 11.30-12.00 09.00-10.15 09.00-09.15 O-013 09.15-09.30 O-014 PATHOLOGY FREE PAPERS : Dochart Theatre : Chair – Professor M Pignatelli and Dr J Crabtree A retrospective analysis of GIST mutation status in one UK reference centre (B O'Sullivan, NS Deshmukh, GM Reynolds, I Geh, P Taniere) The characterisation of bacterial community diversity in cultures 4 09.30-09.45 O-015 09.45-10.00 O-016 10.00-10.15 O-017 10.15-10.45 10.45-12.00 10.45-11.00 O-018 11.00-11.15 O-019 11.15-11.30 O-020 11.30-11.45 O-021 11.45-12.00 O-022 INFORMATION TECHNOLOGY SYMPOSIUM : ‘What will the billions spent on NHS IT do for me?’ : Leven Theatre : Chair – Dr T Heymann Introduction to NHS CfH (Dr Ian Scott, Ipswich) CaB (how do patients get to us) (Dr Robert Logan, Nottingham) NLH (how do we look after them) (Dr M Caplin, London) PbR (how do we get paid for what we do) (Dr J Ramage, Basingstoke) Panel Discussionand Q&A 10.30-12.00 10.30-10.45 10.45-11.00 11.00-11.15 11.15-11.00 11.30-12.00 09.00-12.00 09.00-09.15 derived from healthy and inflamed ileal pouches after restorative procto-colectomy, using 16S ribosomal DNA terminal restriction fragment length polymorphism (T-RFLP) profiling (MW Johnson, GB Rogers, S Mclaughlin, KD Bruce, A Forbes, PJ Ciclitira, JR Nicholls) Stromal gene expression may be responsible for mantaining morpholgical differences between small and large bowel (J Murphy, S Khalaf, RE Hands, CLH Chan, SA Bustin, NS Williams) The expression pattern of MCMs, geminin and their relationship to tumour differentiation and patient survival differs between gastric and small bowel adenocarcinoma (R Sekhon, J Knock, M Shah, K Maude, G Williams, P Howdle, P Quirke, R Watkins, H Grabsch) The Apc1310T/+ mouse: a novel murine model of intestinal tumorigenesis analogous to the APC-1309 mutation causing severe intestinal polyposis in humans (MG Deheragoda, P Pollard, E Nye, P Seedhar, N Mandir, R Jeffery, NA Wright, I Tomlinson) Coffee ENDOSCOPY FREE PAPERS : Dochart Theatre : Chair – Dr R Tighe and Dr H Shepherd The impact of colorectal cancer family history clinic on yield of colonoscopic screening (B Desouza, T Elliott, I Rowe, M Smith, F Hibberts, C Coughland, A Sadoo, S Levene, G Scott, L Izatt, J Sanderson) Early experience of the multibander endosocpic mucosal resection (EMR)- benefits and short comings. (SK Enaganti, S Sonwalkar, L Smith, BJ Rembacken) What are the sensitivity and specificity of endoscopic photographs in documenting completion of colonoscopy? results from an online questionnaire. (AI Thuraisingam, JL Brown, JT Anderson) Botox predicts the outcome of endoscopic sphincterotomy in postcholecystectomy biliary pain due to sphincter of Oddi spasm (SC Kong, ZCJ Higgs, WR Murray) Determination of safety of drinking before gastroscopy (L Miller, P Dey, D Lynch, G Banait, A Fergusson, H McMurtry, E Barnes, P Carr) O-023 OESOPHAGEAL FREE PAPERS : Alsh Theatre : Chair – Mr T Dehn and Dr S Riley Large-scale prospective study reveals novel risk factors for Barrett’s oesophagus (A Wong, L Lovat, RW Burnham, A Hackshaw, R Fitzgerald) 5 09.15-09.30 O-024 09.30-09.45 O-025 09.45-10.00 O-026 10.00-10.15 O-027 10.15-10.45 10.45-11.00 O-028 11.00-11.15 O-029 11.15-11.30 O-030 11.30-11.45 O-031 11.45-12.00 O-032 09.00-12.00 09.00-09.30 09.30-10.00 10.00-10.30 10.30-10.45 10.45-11.30 11.30-12.00 09.00-10.30 09.00-09.15 09.15-09.30 Mapping clonality in individual glands from human Barrett's oesophagus (SJ Leedham, S Macdonald, D Poller, R Harrison, J Jankowski, N Wright) Low incidence of oesophageal adenocarcinoma following optimal regimen of ALA PDT for high grade dysplasia in Barrett’s oesophagus (GD Mackenzie, CR Selvasekar, N Jamieson, CA Mosse, SM Thorpe, MR Novelli, SG Bown, LB Lovat) Interobserver variation in the diagnosis of dysplasia in Barrett's oesophagus (SA Sonwalkar, O Rotimi, N Scott, M Dixon, A Axon, SM Everett) Dynamics of unbuffered postprandial acid pocket and role in acidic gastroesophageal reflux (AT Clarke, AA Wirz, JP Seenan, JJ Manning, D Gillen, KEL McColl) Coffee The prevalence of laryngopharyngeal reflux in a population with gastro-oesophageal reflux. (M Groome, JP Cotton, M Borland, S McLeod, JF Dillon) Laser and radical chemoradiotherapy for oesophageal carcinoma (PM Irving, A Hart, S Thorpe, G Blackman, SG Bown, J Tobias, LB Lovat) Clinical outcome of cases with indefinite for dysplasia in Barrett's oesophagus over a twenty year period (SA Sonwalkar, O Rotimi, N Scott, M Dixon, A Axon, SM Everett) The SAINT trial (stem cell analysis and identification by IUdR labelling of neoplastic tissue); identification of Barrett’s stem cells (L Harrison, AM Nicholson, R Harrison, S McDonald, G Wilson, PA Atherfold, N Wright, JA Jankowski) Elastic scattering spectroscopy to generate an image of patient risk in Barrett’s oesophagus. (GD Mackenzie, M Yong, B Clark, MR Novelli, SM Thorpe, SG Bown, LB Lovat) SURGERY/NUTRITION/AUGIS SYMPOSIUM : ‘Nutrition in the Surgical Patient’ : Boisdale Theatre : Chair – Mr KR Wedgwood and Mr GM Fullarton Pre-operative nutrition and assessment of needs (Ms RF McKee, Glasgow) Nutritional aspects of oesophago-gastric surgery (Professor SM Griffin, Newcastle upon Tyne) Nutrition management in Crohn’s disease (fistulae) (Mr AI Windsor, London) Coffee Nutrition in pancreatic disease and enhanced recovery after surgery (ERAS) (Professor K Fearn, Edinburgh) Postoperative nutrition (Dr TE Bowling, Nottingham) TEAM WORKING AND THE INDIVIDUALISTIC COLLEAGUE ‘Maverick or Top Gun’: Carron Theatre: Chair – Professor AI Morris and Dr R Valori Overview of maverick behaviour (Professor AI Morris) The challenges that face mavericks (Professor J Brown) 6 The good,the bad and the ugly (Dr R Valori) How to get the best out of a maverick (Professor John Rhodes) How to manage mavericks – dealing with difficult colleagues, incompetence and whistle blowing (Dr M Lombard) Discussion 09.30-09.45 09.45-10.00 10.00-10.15 10.15-10.30 BSG/BASL SYMPOSIUM : ‘Hepatocellular carcinoma and cholangiocarcinoma update’ : Clyde Theatre : Chair – Professor AK Burroughs and Professor J Neuberger Epidemiology of liver tumours (Dr M Toledano, London) Imaging and staging (Dr A Lim, London) Tumour surveillance (Dr J Bates, Leeds) Non-surgical therapy of cholangiocarcinoma (Dr S Pereira, London) Tea Pharmacological interventions in HCC (Professor P Johnson, Birmingham) Percutaneous ablation of HCC (Dr S Ryder, Nottingham) Transarterial ablation of HCC (Dr N Davies, London) Surgery for HCC (Professor B Davidson, London) 14.00-17.00 14.00-14.20 14.20-14.40 14.40-15.00 15.00-15.20 15.20-16.00 16.00-16.15 16.15-16.30 16.30-16.45 16.45-17.00 17.05 SHEILA SHERLOCK LECTURE : Clyde Theatre : ‘Primary biliary cirrhosis 2007’ Professor OFW James, Newcastle upon Tyne 14.00-14.30 ENDOSCOPY FOUNDATION LECTURE : Lomond Theatre : ‘Optimising safety in endoscopy’ Professor GD Bell, Norwich 14.30-17.00 ENDOSCOPY FREE PAPERS : Lomond Theatre : Chair – Dr M Allison and Dr A Veitch Randomised controlled trial of patient controlled sedation for colonoscopy: Entonox versus patient maintained target controlled Propofol (S Maslekar, P Balaji, A Suppiah, JE Hartley, B Culbert, GS Duthie) High proficiency reading of 3D virtual colonoscopy by experienced optical endoscopists and endoscopy nurses; a new era in colonoscopy? (AB Patrick, L Jackson, S Edwards, J Bell, O Epstein) Endoscopic mucosal resection for flat neoplasia in chronic ulcerative colitis: can we change the endoscopic management paradigm? (DP Hurlstone, DS Sanders, ME McAlindon, AJ Lobo, M Thomson, R Atkinson, SS Cross) Mortality following percutaneous endoscopic gastrostomy: results of the national confidential enquiry into patient outcome and death (SD Johnston, TCK Tham, M Mason) Tea Electronic chromoendoscopy in Barrett’s oesophagus using narrow band imaging: a study to validate mucosal morphology findings and inter /intra observer agreement. (R Singh, GK Anagnostopulos, 14.30-14.45 O-033 14.45-15.00 O-034 15.00-15.15 O-035 15.15-15.30 O-036 15.30-16.00 16.00-16.15 O-037 7 16.15-16.30 O-038 16.30-16.45 O-039 16.45-17.00 O-040 O-041 O-042 14.00-17.00 14.00-14.15 O-043 14.15-14.30 O-044 14.30-14.45 O-045 14.45-15.00 O-046 15.00-15.15 O-047 15.15-15.45 15.4516.00 O-048 16.00-16.15 O-049 16.15-16.30 O-050 16.30-16.45 O-051 16.45-17.00 O-052 K Yao, H Karageorgiou, P Fortun, A Shonde, K Garsed, P Kaye, CJ Hawkey, K Ragunath) Achieving R0 resection in the colorectum using endoscopic submucosal dissection: first feasibility study in the United Kingdom. (DP Hurlstone, R Atkinson, DS Sanders, SS Cross, SR Brown) Randomised trial of narrow band imaging (NBI) for adenoma detection at colonoscopy in high risk groups (JE East, N Suzuki, M Stavrinidis, N Palmer, T Guenther, BP Saunders) Study of serum electrolytes following sodium phosphate bowel preparation and colonoscopy in patients with normal creatinine (B Rameh, D Lamb, J Ramesh, S Balakrishnan, P Conlong, A Tawil) Diagnosis of pancreaticobiliary malignancy by detection of minichromosome maintenance 5 protein in bile aspirates (L Ayaru, K Stoeber, GJ Webster, AR Hatfield, GH Williams, SP Pereira) Narrow band imaging (NBI) for colonoscopic surveillance in hereditary non-polyposis colorectal cancer (HNPCC) (JE East, M Stavrinidis,N Suzuki, N Palmer, T Guenther, HJW Thomas, BP Saunders) SERVICE DEVELOPMENT FREE PAPERS : Hall 1 : Chair – Dr R Valori How to achieve an ‘A’ in timeliness: capacity and demand management in endoscopy services (R Kasturi, E Said, S Pearson, A Reddy, J Singh, A Saeed) One week rapid improvement of quality and throughput in endoscopy (L Hodgson, G Nicholson, H Gray, S More, J Stacey, C Jenkins, K Oppong) Global Rating Scale requirements for patient comfort in endoscopy – a solution (R Miskimmin, M Miskimmin, MD Rutter) New Global Rating Scale shareware: endoscopy audit at a keystroke (MS Smith, IP Crane, LM Atkin) Effect of Helicobacter pylori eradication on dyspepsia, quality of life and utilisation of healthcare resources in the Eastern England Helicobacter pylori project: randomised controlled trial (C Osonnaya, K Osonnaya, M Abdi, L Guo, S Smith) Tea Endoscopy 30 day mortality: a retrospective audit of diagnostic and therapeutic endoscopy at a single unit (T Elliott, A Bales, T Wong, J Sanderson, M McCarthy) Colonoscopy waiting lists: revalidation by general practitioners is cost effective and reduces unnecessary endoscopy commissioning (PF Marden, A Newton, M Williamson, D Robertson) An audit to understand outcomes of critcally ill gastroenterology patients and the selection criteria used by critical care to improve services (K Bowering, P Kelly, J McDonough, S Sarkar) Towards a better outpatient service in IBD (A Malik, A Saeed, S Bradbury, DW Bullimore) Development of an endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) cytology service – a review (SS Menon, SA Kapadia, K Maleki, T Hollingsworth, NC Fisher) 8 RADIOLOGY/BSGAR SYMPOSIUM : ‘Current status of small bowel investigation’ : Carron Theatre : Chair – Dr SH Lee Small bowel barium studies (Professor C Bartram, London) CT of the small bowel (Dr A Phillips, Bath) Ultrasound of the small bowel (Dr A Higginson, Portsmouth) Tea MR of the small bowel (Professor T Fork, Malmo) Capsule Endoscopy and small bowel entroscopy (Dr D Sanders, Sheffield) Discussion 14.00-16.30 14.00-14.20 14.20-14.40 14.40-15.00 15.00-15.15 15.15-15.45 15.45-16.15 16.15-16.30 14.00-17.00 14.00-14.15 O-053 14.15-14.30 O-054 14.30-14.45 O-055 14.45-15.00 O-056 15.00-15.15 O-057 15.15-15.45 14.00-17.00 14.00-14.30 14.30-15.00 15.00-15.30 15.30-15.45 15.45-16.15 16.15-17.00 14.00-17.00 14.00-14.30 NEUROGASTROENTEROLOGY/MOTILITY FREE PAPERS : Dochart Theatre : Chair – Professor Q Aziz and Dr L Houghton Isolation, characterisation and transplantation of human enteric nervous system stem cells (C Caldwell, A Burns, N Thapar) IBS shows an activated and effective immune system (EB Campbell, K Garsed, M Richards, S Foley, M Hastings, P Whorwell, Y Mahida, I Hall, K Neal, R Spiller) Increased TRPV1 expressing nerve fibres in colonic biopsies from IBS patients correlate with the degree of abdominal pain (A Akbar, Y Yiangou, P Facer, P Anand, S Ghosh) Functional evidence for hemispheric asymmetry in the cortical control of human swallowing: a ‘virtual brain lesion’ study (S Mistry, E Verin, S Singh, S Jefferson, J Rothwell, S Hamdy) Normal rectal sensory function: evaluation using four different modalities in healthy volunteers (SP Vasudevan, PJ Lunniss, SM Scott) Tea PRIMARY CARE SOCIETY FOR GASTROENTEROLOGY : Alsh Theatre : Chair – Dr R Stevens and Dr J Galloway Dyspepsia in primary care : Interim report on a prospective study of prognosis and outcome (Dr J Dalrymple, Secretary, PCSG, Norwich) Bile acid malabsorption (BAM) (Professor KD Bardhan, Rotherham) Caring for IBDE patients in the new NHS – Can shared care work? (Dr S Bloom, London) Tea Bile and pepsin – How relevant in GORD (Professor P Hungin, Durham) How can primary and secondary care work together to tackle alcohol abuse? (Professor I Gilmore, President, RCP London, and Liverpool) GASTRODUODENAL SECTION SYMPOSIUM : ‘NSAIDs – the Good, the Bad and the Ugly’ : Boisdale Theatre : Chair – Professor EM El-Omar and Dr M Pritchard Adverse effects of NSAIDs throughout the gut and elsewhere (Professor I Bjarnasson, London) 9 14.30-15.00 15.00-15.30 15.30-16.00 16.00-16.30 16.30-17.00 14.00-17.00 14.00-14.15 14.15-14.45 14.45-15.30 15.30-16.00 16.00-16.30 16.30-16.45 16.45-17.00 Adverse effects of low dose aspirin and anti-thrombotic therapies (Dr A Lanas , Spain) Is Helicobacter pylori relevant in NSAIDs damage? (Professor F Chan, Hong Kong) Tea Strategies for prevention of NSAIDs side effects (Professor CJ Hawkey, Nottingham) Do NSAIDs really prevent cancer? (Professor RFA Logan, Nottingham) NATIONAL INTEGRATED ACADEMIC TRAINING PROGRAMME IN GASTROENTEROLOGY : Leven Theatre : Chair – Professor DG Thompson Chairman’s Introduction : Integrated academic training programme update Academic clinical fellows and lecturers : progress so far and plans for the future (Dr Lisa Cotterill, DH Research Capacity Development Program Leads for UKCRC Academic Career Development) The Gastroenterology Training Curriculum and the academic trainee – How the BSG can help? (Dr J Gibson, Chairman, SAC; Dr M Lombard, Chairman, BSG Training Committee; Professor H Hodgson, Member, Academic Advisory Committee Tea Integrated Academic Training Programme in action : Views of an ACF : (Dr J Dowman, Birmingham) and (Dr W Alazawi,London) Views of a Walport Lecturer (Dr S Halder, Manchester) The role of CORE in supporting integrated academic training for clinicians (Dr W Alexander and Dr JR Bennett, CORE) Presentation of CORE/Dr Falk Pharma Student Research Award – Mr Riadh Jazrawi 10 Wednesday 28 March 07:30 – 08.45 ‘Question the Expert’ Breakfast Meeting – The Castle Suite of the Crowne Plaza Hotel (adjacent to SECC) ‘Using biologicals in paediatric practice – when I use them and for how long’ (Professor A Griffiths, Toronto) ENDOSCOPY/OESOPHAGEAL SYMPOSIUM : ‘Frontiers in early oesophageal cancer : Advances in diagnosis and management‘ : Clyde Theatre : Chair – Dr S Cairns and Mr T Dehn Standards and advanced endoscopic techniques : Standard Endoscopy and high resolution chromoendoscopy (Dr B Rembacken, Leeds) Narrow band imaging and autofluorescence (Dr K Ragunath, Nottingham) Fluorescence spectroscopy (Professor H Barr, Gloucester) What’s the natural history of dysplasia and early oesophageal cancer? (Dr D Johnston, Dundee) Coffee Teatment options : Should lesions be resected endscopically? (Dr J Bergman, Amsterdam) The role of ablative therapies (Dr L Lovat, London) Is surgery the Gold Standard? (Mr N Maynard, Oxford) Clinical Cases – Panel Discussion 09.00-12.00 09.00-10.20 09.00-09.20 09.20-09.40 09.40-10.00 10.00-10.20 10.20-10.40 10.40-11.40 10.40-11.00 11.00-11.20 11.20-11.40 11.40-12.00 09.00-12.00 09.00-09.15 O-058 09.15-09.30 O-059 09.30-09.45 O-060 09.45-10.00 O-061 10.00-10.15 O-062 10.15-10.45 INFLAMMATORY BOWEL DISEASE FREE PAPERS : Lomond Theatre : Chair – Dr T Orchard, Dr C Mowat, Dr AF Muller and Dr B McKaig An investigation into the prevalence of osteoporosis and the relative contribution of genetic and environmental factors in patients with inflammatory bowel disease (CL Noble, J McCullough, WK Ho, ER Nimmo, S Bear, CW Lees, J Hannan, C Millar, SH Ralston, J Satsangi) Adalimumab maintains clinical remission and response, induces and maintains healing of draining fistulas in patients with active Crohn’s disease (MA Kamm, J Colombel, WJ Sandborn, P Rutgeerts, RA Enns, SB Hanauer, R Panaccione, S Schreiber, KG Lomax, PF Pollack) Pregnancy outcome and fertility in inflammatory bowel disease is influenced by disease phenotype. (CW Lees RE Gailer, NC Johnston, P Warner, HO Critchley, J Satsangi) Identification of GLI-1 as an IBD2 susceptibility gene (CW Lees, ER Nimmo, A Tenesa, CL Noble, J Loane, H Campbell, SEM Howie, MG Dunlop, J Satsangi) Natalizumab maintains corticosteroid-free remission for 2 years in patients with moderately to severely active Crohn's disease and in those with prior infliximab exposure: results from an open-label extension study (S Ghosh, R Panaccione) Coffee 11 10.45-11.00 O-063 11.00-11.15 O-064 11.15-11.30 O-065 11.30-11.45 O-066 11.45-12.00 O-067 09.00-12.00 Replication of Crohn’s disease mucosal E Coli isolates within macrophages and their susceptibility to antibiotics (S Subramanian, CL Roberts, CA Hart, SW Edwards, BJ Campbell, JM Rhodes) Adalimumab maintains clinical remission in patients with Crohn’s disease (CD) without continued steroid use and regardless of anti-TNF history or concomitant immunosuppressant therapy (MA Kamm, J Colombel, GR D’Haens, WJ Sandborn, P Rutgeerts, SB Hanauer, JD Kent, PF Pollack) Further experience with the use of 6-thioguanine as an alternative immunosuppressant in patients with Crohn’s disease (T Elliott, A Ansari, S Soon, F Fong, B Baburajan, M Arenas-Hernandez, A Marinaki, J Sanderson) Medium-term results of oral tacrolimus treatment in refractory inflammatory bowel disease (SC Ng, N Arebi, MA Kamm) Tolerability of 6-mercaptopurine in azathioprine intolerant patients with inflammatory bowel disease (CW Lees, AK Maan, B Hansoti, ID Penman, AG Shand, KR Palmer, IDR Arnott, J Satsangi) NEUROGASTROENTEROLOGY/MOTILITY SYMPOSIUM : ‘Neurogastroenterological manifestations of systemic disorders’ : Hall 1 : Chair – Professor DG Thompson and Professor M Kamm Management options for gastrointestinal dysfunction in spinal injuries (Dr A Emmanuel, London) Neurogenic gut disorders following stroke (Dr S Hamdy, Manchester) Challenges in managing gastrointestinal complications of connective tissue disorders (Dr G Lindberg, Stockholm) Coffee Diabetic gastroenteropathy: diagnosis and management (Dr J McLaughlin, Manchester) Gastrointestinal involvement in paraneoplastic syndromes: An overview (Professor R de Georgio, Bologna) Visceral involvement in extrapyramidal and demyelination disorders : the neurologist’s perspective (Professor C Fowler, London) 09.00-09.25 09.25-09.50 09.50-10.15 10.15-10.45 10.45-11.10 11.10-11.35 11.35-12.00 12.05 STATE OF ART LECTURE : Hall 1 : Chair – Professor RC Spiller ‘Psychoneuroimmunology : a novel approach to functional gut disorders’ Professor F Shanahan, Cork 09.00-12.00 ENDOSCOPY ASSOCIATES GROUP : Free papers, National awards, sharing good clinical practice, Irene Cooper Prize : Carron Theatre : Chair – Ms M Baulf and Ms A Reilly 09.00-10.15 COLORECTAL FREE PAPERS : Dochart Theatre : Chair Polyposis families without mutations have a less severe phenotype (KJ Monahan, HJ Thomas, AR Silver, IP Tomlinson, RK Phillips) Determinants of compliance to a community colorectal cancer screening program in Lecco province (Italy) (FR Parente, R Moretti, E Invernizzi, B Marino, N Cattai, E Masala, A Brusadelli, G Rossi) 09.00-09.15 O-068 09.15-09.30 O-069 12 09.30-09.45 O-070 09.45-10.00 O-071 10.00-10.15 O-072 10.45-12.15 10.45-11.00 O-V73 11.00-11.15 O-V74 11.15-11.30 O-075 11.30-11.45 O-076 11.45-12.00 O-V77 12.00-12:15 O-V78 09.00-11.00 09.00-09.20 09.20-09.40 09.40-10.00 10.00-10.20 10.20-10.40 10.40-11.00 Mass screening of colorectal cancer with an immunochemical faecal occult blood test in Italy. Preliminary results in a pilot province (FR Parente, B Marino, A Armellino, L Redaelli, E Invernizzi, R Moretti, G Rossi) Expression of colonic stem cell markers in colorectal cancer correlates with a poor prognosis (SF Rahman Casans, ND Willis, TR Cox, KM Smits, SA Przyborski, PA van den Brandt, M van Engeland,M Weijenberg, A de Bruine, CJ Hutchison, RG Wilson) Colorectal stenting in malignant large bowel obstruction using combination fluoroscopy and direct endoscopic placement: a prospective 5-year evaluation (DP Hurlstone, W Baraza, SR Brown, F Lee) ENDOSCOPY VIDEOS : Dochart Theatre : Chair – Dr JRB Green and Dr R Tighe Endoscopic mucosal resection techniques for upper GI neoplasms: video review (RJ Mead, M Duku, S Toh, P Bhandari) Endoscopic submucosal dissection (ESD) for early oesophageal cancer: technical feasibility and clinical applicability (P Bhandari, S Hosking, I Oda) An emerging 'gold standard' for the colonoscopic assessment of ulcerative colitis: high magnification chromoscopy provides a valid in vivo optical biopsy and extent assessment tool (DP Hurlstone, DS Sanders, ME McAlindon, AJ Lobo, M Thomson, SS Cross) Does changes towards safer sedation practices really improve endoscopic outcomes? A re-audit following implementation of GRS, BSG and NCEPOD recommendations (K Bowering, W Azim, P Spencer, J McPhillips, L Brown, K Jones, R Sturgess, K Bodger, S Sarkar) First reported case of direct jejunostomy using a double balloon enteroscope (CA Wadsworth, CH Fraser, DC Bullas, SM Gabe) The first UK case of endoluminal fundoplication using the esophyx device (PL Youd, AV Emmanuel, S Gould, E Tripoli, S Preston, K Koniezko, C Fraser) SMALL BOWEL AND NUTRITION/BAPEN SYMPOSIUM : ‘Educating RITA – in Clinical Nutrition’ : Alsh Theatre : Chair – Dr JM Woodward and Dr DS Sanders Fighting for funding and feeding: lessons in nutrition support (Dr J Nightingale, London) The impact of NICE guidance on clinical nutrition practice and training (Dr MA Stroud, Southampton) The SpR perspective of training in clinical nutrition (Dr S Karanth…) A curriculum in clinical nutrition (Dr IW Fellows, Norwich) Can the nutrition curriculum be delivered ( Dr I Forgacs, London) Panel discussion 13 09.00-12.00 ENDOSCOPY ASSOCIATES GROUP : Regulations and new guidance : Boisdale Theatre : Chair – Ms W Pugh VRQ (vocational learning) : what does it mean for endoscopy nurses (Ms A Keen, London) 2005 disinfection regulations : what do they mean to practice (TBA) Coffee New antibiotic guidelines; what’s new about it! (Dr MC Allison, Newport) Anticoagulants and the endoscopic procedure (Dr A Veitch, Wolverhampton) 09.00-09.30 09.30-10.00 10.30-11.00 11.00-11.30 11.30-12.00 09.00-10.30 THE EVIDENCE BASE OF GASTROINTESTINAL CANCER PREVENTION (on behalf of the National Cancer Research Institute) : Leven Theatre Session 1 : Chair : Dr J de Caestecker and Dr D Morris Introduction (Dr J de Caestecker, Leicester) Overview of cancer prevention (Professor J Jankowski, Oxford and Leicester) Screening and surveillance using BOSS (Professor H Barr, Gloucester) Chemoprevention using AspECT (Dr P Watson, Belfast) Discussion Session 2 : Chair : Mr G Fullarton and Mr S Attwood What are large GI RCTs and why so rare (Dr M Anderson, Birmingham) What trials can we do and how you can help (Professor P Malfertheiner, Germany) Discussion 09.00 09.01-09.13 09.13-09.25 09.23-09.35 09.35-09.45 09.45-10.05 10.05-10.25 10.25-10.30 14.00-17.40 14.00-14.30 14.30-14.45 O-079 14.45-15.00 O-080 15.00-15.15 O-081 15.15-15.45 PLENARY SESSION : Clyde Theatre : Chair – Professor AI Morris and Dr J de Caestecker: NEW PERSPECTIVES LECTURE : ‘Privatising the English NHS – will Scotland follow suit? Professor Allyson Pollock, Edinburgh Chromoscopic confocal laser scanning in vivo biopsy for the detection and characterisation of neoplastic lesions in high-risk colorectal cancer cohorts: entering the era of histoendoscopy in the UK (DP Hurlstone,M Thomson, W Baraza, SS Cross) Risk of cancer in inflammatory bowel disease treated with azathioprine: a UK population-based case-control study (RG Armstrong, J West,TR Card) The place of minimal access surgery amongst people with gastrooesophageal reflux disease (GORD): the REFLUX trial (A Grant, M Thursz, for the REFLUX Trial Group) SIR FRANCIS AVERY JONES BSG RESEARCH MEDAL : ‘Barrett’s carcinogenesis as a model for unraveling the clinical challenges and opportunities of intra-epithelial neoplasia.’ 14 Dr Rebecca Fitzgerald, (Cambridge) Posters Tea Presentation of President’s Medal CORE Award Induction of Professor Michael Farthing, President 2007-8 SIR ARTHUR HURST MEMORIAL LECTURE : ‘The integrative action of the gut hormones’ Professor Graham Dockray, FRS (Liverpool) 15.45-16.15 16.15-16.45 16.45-16.55 16.55-17.00 17.00-17.05 17.05-17.40 17.45 Annual Business Meeting (Members only) 14.00-16.50 ENDOSCOPY ASSOCIATES GROUP ‘IBD Joint Symposium : RCN Gastro Forum/IBD Section & EAG : Lomond Theatre : Chair – Sr J Burdon and Ms K Greveson Introduction Defining the role of the IBD Nurse : an RCP project (Ms C Pearson, Bolton) NACC – a systematic review of nursing roles in IBD (Ms J Nahal, Walsall) Providing telephone services for IBD patients (Ms K Holbrook, Gloucester) Surviving as an IBD nurse in the new NHS (Ms I Mason, London) Tea Interactive IBD nurses – our website (Ms A Fraser, Bristol) Using capsule endoscopy to enhance IBD care (Dr M McAlindon, Sheffield) IBD biologics – the practice behind the science (Dr A Lobo, Sheffield) 14.00-14.10 14.10-14.30 14.30-14.50 14.50-15.10 15.10-15.30 15.30-15.50 15.50-16.10 16.10-16.30 16.30-16.50 14.00-16.30 ENDOSCOPY ASSOCIATES GROUP : ERCP and service requirements : Hall 1 : Chair : Ms L Melleney and Ms L Doig Radiation protection; law and training ussues (Dr D Martin, Manchester) Specialist endoscopy assistants for ERCP (Sr J Gregory) Tea Managing a busy ERCP service the Amsterdam way (TBA) Managing complications (Dr H Smart, Liverpool) 14.00-14.30 14.30-15.00 15.00-15.30 15.30-16.00 16.00-16.30 14.00-17.00 14.00-14.15 O-082 14.15-14.30 O-083 14.30-15.15 15.15-15.30 GASTROINTESTINAL PHYSIOLOGY ASSOCIATES GROUP : Carron Theatre : Chair – Mrs P Vales and Dr RC Heading The effect of pelvic afferent nerve stimulation on rectal compliance (EAL Chung, V Balasubramaniam, MD Craggs, AV Emmanuel) Evaluation of gastric function and control of migration of oesophageal reflux after laparoscopic Nissen fundoplication (PJ Byrne, N Ravi,P Lawlor, T Moran, M Byrne, P Keeling, J Reynolds) Keynote Lecture : ‘How does the psyche affect gastrointestinal disease’ – Professor F Creed (Manchester) Tea 15 15.30-16.15 16.15-16.30 16.30-16.45 O-084 16.45-17.00 O-085 14.00-17.00 Keynote Lecture : ‘Pain management in gastrointestinal disease’ – Dr A Emmanuel (London) Invited speaker Gut symptoms in diabetes correlate with autonomic activity and components of the recto-anal inhibitory reflex, not pudendal nerve latencies (K Thiruppathy, DR Chatoor, AJ Roy, CDR Murray, AV Emmanuel) Bile acid malabsorption (BAM) and ileal histology in diarrhoeapredominant irritable bowel syndrome (D-IBS) (M Srinivas, P Basumani, B Dawson, MJ Smith, JA Lee, KD Bardhan) PATHOLOGY EQA AND SLIDE SEMINAR (Dochart Theatre) 16 Thursday 29 March 08.30-12.00 08.30-09.30 08.30-08.40 08.40-08.50 08.50-09.00 09.00-09.30 09.30-10.00 09.30-09.38 09.38-09.48 09.48-09.55 09.55-10.05 10.05-10.30 10.30-12.00 10.30-10.40 10.40-10.50 10.50-11.00 11.00-11.10 11.10-11.20 11.20-12.00 09.00-12.00 09.00-09.25 09.25-09.50 09.50-10.15 10.15-10.45 10.45-11.10 11.10-11.35 11.35-12.00 12.05 ENDOSCOPY SYMPOSIUM : ‘Ensuring quality in endoscopy’ : Clyde Theatre : Chair – Dr JRB Geen and Dr SR Cairns Training JAG – where next (Dr KR Palmer, Edinburgh) Moving towards excellence as an endoscopy trainer (Professor JR Barton, Newcastle upon Tyne) Quality control in training – Future of training (Dr JR Anderson, Cheltenham) Discussion Avoiding infection in Endoscopy Revised antibiotic prophylaxis guidelines (Dr MC Allison, Newport) Endoscope decontamination in practice – does it wash? (Ms E Thompson, London) vCJD containment – cleaning up our act (Dr MC Allison, Newport) Discussion Coffee Service The GRS in England – two years on (Dr AM Veitch, Wolverhampton) Tartanising the GRF – endoscopy quality improvement in Scotland (Dr PS Phull, Aberdeen) Bowel cancer screening one year on (Dr MR Tighe, Norwich) Bowel cancer screening : Up, running and looking to the future (Mrs J Patnick, Sheffield) Sustaining a high quality endoscopy service (Dr R Valori, Gloucester) Discussion PATHOLOGY/SURGERY SYMPOSIUM : ‘Colorectal cancer’ : Lomond Theatre : Chair –Mr K Wedgwood and Professor NA Shepherd Genetics of high risk colorectal cancer (Professor DM Eccles, Southampton) Surveillance of the adenoma patient – including extracolonic surveillance of polyposis patients (Professor W Atkin, London) Pathology of polyposis syndromes (Professor GT Williams, Cardiff) Coffee CT colonography for symptomatic patients (Dr C Kay, Bradford) Local excision of colorectal cancer (Professor NJM Mortensen and Dr BF Warren, Oxford) Patient-targeted therapy in colorectal cancer (Professor M Seymour, Leeds) BASIL MORSON LECTURE :| ‘On the shoulders of giants – clinicopathological insights into colorectal cancer’ Professor P Quirke, Leeds (This lecture is generously sponsored by Blackwell Communications) 17 ‘Question the Expert’ Breakfast Meeting – Hall 1 ‘Endoscopy in Primary Care; is this a new niche for the nurse endoscopist’ Andrea Nicholls 07.30-08.45 This session is open to Nurse Endoscopists only ENDOSCOPY ASSOCIATES GROUP : ‘Obesity and nutrition support through nursing services; : Hall 1 : Chair – Ms S Harnden and Ms P Hutson Behavioural approach to weight loss (TBA) Stomach banding – nurse-led service (Ms P Hutson, Sheffield) Coffee The obesity epidemic. Is there a surgical solution? (Mr R Ackroyd , Sheffield ) Nutritional support; are the guidelines Nice? (Ms L Colagiovannie, Birmingham ) Annual Business Meeting 09.30-12.30 09.30-10.00 10.00-10.30 10.30-11.00 11.00-11.30 11.30-12.00 12.00-12.30 09.00-12.00 ENDOSCOPY ASSOCIATES GROUP : Reports from the Regions : Carron Theatre : Chair – Ms I Dunkley and Ms F Payton North East Region (Ms L Hodgson) Midlands Region (Ms L Mahachi) East Anglia Region (Sr S Beesley) Coffee Northern Ireland Region (Ms J Cushley) Regional groups meeting : question/answer session 09.00-09.30 09.30-10.00 10.00-10.30 10.30-11.00 11.00-11.30 11.30-12.00 09.00-12.00 09.00-09.15 O-086 09.15-09.30 O-087 09.30-09.45 O-088 09.45-10.00 O-089 10.00-10.15 O-090 10.15-10.45 09.00-12.00 09.00-09.30 GASTRODUODENAL FREE PAPERS : Dochart Theatre : Chair – Professor E El-Omar and Professor KEL McColl) Gender difference in gastric cancer is unrelated to gastric atrophy (H Watabe, Y Yamaji, M Okamoto, T Kawabe, T Mitsushima, M Omata, K McColl) Inactivation of the second allele in patients with hereditary diffuse gastric cancer harbouring germline E-cadherin mutations (ME Barber, S Hyland, N Grehan, C Caldas, R Fitzgerald) The clinical utility and diagnostic yield of routine gastric biopsies in the investigation of iron deficiency anaemia (PV Kaye, K Garsed, K Ragunath, A Jawhari, B Pick, J Atherton) Administration of dimethyloxalylglycine (DMOG) as a novel gastrointestinal repair strategy (A Mahmood, T Marchbank, SK Harten, PH Maxwell, S Ghosh, RJ Playford) Is mastic gum effective in the treatment of functional dyspepsia? A randomized double-blind placebo controlled trial (KJ Dabos, E Sfika, LJ Vlatta, D Frantzi, GI Amygdalos, G Giannikopoulos) Coffee PANCREATIC FREE PAPERS AND SYMPOSIUM : ‘Autoimmune pancreatitis’ : Alsh Theatre : Chair – Professor K Conlon Historical perspective, epidemiology and clinical presentation 18 09.30-10.00 10.00-10.30 10.30-10.40 10.40-11.00 11.00-11.15 O-091 11.15.-11.30 O-092 11.30-12.00 09.00-12.00 09.00-09.15 O-093 09.15-09.30 O-094 09.30-09.45 O-095 09.45-10.00 O-096 10.00-10.15 O-097 10.15-10.45 10.45-11.00 O-098 11.00-11.15 O-099 11.15-11.30 O-100 11.30-11.45 O-101 11.45-12.00 O-102 14.00-16.30 (Professor R Sutton, Liverpool) Investigation and diagnostic criteria (Professor S Chari, Minnesota) Treatment approaches and disease response (Mr George Webster, London) Panel Discussion Coffee Steroids in autoimmune pancreatitis (AIP) – do they preserve pancreatic anatomy and function? (NS Sandanayake, NI Church, R Dor, AR Hatfield, SP Pereira, GJ Webster) Vitamin D in exocrine pancreatic insufficiency (EPI): a UK experience (M Srinivas, P Basumani, RD Ellis, RC Lord, KD. Bardhan) Update on novel approaches to pancreatic cancer chemotherapy (Professor W Steward, Leicester and Dr D Cunningham, London) SMALL BOWEL/NUTRITION FREE PAPERS : Boisdale Theatre : Chair – Dr DS Sanders and Dr P Watson What are the best immunological tests for coeliac disease? – a prospective assessment of 2000 biopsy verified results (AD Hopper, DP Hurlstone, G Wild, DS Sanders) What is the optimal site and number of endoscopic duodenal biopsies required to diagnose coeliac disease? (AD Hopper, SS Cross, DP Hurlstone, DS Sanders) Prospective study of the prevalence of coeliac disease in adults with Type 1 diabetes mellitus: effect upon glycaemic control and quality of life (JS Leeds, AD Hopper, M Hadjivassiliou, S Tesfaye, DS Sanders) Long term followup of patients with malignant carcinoid syndrome receiving Sandostatin LAR (JR Garland, C Bouvier, P Davies, C Toumpanakis, J Buscombe, M Caplin) Anti tissue transglutaminase antibody (TTG) quantification is useful in the follow-up of coeliac disease patients (S Maitra, R Thomas, A Mcleantooke, G Spickett, D Smith, R Ward, JC Mansfield) Coffee New introducer PEG-gastropexy without prophylactic antibiotics: a prospective randomised double blind trial (YM Shastri, N Hoepffner, A Tessmer, W Caspary, J Stein) Incidence of refeeding syndrome in general medical inpatients on enteral feeding. (N Sundar, A Green, R Taneja, M Williams, R Hill, R Crimmins, J Green, G Swift) Effect of microbial overgrowth on cytokine expression in the upper gastrointestinal tract of patients receiving enteral nutrition (AR Smith, GA O'May, E Furrie, B Bahrami, N Reynolds, GT Macfarlane) Screening for malnutrition in outpatients (N Sundar, C Pride, J Collins, A Clark, R Alcolado) Training gastroenterologists in clinical nutrition (TR Smith, AN Desilva, SA Wootton, AA Jackson, MA Stroud) ENDOSCOPY ASSOCIATES GROUP : ‘Bowel screening and service improvement’ : Lomond Theatre : Chair – Ms H Griffiths and 19 Ms L Coleman Cancer screening service: where are we with it? (Ms L Coleman , Sheffield ) Role of the specialist screening practitioner (Wolverhampton Bowel Screening Team) Tea Global rating score and the new domains (Ms H Griffiths, Hereford) Endoscopy: enhancing the nursing contribution (Ms R Hodson, Hull and Ms D Johnston ) 14.00-14.30 14.30-15.00 15.00-15.30 15.30-16.00 16.00-16.30 ENDOSCOPY ASSOCIATES GROUP : ‘Developments in GI Disease : Hall 1 : Chair – Ms N Campbell Double balloon enteroscopy (Dr C Fraser, London) Capsule endoscopy : is it working? (TBA) Tea Hypnosis and its use in IBS (Dr G Smith, Edinburgh) CT colonography (Dr D Burling, London) 14.00-16.30 14.00-14.30 14.30-15.00 15.00-15.30 15.30-16.00 16.00-16.30 Tuesday 27 to Thursday 29 March Hall 5 – 12.30-14.00 CASE PRESENTATIONS COMPUTER WORKSHOP: The following Case Presentations will be shown during the course of this session: C-103 C-104 C-105 C-106 C-107 C-108 C-109 C-110 An unusual cause of acute lower gastrointestinal bleeding (V Anumakonda, H Bu-Hayee, G Chung-Faye, S Diaz-Cano) Relapsing, remitting obstructive liver function tests (JA Jupp, S Bridger, CJ Hovell) Watery diarrhoea, is it infective, iatrogenic or is there more to it? (M Castelino, J Gasem, D Nazareth, B Hamid, TD Wardle) From phlebolith to surgery (GW Moran, T Stone, A Wolinski, R Patel, BJM Jones) An unusual cause of gastric outlet obstruction (BJ Sebastian, D Mittapalli, M Hussain, S Afzal, V Rudralingam, R Hammonds, K Akhtar) Cardiologists: beware of ulcers (J Mannath, R Polson) Refractory pleural effusion from pancreato-pleural fistula: a rare complication of chronic pancreatitis (GG Babu, VN Mahesh, M Patel) An uncommon case of ascites (D Gupta, J Mannath, J Ostler, N Shah) Tuesday 27 March 20 POSTER VIEWING SESSION: PLENARY, COLORECTAL/ANORECTAL, GASTRODUODENAL, GASTROINTESTINAL PATHOLOGY, NEUROGASTROENTEROLOGY/MOTILITY, OESOPHAGUS, PANCREAS, RADIOLOGY, SERVICE DEVELOPMENT (Posters will be on display from 0900-1700 daily and authors will be present for discussion between1230-1400) PLENARY Poster round will be conducted by Professor AI Morris and Dr A Harris PP-111 PP-112 PP-113 PP-114 PP-115 PP-116 PP-117 PP-118 PP-119 PP-120 PP-121 PP-122 PP-123 PP-124 Lamin A/C status is a prognostic indicator in colorectal cancer (TR Cox, KM Smits, S F Rahman-Casans, ND Willis, PA van den Brandt, M van Engeland , MP Weijenberg, A de Bruine, CJ Hutchison, RG Wilson, S Przyborski) Increased biomarkers of colorectal carcinogenesis associated with obesity and Roux-en-Y gastric bypass (RYGB) (A Sainsbury, GG Robins, R Goodlad, S Pollard, MA Hull) Diagnostic yield of endoscopic ultrasound (EUS)-guided Trucut biopsy (TCB): experience from a tertiary referral centre (HI Karageorgiou, PJ Fortun, K Ragunath, GP Aithal) Endoscopic balloon dilatation and sequential stenting provides safe and effective treatment of anastomotic strictures complicating orthotopic liver transplantation (A Holt, M Silva, D Mirza, D Thorburn, G Haydon) Lauren subtyping of cardia cancer provides further evidence of two distinct aetiologies (S Hansen, SE Vollset, MH Derakhshan, V Fyfe, KJ Melby, S Aase, E Jellum, KEL McColl) Myofibroblast Wnt-5A facilitates intestinal epithelial repair through a non-canonical pathway (M Sebastian, A Mohamed, IR Sanderson, L Kruidenier) Drug delivery systems for treating inflammatory bowel diseases: the extent to which gastrointestinal pH influences drug release from enteric coated products (VC Ibekwe, HM Fadda, MK Khela, DF Evans, GE Parsons, AW Basit) Outcomes of corticosteroid and thiopurine use in a population-based cohort of Crohn’s patients in Cardiff diagnosed 1996-2005 (SK Gunesh, BA Hawthorne, GA O’Thomas) The long-term burden of inflammatory bowel disease: a large epidemiological study of patients in Scotland (J Nicholls, D Clark, L Kelso, A Knight, A Crowe) Bone marrow transplantation induces remission in Crohn’s disease – where do the cells go? (S Schier, M Brittan, N Direkze, R Jeffery, MR Alison, NA Wright) Haemophagocytic syndrome complicating liver transplant carries a poor prognosis (AT Barnardo, W Bernal, N Heaton, M Heneghan, J O'Grady, G Mufti, J Devlin) Lymphocyte steroid sensitivity in severe alcoholic hepatitis (SFW Kendrick, JM Palmer, DEJ Jones, CP Day) Changes in portal blood flow and liver oxygenation following intraportal injection of pancreatic islet-sized dextran beads (P Kooner, M Juszczak, G Jones, B Mohammadi, A Kumar, S Powis, M Press) Reproducibility of viscero-visceral and viscerosomatic sensitisation 21 PP-125 PP-126 PP-127 PP-128 PP-129 PP-130 induced by intra-duodenal capsaicin infusion (B Unsworth, Q Aziz P Holzer, A Hobson) The fermentable fibre substrate pectin can enhance tumour yield in the ApcMin/+ mouse model of intestinal cancer (J Gruninger, N Mandir, RA Goodlad) Esomeprazole for treatment of unexplained chest pain in primary care: a prospective randomised double-blind placebo-controlled multicentre study (N Flook, P Moayyedi, J Dent, NJ Talley, T Persson, B Karlson, M Ruth) The new radiolabelled somatostatin analogue 90Yttrium-DOTAoctreotate for the treatment of metastatic neuroendocrine tumors : initial results and tolerability in a series of 47 patients (C Toumpanakis, A Quigley, R Srirajaskanthan, A Karpathakis, A Krepska, A Davidson, T Meyer, J Buscombe, ME Caplin) Is research within the British Society of Gastroenterology (BSG) in decline? (RJ Atkinson, AD Hopper, A Razak, A Perera, A Rahim, DS Sanders) Making a mole hill out of a mountain; use of BSG guidelines and GRS principles to regain waiting list control in endoscopy (P Jani, K Safakish, K Yara, A Sabra, AU Jawhari) Monoclonal antibodies to the coeliac immunodominant gliadin peptide (HJ Ellis, S McLaughlin, D Dewar, T Suligoj, C O'Sullivan, P Ciclitira) COLORECTAL/ANORECTAL Poster Round will be conducted by Mr K Wedgwood and Dr S Riley PT-131 PT-132 PT-133 PT-134 PT-135 PT-136 PT-137 PT-138 PT-139 Molecular analysis of bacterial diversity in healthy and cancerous colonic mucosae (S Ahmed, GT Macfarlane, S Macfarlane) Referral letters for 2 week wait for suspected colorectal cancer do not allow a straight-to-test pathway (M Aljarabah, N Borley, T Goodman, J Wheeler) Preoperative cardiac assessment for elective pelvic colorectal cancer surgery, do we need guidelines ? (M Aljarabah, J Wheeler, T Goodman , N Borley) A novel finding - global DNA hypomethylation in diverticular disease: a pilot study (the BORICC study) (RP Arasaradnam, D Commane, H Greetham, M Bradburn, IT Johnson, JC Mathers) Novel preliminary findings of mitochondrial DNA (mtDNA) mutations in colonic crypts of patients with diverticular disease (The BORICC Study) (RP Arasaradnam, LC Greaves, D Commane, H Greetham,M Bradburn, RW Taylor, DM Turnbull, JC Mathers) Percutaneous endoscopic colostomy within a tertiary referral colorectal practice: evidence to support current NICE guidelines? (W Baraza, S Brown, M McAlindon, P Hurlstone) Flexible sigmoidoscopy and biopsy for investigation of diarrhoea : high rate of microscopic abnormality in macroscopically normal mucosa (J Burdsall, C Lim, M Ahmed) The association of proximal colorectal neoplasia and distal polyps in a large district general hospital (AJ Cairns, M Hendrickse, N Shariff) Functional symptoms and their psychological correlates in patients with a rectocoele and evacuation difficulties (DR Chatoor, 22 PT-140 PT-141 PT-142 PT-143 PT-144 PT-145 PT-146 PT-147 PT-148 PT-149 PT-150 PT-151 PT-152 PT-153 PT-154 PT-155 PT-156 PT-157 PT-158 NM Thoua, AV Emmanuel) Components of the recto-anal inhibitory reflex correlate with gut symptoms in functional and neuropathic conditions (DR Chatoor, K Thiruppathy, P Dhanjal, AJ Roy, AV Emmanuel) What does MR proctography add in comparison to fluoroscopic proctography in patients with evacuation difficulty? (DR Chatoor, AV Emmanuel, S Elneil, R Cohen, AC Windsor, J Osborne, S Halligan , SA Taylor) Mucosal bacterial isolates from human colon cancer induce nuclear localisation of ß-catenin in human colon cancer epithelial cells (PD Collins, LYu, JM Rhodes) What is the best method for assessing severity in functional constipation; evaluation of symptoms by the clinician performing invasive investigation or self-assessment of QOL by the patient? (S Cowlam, A Mackie, I Minty, S Milburn, E McColl, Y Yiannakou) Can enterocutaneous fistula be effectively managed in a regional unit? (VK Datta, S Dann, A Engledow, A Privitera, R Cohen, A Forbes, A Windsor) Rectal administration of high dose vancomycin is successful in inducing remission of Clostridium difficile associated diarrhoea (CDAD) which has failed to respond to standard therapy (KK Desai, Y Yiannakou, PH Moncur) Failed colonoscopy: the radiological solution for achieving colorectal cancer targets (K Flood, S Jaggar, R Lowe, L Juby, J Davies) Clostridium difficile: experience of the highly-virulent epidemic strain 027 (IR Gooding, MC Ikwueke, G Bioh, MS Khan, SM Greenfield) Derivation of a score for identifying colorectal cancer in primary care (WT Hamilton) Results of surgical excision of recurrent rectal cancer (SK Kumarage, KKI Deen) Dr Kumarage has been awarded a BSG Travel Fellowship Using somatic APC mutations as clonal markers in colonic polyps (SJ Leedham, C Thirlwell, J Hoare, I Tomlinson, NA Wright) Laparoscopic anterior rectopexy improves both obstructed defaecation and faecal incontinence in patients with rectal intussusception (R Collinson, P Boons, P van Duijvendijk, T Ahmed, H Decosta, C Cunningham, I Lindsey) Side population characteristics and role of ß1 integrin in adhesion of isolated human colonic crypt epithelial cells (S Samuel, A Robins, J Webb, YR Mahida) Assessment of macrophage function within the stroma of sporadic colorectal polyps (MH Mclean, GI Murray, N Fyfe, GL Hold, AG Mowat, EM El-Omar) Assessment of inflammatory cell phenotype in sporadic hyperplastic polyps (MH Mclean, GI Murray, N Fyfe, GL Hold, AG Mowat, EM El-Omar) Surveillance colonoscopy for adenomatous polyps - are we compromising the patient care? (D Mittapalli, B Sebastian, K Akhtar) Colorectal screening: what would you choose? (G Morrison, A Varghese) Colonic anatomical variations as seen by virtual colonoscopy scout images why colonoscopy is technically challenging (AB Patrick, G Erian, L Jackson, O Epstein) Potassium channel blockade prevents increased colonic permeability 23 PT-159 PT-160 PT-161 PT-162 PT-163 during ischaemia: a novel therapeutic strategy to reduce sepsis associated with liver surgery (A Loganathan, JE Linley, S Kopanati, P Lodge, M Hunter, GI Sandle) Streptococcus bovis bacteraemia - a marker for colonic and liver disease (B Saravanan, N Abdullah, LR Jenkinson) Comparison of high resolution magnification endoscopy, narrow band imaging with magnification and chromoendoscopy with magnification in the assessment of neoplastic and non neoplastic colorectal lesions (R Singh, A Shonde, P Kaye, CJ Hawkey, K Ragunath) Adenomatous polyps are uncommon in patients with ulcerative colitis but increase the risk of developing colorectal cancer (V Subramanian, A Banerjee, R Pollok) Iron deficiency anaemia and thrombocytosis: predictors of mortality in colorectal cancer (IJ Tanswell, R Desai, J Burdsall, M Hall, R Ransford) Colorectal cancer: mapping expression studies: from murine models onto human disease (F Song, J Jenkins, A Jorgensen, A Clarke, AJ Watson) GASTRODUODENAL Poster Round will be conducted by Dr M Pritchard and Dr D Gillen PT-164 PT165 PT-166 PT-167 PT-168 PT-169 PT-170 PT-171 PT172 PT173 PT-174 Mucosal associated bacterial diversity in the stomach and duodenum (S Ahmed, GT Macfarlane, S Macfarlane) Helicobacter pylori dupA is not associated with duodenal ulcers in populations from South Africa, Scotland, China and USA (RH Argent,JC Atherton) ComH: isolation purification and characterisation of a unique H pylori protein (K Kostidis, P Thackray, KD Bardhan, CW Potter, JR Sayers) How robust is data collection in upper gastrointestinal cancer referrals at local and national levels? (A Jamil, S Zaro, S Mukherjee, M Guinane, V Kulhalli N U Beejay) Gastric phenotype and GORD symptoms indicate two distinct aetiologies of cardia cancer (MH Derakhshan, R Malekzadeh, V Fyfe, A Yazdanbod, A Kazemi, N Rakhshani, R Didehvar, M Sotoudeh, KEL McColl) Evaluation of risk stratification in the co-prescription of gastroprotectants in patients admitted to hospital (GA Doherty, GC Harewood, SE Patchett, FE Murray) To biopsy or not to biopsy?.. is coeliac serology the answer… the guidelines say so…(AD Farmer, G Sadler, BT Cooper) A cross-sectional survey to assess the usefulness of the Rome III dyspepsia symptom subgroups in a large community sample (AC Ford, AG Bailey, D Forman, ATR Axon, P Moayyedi) Outpatient management of minor upper gastrointestinal haemorrhage (NC Hare, U Warshow, J Stephens, N Hamad, LM Jackson, P Thatcher, IA Murray, SH Hussaini, NP Michell, HR Dalton) A comparison between Iraqi and Iranian Helicobacter pylori strains (N Hussein, R Argent, D Letley, M Mohammadi, J Atherton) Investigation and management of patients referred with non-responsive coeliac disease; results of 110 cases (SD Mclaughlin, DH Dewar, MW Johnson, HJ Ellis, PJ Ciclitira) 24 PT-175 PT-176 PT-177 PT-178 Investigating the relationship of social deprivation and rates of Helicobacter pylori infection using stool antigen testing –analysis of 2368 cases (J Parr, A Saeed, K Collins) Discrepancies between serology and histology for the diagnosis of coeliac disease in a district general hospital. is this an unrecognised yet common problem in hospitals throughout the UK? (RR Sweis, L Pee, G Smith-Laing) Upper gastrointestinal bleeding and the changing use of COX-2 specific non-steroidal anti-inflammatory drugs (AS Taha, J Angerson, R Prasad, C McCloskey, RP Knill-Jones, O Blatchford) Changing epidemiology of peptic ulcer bleeding - a prospective 10 year whole community study (JM Thomson, U Basavaraju, D Armour, AG Mowat, A Fraser) GASTROINTESTINAL PATHOLOGY Poster Round will be conducted by Dr A Bateman PT-179 PT-180 PT-181 PT-182 PT-183 PT-184 PT-185 PT-186 The putative stem cell marker CD24 is present as variably glycosylated isoforms in colorectal cancer (SJ Crook, D Jackson, A Akinleye, J Kim, R Seth, N Watson, L Durrant, J Scholefield, M Ilyas) Novel and concomitant mutations of KRAS and BRAF in colorectal cancer cell lines (SJ Crook, R Seth, D Jackson, I Tomlinson, M Ilyas) Investigating epigenetic pathways in colorectal cancer (SJ Crook, R Seth, D Jackson, M Ilyas) Iron induced upper GI erosions: a common pathological finding (PV Kaye, J Wood, K Abdulla, PD James, JC Atherton) A blinded comparison of capsule endoscopy and histology in the evaluation of non-responsive coeliac disease (L Maiden, T Elliott, D Dewar, P Ciclitira) Natural polymorphism in the Helicobacter pylori vacuolating cytotoxin signal sequence affects toxin production (CG Masters, DP Letley, JC Atherton) Vitamin D controls CDX-1 and 2 tumour suppressor function in colorectal cancer (J Murphy, S Khalaf, RE Hands, S Dorudi, CLH Chan, NS Williams, SA Bustin) HOX gene gradients which pattern the embryonic gut are also present in the adult human gut (J Murphy, S Khalaf, RE Hands, CLH Chan SA Bustin, NS Williams) NEUROGASTROENTEROLOGY/MOTILITY Poster Round will be conducted by Dr A Emmanuel and Dr S Hamdy PT-187 PT-188 PT-189 Abdominal distension is related to delayed gastrointestinal transit in irritable bowel syndrome with constipation (IBS-C) (A Agrawal, PJ Whorwell, B Reilly, LA Houghton) Is visceral hyposensitivity associated with abdominal distension in the irritable bowel syndrome (IBS)? (A Agrawal, R Lea, PJ Whorwell, LA Houghton) Irritable bowel syndrome in the elderly: an overlooked problem? (A Agrawal, MH Khan, PJ Whorwell) 25 PT-190 PT-191 PT-192 PT-193 PT194 PT-195 PT-196 PT-197 PT-198 PT-199 PT-200 PT-201 PT-202 PT-203 What is the optimal duration of oesophageal pH measurement and symptom assessment? a prospective study using 96hr Bravo™ recordings (R Canavan, M Fox, A Anggiansah, T Wong) Is targeting locus of control a desirable outcome of biofeedback in functional constipation? (AV Emmanuel, JB Storrie, L Butcher, J Duncan, C Norton, MA Kamm) Using the gut response to acute stress to study the pathophysiology of irritable bowel syndrome (IBS) (AV Emmanuel, NM Thoua, W Wincester, CDR Murray) Poor quality of life predicts the new onset of irritable bowel syndrome: a longitudinal 10-year follow-up study (AC Ford, AG Bailey, D Forman, ATR Axon, P Moayyedi) Who consults with irritable bowel syndrome? a longitudinal 10-year follow-up study (AC Ford, AG Bailey, D Forman, ATR Axon, P Moayyedi) Group 1 voltage-gated potassium channels in the gastrointestinal tract: distribution and potential mediators of motility dysfunction (AW Hubball, R Patel, M Baker, A Chambers, J Powell-Tuck, C Knowles, J Martin) Gastrointestinal symptoms in patients with Marfan syndrome (BBN Scoones, AH Child, JY Kang) The relationship between exocrine pancreatic hypofunction and patients fulfilling the Rome II criteria for irritable bowel syndrome (diarrhoea predominant, D-IBS): a prevalence study with controls and therapeutic outcomes (JS Leeds, AD Hopper, A Simmonette, N Azadbakht, S Morley, DP Hurlstone, DS Sanders) Rectal endocrine cells: no post-inflammatory hyperplasia in colitis (SE Levison, DA Levison, R Hammonds, J McLaughlin) Abnormalities of small bowel and colonic water content in diarrhoeapredominant irritable bowel syndrome (IBS-D): novel insights from magnetic resonance imaging (L Marciani, S Foley, CL Hoad, E Campbell, JJ Totman, E Cox, PA Gowland, RC Spiller) Factors determining the perception of the reflux events in GORD patients (UR Marreddy, E Yazaki, DDF Evans, KK Mannur, AA Jenkinson) Exploring psychophysiological phenotypes for visceral pain (PA Paine, SF Worthen, Q Aziz) Blood pressure responses to distal oesophageal acidification and their relationship to sensitisation in a human model of visceral pain hypersensitivity (A Sharma, P Paine, B Unsworth, K Parvez, J Spibey, Q Aziz) Functional heartburn patients with somatisation trait demonstrate generalised visceral hypersensitivity (NM Thoua, C Kalantzis, A J Roy, AV Emmanuel) OESOPHAGUS Poster Round will be conducted by Dr M Dakkak, Dr K Kapur, Dr J-Y Kang and Dr M Thomson PT-204 The effects of obesity on oesophageal function and acid exposure in patients with reflux symptoms (R Anggiansah, A Anggiansah, M Fox, T Wong) 26 PT-205 PT-206 PT-207 PT-208 PT-209 PT-210 PT-211 PT-212 PT-213 PT-214 PT-215 PT-216 PT-217 PT-218 PT-219 PT-220 PT-221 PT-222 Inflammation and Barrett's metaplasia; the role of TNFɑ in clonal expansion (AM Nicholson, PA Atherfold, A Cerbinskaite, JA Jankowski) A role for nitric oxide in the invasive process in oesophageal adenocarcinoma (NJ Clemons, R Abeyratne, N Shannon, RC Fitzgerald) Risk of mortality and cancer incidence in Barrett’s oesophagus (MB Cook, CP Wild, SM Everett, LJ Hardie, D Forman) Oesophageal carcinoma in the West Midlands: changing incidence and the influence of socio-economic status and ethnicity (SC Cooper, R Day, C Brooks, C Livings, NJ Trudgill) Chronic atrophic gastritis is a major risk factor for oesophageal squamous cell carcinoma (MH Derakhshan, R Malekzadeh, V Fyfe, A Yazdanbod, A Kazemi, N Rakhshani, R Didehvar, M Sotoudeh, KEL McColl) Acid-related oesophageal sensitivity not dysmotility differentiates subgroups of patients with non-erosive reflux disease (D Khoo, NM Thoua, C Kalantzis, CDR Murray, AV Emmanuel) COX-2 and INOS gene polymorphisms in the reflux oesophagitisBarrett’s oesophagus - oesophageal adenocarcinoma sequence (HR Ferguson, HR Ferguson, LJ Murray, BT Johnston, LA Anderson,SJ Murphy, P Watson, J McGuigan, JV Reynolds, H Comber, CP Wild, LJ Hardie) Polymorphisms in DNA repair genes and their associations with risk of reflux oesophagitis, Barrett’s oesophagus and oesophageal adenocarcinoma (HR Ferguson, HR Ferguson, LJ Murray, BT Johnston, LA Anderson, SJ Murphy, P Watson, J McGuigan, JV Reynolds, H Comber, CP Wild, LJ Hardie) Ornithine decarboxylase as a marker of dysplasia in Barrett’s oesophagus (M Fullard, P Neild, A Poullis, JD Maxwell, JY Kang) The relevance of low-grade dysplasia in columnar-lined oesophagus (P Gatenby, JR Ramus, CPJ Caygill, A Watson) Effectiveness of two week rule referral system for patients with symptoms of dysphagia (AR Khan, B Khan, M Ali, Z Mahmood) Non-endoscopic immunocytological screening test for Barrett’s oesophagus (P Lao-Sirieix, B Rous, M O'Donovan, S Gardiner, I Debiram, RH Hardwick, R Fitzgerald) Elastic scattering spectroscopy for the detection of aneuploidy in Barrett’s oesophagus (GD Mackenzie, D Oukrif, S Green, MR Novelli, SG Bown, LB Lovat) The presence of aneuploidy following photodynamic therapy predicts late relapse to high-grade dysplasia or adenocarcinoma (GD Mackenzie, D Oukrif, MR Novelli, S Green, SG Bown, LB Lovat) Prospective trial of laparoscopic Nissen fundoplication versus proton pump inhibitor therapy for gastro-oesophageal reflux disease: sevenyear follow-up (S Mehta, J Bennett, D Mahon, M Rhodes) The effects of oral supplementation with n-3 fatty acids on Barrett's epithelium in humans (S Mehta, AP Boddy, J Cook, EK Lund, V Sams, IT Johnson, M Rhodes) Oesophageal metal stents - not exactly 'fire and forget' (EM Melleney, P Willoughby) HB-EGF and TGF-ɑ mediate leptin-induced epidermal growth factor transactivation and proliferation in oesophageal adenocarcinoma cells 27 PT-223 PT-224 PT-225 PT-226 PT-227 PT-228 PT-229 (OO Ogunwobi, IL Beales) Globular adiponectin inhibits leptin-induced proliferation of oesophageal adenocarcinoma cells via activation of adiponectin receptor-1 (OO Ogunwobi, IL Beales) Audit on Barrett’s columnar-lined oesophagus surveillance in a district general hospital: the implications of BSG guidelines (J Ong, D Gopalkrishnan, L Thomas) Interventions for chronic cough associated with gastro-oesophageal reflux: systematic review and meta-analysis of randomised controlled trials (C Osonnaya, K Osonnaya, S Smith, L Guo, M Abdi) Novel genomic aberrations in oesophagogastric cancer (JR Rees, S Chin, JC Marioni, C Caldas, V Save, B Ylstra, D Alderdson, RH Hardwick, RC Fitzgerald) The utility of endoscopic tri-modal imaging for the detection of dysplastic lesions in Barrett's oesophagus (K Ragunath, R Singh, WL Curvers, P Fockens, JJ Bergman) Risk factors for Barrett’s oesophagus among middle-aged men with reflux disease: a case-control study (N Stern, K Bodger) Development of a new scoring system to predict endoscopic diagnosis in patients with dysphagia (I Tyrmpas, L Meekison, C Scott, K Trimble, ID Penman, G MacDougall, JN Plevris) PANCREAS Poster round will be conducted by PT-230 PT-231 PT-232 PT-233 PT-234 PT-235 Evaluation of the use of CA 19-9 in the setting of a district general hospital (T Dickel, A Gera, M Lancaster-Smith, H Curtis) Vascular endothelial growth factor and calprotectin in blood and bile for diagnosis of pancreatobiliary carcinoma: a pilot study (JE East, S Troup, J Mawdsley, L Jiao, N Habib, D Westaby, D Bansi, B Muller, AV Thillainayagam) Pancreatic function tests from patient point of view: a questionnaire survey (SK Enaganti, S Shah, AC Wicks) Clinical impact of symptomatic recurrent chronic pancreatitis in patients with cystic fibrosis (J Puleston, C Groves, IR Gooding, P Vlavianos, KM Gyi, M Hodson, D Westaby) Are the BSG guidelines on pancreatic cancer achievable? (V Mitra, M Kurmani, B Chaudhury, C Berthou, J Vasani) Endoscopic ultrasound guided tissue sampling by combined fine needle aspiration and trucut needle biopsy for the diagnosis of pancreatic neuroendocrine tumors (SN Sgouros, M Caplin, SP Pereira) RADIOLOGY Poster round will be conducted by Dr S Lee PT-236 PT-237 PT-238 Wide angle 3D endoluminal CT colonography: impact on missed areas and polyp conspicuity (JE East, BP Saunders, D Boone, S Halligan, SA Taylor) Small bowel imaging: comparison of small bowel magnetic resonance imaging with small bowel follow through (D Subedi, S Glancy) Determining the proximal extent of ulcerative colitis: white cell scan 28 correlates well with histological assessment (V Subramanian, A Banerjee, N Beharry, M Farthing, R Pollok) SERVICE DEVELOPMENT Poster round to be conducted by Dr R Valori and Dr N Haslam PT-239 PT-240 PT-241 PT-242 PT-243 PT-244 PT-245 PT-246 PT-247 PT-248 PT-249 PT-250 PT-251 PT-252 PT-253 PT-254 PT-255 PT-256 Blood count monitoring of azathioprine is improved by inflammatory bowel disease nurse supervision (S Abusin, H Thompson-Jones, B Hawthorne) Feasibility of using an electronic HRQOL questionnaire routinely in patients attending a busy gastrointestinal outpatients department – time involvement and symptom reporting (F Ali, J Williams, D Russell, I Russell) Is outsourcing of dictation cheaper than medical secretaries? (R Haidry, NU Beejay) Copy letters to patients use and impact on workload (A Saeed, S Bradbury, DW Bullimore) An “endoscopy outcomes sheet” improves patient experience after endoscopic procedures: results of a pilot study at a district general hospital (K Pinder, A Allan, A Wilson, A Dhar) The investigation of iron deficiency with or without anaemia (R Mason, A J Dimambro, J Sufflebotham, CS Probert) Informed consent: do subjects understand the information sheets? (P J Fortun, L Chalkley, A Shonde, J West, C Hawkey) The changing pattern of referrals for upper gastrointestinal cancer 2001-2005 (A Gera, R Evans, RJ Ede) The impact of a 24-hour telephone helpline on the management of patients with inflammatory bowel disease (IBD) (S Gethins, T Duckett, J Mayberry, J de Caestecker, R Robinson) Outcome of a nurse-led outreach service for prison inmates with chronic Hepatitis C infection (EB Hills, M Allen, R Kitchen, PL Collins, A McCune, FH Gordon) A web-based endoscopy referral and triage system for quality assurance (R Kasturi, E Said, G Clifford, J Singh, A Saeed) A prospective audit of a nurse-led iron deficiency anaemia service in compliance with the BSG guidlines (K Kemp, JM Hebden, AJ Makin) Red cell distribution width - another useful index for iron deficiency (A Koulaouzidis, E Said, S Bhat, J Moschos, I Shahzad, AA Saeed) The development of a county wide long-term follow-up service for patients with gastrostomy tubes results in significant benefits for patients and carers the local primary care trusts and the district general hospital (M Scott, IA Murray) Validating the planned colonoscopy waiting list: worth the effort? (IA Murray, H Hussaini) Dysphagia hotline: the first 600 patients (M Prince, R Abbott, C Waters, HR Dalton, IA Murray) Gastrointestinal tract pathology in patients with asymptomatic anaemia and chronic kidney disease (N Powell, A McNair) Improving colonoscopy services using action audit (JW Rademaker, JM Morris) 29 PT-257 PT-258 PT-259 PT-260 PT-261 PT-262 PT-263 PT-264 The gender imbalance in academic medicine: have we bridged the gap over 35 years, a UK perspective? (R Sidhu, A Key, SE Erskine, J Walmsley, DS Sanders) Capsule endoscopy:is formal training necessary for specialist registrars in gastroenterology ? (R Sidhu, PV Sakellariou, ME McAlindon, AD Hopper, BS Höeroldt, JS Leeds, M Karmo, DS Sanders) Patient access times and survival before and after introduction of a rapid access upper gastrointestinal cancer service (N Stern, N Kapoor, R Sturgess, K Bodger) Evaluation of efficacy of an endoscope storage and drying chamber in an endoscopy unit and its impact on working practice (S Thomas, S Watts, E Saum, AP Chilton) Usefulness of a dedicated nurse specialist-led clinic for familial colorectal cancer (T Thomas, JR Bebb, W Chorley, AT Cole) A multidisciplinary approach to percutaneous endoscopic gastrostomy reduces the number of inappropriate procedures and decreases mortality (DG Walker, AV Haycock, J Hoare, RPM Negus) Nurse specialist iron deficiency anaemia service arising from audit findings (C Dipper, S Hope, MR Welfare, M Hayat, C Tiplady) Improving outcome in upper gastrointestina haemorrhage by service development: a prospective audit in a district general hospital (S West, L Wentworth, E Donaldson, C Pearson, GR Lipscomb) Wednesday 28 March POSTER VIEWING SESSION: PLENARY, ENDOSCOPY, GI PHYSIOLOGY INFLAMMATORY BOWEL DISEASE, LIVER, NUTRITION, SMALL BOWEL (Posters will be on display from 0900-1700 daily and authors will be present for discussion between1230-1400) PLENARY Poster round will be conducted by Professor MJG Farthing and Professor CU Nwokolo PP-111 PP-112 PP-113 PP-114 PP-115 Lamin A/C status is a prognostic indicator in colorectal cancer (TR Cox, KM Smits, SF Rahman-Casans, ND Willis, PA van den Brandt, M van Engeland, MP Weijenberg, A de Bruine, CJ Hutchison, RG Wilson, S Przyborski) Increased biomarkers of colorectal carcinogenesis associated with obesity and Roux-en-Y gastric bypass (RYGB) (A Sainsbury, GG Robins, R Goodlad, S Pollard, MA Hull) Diagnostic yield of endoscopic ultrasound (EUS)-guided Trucut biopsy (TCB): experience from a tertiary referral centre (HI Karageorgiou, PJ Fortun, K Ragunath, GP Aithal) Endoscopic balloon dilatation and sequential stenting provides safe and effective treatment of anastomotic strictures complicating orthotopic liver transplantation (A Holt, M Silva, D Mirza, D Thorburn,G Haydon) Lauren subtyping of cardia cancer provides further evidence of two distinct aetiologies (S Hansen, SE Vollset, MH Derakhshan, V Fyfe, KJ Melby, S Aase, E Jellum, KEL McColl) 30 PP-116 PP-117 PP-118 PP-119 PP-120 PP-121 PP-122 PP-123 PP-124 PP-125 PP-126 PP-127 PP-128 PP-129 PP-130 Myofibroblast Wnt-5A facilitates intestinal epithelial repair through a non-canonical pathway (M Sebastian, A Mohamed, IR Sanderson, L Kruidenier) Drug delivery systems for treating inflammatory bowel diseases: the extent to which gastrointestinal pH influences drug release from enteric coated products (VC Ibekwe, HM Fadda, MK Khela, DF Evans,GE Parsons, AW Basit) Outcomes of corticosteroid and thiopurine use in a population-based cohort of Crohn’s patients in Cardiff diagnosed 1996-2005 (SK Gunesh, BA Hawthorne, GA O’ Thomas) The long-term burden of inflammatory bowel disease: a large epidemiological study of patients in Scotland (J Nicholls, D Clark, L Kelso, A Knight, A Crowe) Bone marrow transplantation induces remission in Crohn’s disease – where do the cells go? (S Schier, M Brittan, N Direkze, R Jeffery, MR Alison, NA Wright) Haemophagocytic syndrome complicating liver transplant carries a poor prognosis (AT Barnardo, W Bernal, N Heaton, M Heneghan, J O'Grady, G Mufti, J Devlin) Lymphocyte steroid sensitivity in severe alcoholic hepatitis (SFW Kendrick, JM Palmer, DEJ Jones, CP Day) Changes in portal blood flow and liver oxygenation following intraportal injection of pancreatic islet-sized dextran beads (P Kooner, M Juszczak, G Jones, B Mohammadi, A Kumar, S Powis, M Press) Reproducibility of viscero-visceral and viscerosomatic sensitisation induced by intra-duodenal capsaicin infusion (B Unsworth, Q Aziz P Holzer, A Hobson) The fermentable fibre substrate pectin can enhance tumour yield in the ApcMin/+ mouse model of intestinal cancer (J Gruninger, N Mandir, RA Goodlad) Esomeprazole for treatment of unexplained chest pain in primary care: a prospective randomised double-blind placebo-controlled multicentre study (N Flook, P Moayyedi, J Dent, NJ Talley, T Persson, B Karlson, M Ruth) The new radiolabelled somatostatin analogue 90Yttrium-DOTAoctreotate for the treatment of metastatic neuroendocrine tumors : initial results and tolerability in a series of 47 patients (C Toumpanakis, A Quigley, R Srirajaskanthan, A Karpathakis, A Krepska, A Davidson, T Meyer, J Buscombe, ME Caplin) Is research within the British Society of Gastroenterology (BSG) in decline? (RJ Atkinson, AD Hopper, A Razak, A Perera, A Rahim, DS Sanders) Making a mole hill out of a mountain; use of BSG guidelines and GRS principles to regain waiting list control in endoscopy (P Jani, K Safakish, K Yara, A Sabra, AU Jawhari) Monoclonal antibodies to the coeliac immunodominant gliadin peptide (HJ Ellis, S McLaughlin, D Dewar, T Suligoj, C O'Sullivan, P Ciclitira) ENDOSCOPY Poster round will be conducted by Dr D Westaby, Dr H Smart, Dr H Shepherd and Dr M Denyer 31 PW-265 PW-266 PW-267 PW-268 PW-269 PW-270 PW-271 PW-272 PW-273 PW-274 PW-275 PW-276 PW-277 PW-278 PW-279 PW-280 PW-281 PW-282 PW-283 PW-284 Self appraisal and assessment of technical skills in endoscopic procedures (TF Albrani, F Zaman, B Patel, S Sarker) Endoscopy in people at risk of vCJD: from scope quarantined to access denied (MC Allison, G Dolan) Colonoscopic surveillance for ulcerative colitis in a large district general hospital- is the juice worth the squeeze? (JR Bebb, L Coppel, T Thomas, AF Goddard) Is fluid deprivation required prior to endoscopy (DW Bowen, M Webberley, N Cross, M Hurley, P Neville) The need for nurse-led pre-assessment in a community based endoscopy clinic (JP Bridges, AF Horgan, E Stoker) Success of repeat ERCP following initial therapeutic failure (NI Church, EW Seward, SP Pereira, AR Hatfield, GJ Webster) Do UC what i see? Impact of endoscopy scoring on the outcome of a clinical trial (R Cooney, M Lukas, E Butruk, I Kotzev, BF Warren, P Krzeski, D Schnell, B Yacyshyn, C Bernhardt, M Abreu, S Travis) Management of benign biliary strictures: endoscopy vs surgery institutional experience (OM Damrah, A Lauretta, A Thillinianagram, D Bansi, L Jiao, R Canelo, N Habib) Is there evidence for myocardial damage in patients undergoing ERCP? (AN De Silva, K Smith, L Bowman, PR McCrudden, J Begley) Open access endoscopy – are patients being appropriately referred and prioritised according to national guidelines? (CR Dipper, D Elliott, MD Warren) Refining the indications for usage of wireless oesophageal video capsule endoscopy in the investigation of the upper digestive tract (S Douglas, JF Pendlebury, JN Plevris) Trends in upper gastrointestina bleeding: a single centre experience of over 1200 patients (P Eadala, R Crimmins, S Dolwani, GL Swift, JT Green) Polyp detection rate is improved with position changes during colonoscope withdrawal: a randomised crossover trial mid-point analysis (JE East, M Stavrinidis, N Arebi, N Palmer, P Bassett, BP Saunders) Facial response to anaesthetic spray is a predictor of patient tolerance for gastroscopy (A Evans, S Papathomas, SD Mann) Leeds discomfort score in colonoscopy patients and nurses disagree (A Ghanbari, T Cuming, A Ballinger, H Pardoe) Paediatric endoscopy performed by general gastroenterologists (JO Hayat, R Sirohi, DA Gorard) Lack of alarm symptoms at first presentation is common in patients subsequently found to have gastric or oesophageal carcinoma (M Hegde, RAJ Ransford, MJ Hall) JAG colonoscopy training guidelines are not being met by trainees following a one-to-one hands-on colonoscopy training course (AV Haycock, P Youd, N Suzuki, S Thomas-Gibson, BP Saunders) Have changes to sedation practice in endoscopy affected the incidence of sedation overdose (A Humphries, A Thillainayagam, J Mawsdley, N Bhuva, T Shepherd, D Bansi) Dextrose solution is as effective as sodium hyaluronate for the resection of colorectal Paris type I and 0-II lesions: a randomised 32 PW-285 PW-286 PW-287 PW-288 PW-289 PW-290 PW-291 PW-292 PW-293 PW-294 PW-295 PW-296 PW-297 PW-298 PW-299 PW-300 PW-301 PW-302 PW-303 blinded study (DP Hurlstone, DS Sanders, R Atkinson, ME McAlindon, AJ Lobo, M Thomson, SS Cross) Magnetocolonoscopy (A Jaganathan) Dr Jaganathan has been awarded a BSG Travel Fellowship Interobserver agreement in capsule endoscopy reporting between trainee and consultant gastroenterologists (S John, D Kejariwal, C Jamieson) Does management of an acute upper gastrointestina haemorrhage warrant the need for a 24-hour endoscopy service? (AM Karim, P Ellul, D Moothoo,A Sewart, HM Pratt, BA Teague, R Sekhar, C Brown, JJ Keating) Is poor endoscopic technique leading to missed cancer diagnoses? (AJ Kent, AM Milestone, J Hoare) Diagnostic yield of colonoscopy in chronic diarrhoea (AR Khan, M Riazuddin, K Hafeez, M Ali, B Javaid) Long term five year prospective follow up of Endocinch© therapy for gastro-oesophageal reflux disease (GORD): retention of plications are essential to control GORD (Z Mahmood, R Messersmith, A Zaheer, N Mahmud) A study to assess expertise and training in Sengstaken-Blakemore tube placement amongst trainee gastroenterologists (PF Marden, B Colleypriest, D Gavin, M Farrant) Abdominal pressure during colonoscopy - a survey to assess attitudes and training amongst endoscopy nurses (PF Marden, V Cambridge, B Colleypriest) Audit of 30D mortality following PEG insertion at a district general hospital, The Kent and Sussex Hospital, Tunbridge Wells, Kent: compared with NCEPOD results (S D McLaughlin, AW Harris) Long-term five year follow-up of patients with iron deficiency anaemia after a negative gastrointestinal evaluation (MT McLoughlin, TCK Tham) Sedation for endoscopic procedures- are we safe enough? (M McMahon, P Dunne, GR Lipscomb) Five-year experience with endoclips in the management of gastrointestinal bleeding (F Mohammed, K Peddi, C Babbs) Direct percutaneous endoscopic jejunostomy – technique and a five-year review (GW Moran, NC Fisher) Preoperative staging of pancreaticobiliary tumours - the role of endoscopic ultrasound with EUS fine needle aspiration when computed topography is inconclusive (C Mountford, M Nayar, B Jacques, J Scott, D Manas, R Charnley, V Wadhera, K Oppong) Sensitivity and specificity of ERCP brushings of suspected malignant biliary strictures (WP Murphy, TC Tham, P Kelly, GR Caddy) Role of repeat endoscopic ultrasound guided fine needle aspiration in obtaining tissue diagnosis in solid pancreatic lesions – is it worthwhile? (MK Nayar, V Wadehra, M Egan, KN Oppong) Flexible sigmoidoscopy in the community: is medical supervision necessary? (PM O’Loughlin, E Stoker, AF Horgan, K Chalam) Perception of the malignant potential of gastric ulcers is influenced by acid suppressing medication (SJ Panter, M Bramble, P Hungin, R Jones) Inadequate numbers of biopsies results in delayed diagnosis of upper 33 PW-304 PW-305 PW-306 PW-307 PW-308 PW-309 PW-310 PW-311 PW-312 PW-313 PW-314 PW-315 PW-316 PW-317 PW-318 PW-319 PW-320 PW-321 GI adenocarcinoma (SJ Panter, M Bramble, P Hungin, R Jones, H O'Flanagan) Size doesn't matter: safety and efficacy of ERCP in a small district general hospital (TA Mehta, K Ofuafor, KA Roberts, DR Parker) Do variable stiffness colonoscopes improve examination completion rates? analysis of 4463 cases (J Parr, A Saeed, J Singh) Exploring the utility of the given patency capsule in patients at risk of capsule retention (AJ Postgate, A Fitzpatrick, C Fraser) A single-blinded randomised controlled trial assessing the optimal bowel preparation for the capsule endoscopy test (AJ Postgate, A Fitzpatrick, N Patterson, C Fraser) Common bile duct width, as measured by endoscopic ultrasound increases with age and post- cholecystectomy (SL Preston, V Kwan, ID Norton, DB Jones) The additional value of Cusum charts for colonoscopy training (G Bowler, G Waddup, S Masson, MD Rutter) Diagnostic yield of investigations in patients with hepatic metastasis (SS Salunke, A Badar, N Jamieson, A Cahill) Percutaneous endoscopic gastrostomy: improved patient selection and 30-day mortality rates after a change in clinical practice (M Shariff, A Milestone, L McEvoy, C Collins, I Beveridge, K Sundaram, S Kane) Single-centre, single-operator ERCP experience in a district general hospital (RG Shidrawi, NCZ Chua) Fibred confocal endmicroscopy: a feasibility study to enhance routine endoscopy (A Shonde, R Singh, P Kaye, CJ Hawkey, K Ragunath) The safety, efficacy and clinical outcomes of endoscopic mucosal resection: experience from a tertiary referral centre (R Singh, K Yao, A Shonde, P Kaye, K Ragunath) Benefits of pre-assessment in PEG patients (LC Skitt, AJ Green, K Cracknell, JT Green, GL Swift) Change in bowel habit to constipation: is flexible sigmoidoscopy indicated? (MJ Sproat, S Kanagalingam, ZH Khan, J Gotto) Gastrointestinal bleeding and coagulopathy: worth getting out of bed for? (S Taslaq, M Vinayaga-Pavan, G Mehta, B Ancock, K Patel, D Bansi, A Thillainayagam) Acute oesophageal necrosis or just another black oesophagus? (S Thomas-Gibson, GT Kingston, AS Mee) What are the key components of hands-on colonoscopy training? (A I Thuraisingam, AH Shenoy, JT Anderson) Trainee colonoscopy audit: North East Thames (E Wood, JO Lindsay) A randomised, single-blind comparison between a low volume polyethylene glycol and ascorbic acid bowel preparation (Moviprep®) and Picolax® in gut cleansing prior to colonoscopy (J Worthington, M Thyssen, R Chapman) GI PHYSIOLOGY Poster round will be conducted by PW-322 JNK MAPK and cPLA2 regulate chloride secretion in T84 colonic epithelial cells (F Donnellan, BJ Harvey, FE Murray, SJ Keely) 34 PW-323 PW-324 Diagnostic value of oesophageal physiology studies - an eight year prospective study (S Mehta, R Lowndes, M Rhodes) Assessment of rectal sensory and motor function using two different barostat systems (SP Vasudevan, N Zarate, PJ Lunniss, SM Scott) INFLAMMATORY BOWEL DISEASE Poster round will be conducted by Dr SR Bloom and Dr C Mowat PW-325 PW-326 PW-327 PW-328 PW-329 PW-330 PW-331 PW-332 PW-333 PW-334 PW-335 PW-336 MTHFR polymorphisms are of pharmacogenetic value in azathioprine treatment in inflammatory bowel disease (AR Ansari, M Arenas, A Marinaki, J Duley, S Greenfield, C Lewis, J Sanderson) Genomic DNA hypermethylation in colorectal mucosa of patients with ulcerative colitis (The BORICC study) (RP Arasaradnam, K Khoo, D Commane, M Bradburn, S Kelly, IT Johnson, JC Mathers) Use and safety of infliximab for inflammatory bowel disease in South East England (2): predictors of response, safety and use of immunosuppression in clinical practice (B Baburajan, M Parkes, J Sanderson) The pharmacogenetics of folate and purine metabolic pathways in methotrexate therapy of inflammatory bowel disease (B Baburajan, M Arenas, N Prescott, K Herrlinger, F Cummings, M Tremelling, M Parkes, D Jewell, C Mathew, A Marinaki, J Sanderson) HLA-G 14bp insertion-deletion polymorphism influences response to methotrexate in inflammatory bowel disease (B Baburajan, N Prescott,K Herrlinger, F Cummings, M Arenas, M Smith, M Tremelling, A Ansari, M Parkes, D Jewell, C Mathew, A Marinaki, J Sanderson) Use and safety of infliximab for inflammatory bowel disease in South East England (1) - adherence to recommended guidelines (B Baburajan, G Bird, J Hunt, A McNair, A Ireland, I Bjarnson, M Parkes,J Sanderson) Polymorphisms in the peroxisome proliferator-activated receptor gamma (PPAR-) gene are associated with ileal Crohn’s disease (JB Beckly, L Hancock, A Geremia, DP Jewell) Effect of anti-TNF antibodies on T lymphocyte cell cycle and relationship to apoptosis (R Chaudhary, M Butler, S Ghosh) Recent-onset Crohn’s disease shows higher remission rates and durability of response to treatment with subcutaneous monthly certolizumab pegol: results from an analysis of the PRECiSE 2 phase III study (S Schreiber, JF Colombel, J Panes, J Scholmerich, J McColm,W Sandborn) Certolizumab pegol administered subcutaneously is effective in antiTNF naïve patients and in patients previously treated with infliximab (S Hanauer, JF Colombel, W Sandborn, J Panes, J McColm, S Schreiber) Rapid induction of remission and clinical response with adalimumab in patients with moderate to severe Crohn’s disease and secondary failure to infliximab therapy: results of the GAIN study (J Columbel, P Rutgeerts, WJ Sandborn, R Enns, SB Hanauer, JD Kent, PF Pollack) Leukocytapheresis for ulcerative colitis: correlation of clinical response with immune regulation (F Cummings, BS Singh, S Aryasingha, P Trzonkowski, SPL Travis, F Powrie, DP Jewell) 35 PW-337 PW-338 PW-339 PW-340 PW-341 PW-342 PW-343 PW-344 PW-345 PW-346 PW-347 PW-348 PW-349 PW-350 PW-351 PW-352 PW-353 Development validation and testing of a new social quality of life measure for patients with inflammatory bowel disease (P Das, S Gabe, JJ Smith, PP Tekkis, RJ Nicholls) Effects of anti-TNF antibodies in vitro on dendritic cell apoptosis and function (V Patel, M Butler, S Ghosh) Poster round will be conducted by Dr J Satsangi and Mr A Windsor Incidence of Crohn's disease still rising in Cardiff: 1931-2005 (SK Gunesh, BA Hawthorne, GAO Thomas, GT Williams, A Roberts) Standard and alternative therapies for inflammatory bowel disease:– the patient’s perspective (NC Hare, S Northey, C Pritchard, LM Jackson, N P Michell) The human ATP-binding cassete transporters superfamily and xenobiotic-transcription regulators: analysis of intestinal epithelial gene expression in inflammatory bowel disease (G Ho, C Noble, J Cornelius, I Penman, I Arnott, L Diehl, J Satsangi) The role of diet in the aetiology of ulcerative colitis - a European prospective cohort study ( IBD in EPIC study investigators) Infliximab for the treatment of ulcerative colitis: outcomes in Oxford over a six year period (SL Jakobovits, T Ahmad, DP Jewell, SPL Travis) Validation of the new “PhiCal” faecal calprotectin test as a diagnostic tool for pouchitis (MW Johnson, S Maestranzi, DH Dewar, S McLaughlin, A Forbes, I Bjarnason, R Sherwood, PJ Ciclitira, JR Nicholls) Azathioprine induced hepatotoxicity in inflammatory bowel disease: is it as rare as we think? (HE Johnson, TR Smith, SA Weaver) MMX mesalazine is well tolerated during 12 months maintenance treatment of mild-to-moderate ulcerative colitis (MA Kamm, GR Lichtenstein, WJ Sandborn, K Barrett, RE Joseph) Different definitions of remission for ulcerative colitis result in large variations of clinical outcome scores (S Katz, S Kane, P Higgins, B Yacyshyn, C Yeh) The 7-nAChR receptor mediates inhibition by nictoine of TNF- induced IL-8 production by HT29 colonic epithelial cells (KM Khatab, W Dhaliwal, L Kruidenier, DS Rampton) Randomised placebo-controlled trial of clarithromycin in active Crohn’s disease (K Leiper, K Martin, A Ellis, AI Morris, AJM Watson, JM Rhodes) An assessment of bacterial dysbiosis in ileal pouch inflammation using terminal restriction fragment length polymorphism (MK Lim, J Adams, W Hutchinson, F Mzali, M Wilcox, S Gonsalves, P Finan, P Sagar, D Burke) A rapid non-invasive test for the qualitative detection of elevated faecal lactoferrin in ileal pouch patients with inflammation (MK Lim, S Gonsalves, D Thekkinkattil, P Sagar, P Finan, D Burke) A comparative study of luminal and mucosal associated flora in patients with ileal pouches (MK Lim, S Seedat, F Mzali, H Schuster, M Wilcox , P Finan, P Sagar, D Burke) Poster round will be conducted by Dr R Cowan and Dr F Muller Satisfaction with healthcare in inflammatory bowel disease: influence of patient characteristics (C Luces, E Brown, K Bodger) 36 PW-354 PW-355 PW-356 PW-357 PW-358 PW-359 PW-360 PW-361 PW-362 PW-363 PW-364 PW-365 PW-366 PW-367 PW-368 PW-369 PW-370 Alterations in the expression of human defensin-5 in ileostomy fluid of patients with Crohn’s disease (DA Elphick, YR Mahida) Effects of certolizumab pegol etanercept, adalimumab and infliximab on lipopolysaccharide-induced cytokine production by human peripheral blood monocytes (G Fossati, DT Brown, AM Nesbitt) Antibodies to infliximab in patients with Crohn’s disease do not crossreact with certolizumab pegol (O Vetterlein, TM Kopotsha, AM Nesbitt, DT Brown, S Stephens) Accumulation of plasmacytoid dendritic cells in the intestine of acute ulcerative colitis (SC Ng, S Plamondon, SC Knight, MA Kamm, AJ Stagg) Management of post-operative Crohn's disease in a specialist unit need for a defined strategy (SC Ng, N Arebi, MA Kamm) Analysis of distinct genome wide expression proflies in the terminal ileum of patients with Crohn’s disease (CL Noble, A Abbas, J Cornelius, ID Penman, ID Arnott, Z Modrusan, K Toy, L Diehl, J Satsangi) Serum and salivary IgA responses to a 200kd saccharomyces cerevisiae antigen in orofacial granulomatosis and Crohn’s disease (C Nunes,P Shirlaw, M Mistry, D Rahman, M Escudier, JD Sanderson,S J Challacombe) The dietary management of orofacial granulomatosis (C Nunes, MC Lomer, M Escudier, P Shirlaw, SJ Challacombe, JD Sanderson) B-cell infiltrates in orofacial-granulomatosis (C Nunes, J Spencer, M Escudier, P Shirlaw, G Parkes, L Petrovska, C Chinyama, N Rayment, B Hudspith, MC Lomer, J Brostoff, E Odell, SJ Challacombe, JD Sanderson) High throughput 16S ribosomal RNA sequence analysis of the intestinal microbiota in Crohn’s disease (L Petrovska, A Walker, C Churcher, BN Hudspith, NB Rayment, GC Parkes, C Nunes, J Brostoff, J Parkhill, G Dougan, JD Sanderson) Molecular characterization of mucosal enterobactereriaceae isolated from patients with inflammatory bowel disease (L Petrovska, BN Hudspith, I Okeke, NB Rayment, GC Parkes, C Nunes, J Brostoff, G Dougan, J Wain, DS Rampton, JD Sanderson) Thalidomide in luminal and fistulising Crohn’s disease resistant to standard therapies (S Plamondon, SC Ng, MA Kamm) A non-synonymous SNP in an autophagy-related gene is associated with Crohn’s disease (NJ Prescott, SA Fisher, A Franke, CM Onnie, J Hampe, CE Todhunter, D Soars, J Sanderson, A Forbes, J Mansfield, CM Lewis, S Schreiber, CG Mathew) Poster round will be conducted by Dr T Orchard and Dr B McKaig A glycomic approach to the identification of disease biomarkers in inflammatory bowel disease (P Roy, A Alavi, O Fraser, E Tarelli, J Axford, D Kumar) Endoscopically measured mucosal healing correlated with response to therapy in moderately active ulcerative colitis (DT Rubin, BYacyshyn, C Yeh, G Lichtenstein) Diabetic control is not disturbed by an oral corticosteroid (prednisolone metasulfobenzoate) designed to treat colitis (R Shah, H Henderson, L Cartwright-Taylor, SR Gould) Cyclosporine in acute ulcerative colitis: a retrospective review of a 37 PW-371 PW-372 PW-373 PW-374 PW-375 PW-376 PW-377 teaching hospital caseload over an eight-year period (G Singh, D Greer,DM Chalmers, SM Everett, AT Axon, PJ Hamlin) Myelotoxicity is a late event in azathioprine treated TPMT heterozygotes: (MA Smith, AM Marinaki, M Arenas, S Greenfield, A Ansari, JD Sanderson) Serum protein signatures determined by mass spectrometry (SELDI-TOF) accurately distinguishes Crohn’s disease from ulcerative colitis (V Subramanian, D Subramanian, S Krishna, M Farthing, R Pollok) Infliximab therapy in Crohn's disease: current practice for future guidelines (A Tewari, K Wise, M O'Connor, L Younge, N Arebi) In situ hybridization for human defensins lysozyme, SPLA2 and TNF- in Crohn's disease and controls (CE Todhunter, S Lala, CG Mathew, JC Mansfield, S Keshav) Confirmation of association between TNFSF15 and Crohn’s disease in East Anglia panel (M Tremelling, S John, F Bredin, C Price, M Parkes) Germline variation of NOD1/CARD4 does not determine susceptibility to inflammatory bowel disease: results of a detailed haplotype-tagging investigation (JE Van Limbergen, ER Nimmo, RK Russell, HE Drummond, NH Anderson, A Tenesa, CW Lees, ID Arnott, DC Wilson, J Satsangi) Azathioprine tolerance in inflammatory bowel disease: assess TPMT status by phenotype or genotype? (JW Winter, D Gaffney, D Shapiro, G Naismith, S Barclay, M Priest, S Dover, RJ Spooner, PR Mills) LIVER Poster round will be conducted by Dr R Jones and Dr M Hudson PW-378 PW-379 PW-380 PW-381 PW-382 PW-383 PW-384 PW-385 PW-386 Recovery of liver function following decompensated alcoholic liver disease: relation to subsequent drinking behaviour (A Ali, E McFarlane, V Sakellariou, J Jones, D Gleeson) Lactate alone is not an accurate predictor of poor prognosis in paracetamol- induced fulminant liver failure (CM Bates, N Kochar, JS Davidson, PC Hayes, KJ Simpson) 13C-methacetin breath test compared to non invasive biochemical blood tests in predicting hepatic fibrosis and cirrhosis (C Sarrazin, WF Caspary, C Dietrich, B Braden) Haemochromatosis: rising hospital admission rates but stable mortality 1989/90 to 2002/03 (ML Cowan, S Westlake, A Majeed, TM Rahman, JD Maxwell, J Kang) Hepatitis E IGG seroprevalence in South West England (HR Dalton, W Stableforth, E Cole, N Hamad, J Stephens, V Ellis, H Hussaini, R Bendall) Indigenous Hepatitis E – the Southampton experience (AN De Silva, A Muddu, E Pelosi, N Sheron, J Iredale, S Khakoo) Ultrasound guided versus ‘blind’ day case liver biopsy: what would you choose? (KM Forrest, C Welch, D Mallon, H Smart, I Gilmore, M Lombard) Hepatitis C patients - the myth about poor DNA rates (M Rahman, C Helmer, DA Gorard) Long-term outcome of a cohort with autoimmune hepatitis at a single 38 PW-387 PW-388 PW-389 PW-390 PW-391 PW-392 PW-393 PW-394 PW-395 PW-396 PW-397 PW-398 PW-399 PW-400 PW-401 PW-402 PW-403 PW-404 centre (B Höeroldt, D Gleeson, P Basumani, E McFarlane, J Underwood) Risks of mortality malignancy and myocardial infarction in people with primary biliary cirrhosis: a population-based cohort study (HR Jackson, M Solaymani-Dodaran, TR Card, GP Aithal, R Logan, J West) The risk of hepatocellular carcinoma and decompensation following Hepatitis C treatment with interferon-based therapy (KM Jamil, W Cheng, L Tarquinio, L Adams, L Mollison, G Macquillan, J Flexman, B Deboer, N Kontorinis) Management of depression in pateints treated with pegylated interferon and ribavirin for Hepatitis C (KM Jamil, W Cheng, L Tarquinio, L Allet, J Flexman, N Kontorinis) Interferon induced thyroid dysfunction in chronic Hepatitis C (KM Jamil, P Leedman, N Kontorinis, L Tarquinio, J Flexman, V Burke, W Cheng) Management of treatment failures in chronic Hepatitis C: does retreatment succeed? (KM Jamil, W Cheng, L Tarquinio, J Flexman, N Kontorinis) Advanced fibrosis due to Hepatitis C: is antiviral treatment effective? (KM Jamil, N Kontorinis, W Cheng, L Tarquinio, J Flexman) Abnormal liver function tests and diabetes mellitus- a prevalence study (D Kejariwal, L Scovell, K Freeman, K Dhatariya, M Phillips) TIPSS in treatment of bleeding gastric varices – a large single centre experience (N Kochar, D Tripathi, H Ireland, DN Redhead, PC Hayes) Chronic renal failure post liver transplant; prevalence and rate of decline (JA Leithead, JW Ferguson, PC Hayes) Minimal hepatic encephaopathy after TIPS insertion is associated with a reduced quality of life (S Masson, HA Mardini, JD Rose, CO Record) Correlation of coronary artery calcification scores with features of the metabolic syndrome in patients undergoing assessment for orthotopic liver transplantation (NC McAvoy, PC Hayes, G McKillop) Liver disease and Khat chewing in young Somalian men (CA McCune, M Moorghen, FH Gordon, PL Collins) The long-term prognosis of bleeding oesophageal varices – a 14 year follow up study (LJ McLeman, J Thomson, D Armour, A Mowat, A Fraser) Non-transplant surgery for dominant stricture in primary sclerosing cholangitis: revisited (MK Nayar, M Hudson, D Manas) Portal biliopathy: a multidisciplinary approach to management (YH Oo, S Olliff, G Haydon, D Thorburn) Linear endoscopic ultrasound assessment and EUS-fine needle aspiration of hilar lesions (M Nayar, D Manas, V Wadehra, KN Oppong) Prediction of outcome and complications after liver transplantation using early non-invasive indocyanine green clearance: comparison with conventional markers of graft function (AJ Portal, P Berry, M Austin, JD Nolan, J Wendon, W Bernal) Preliminary data of the role of chemoembolisation followed by radiofrequency ablation in the treatment of multiple or large hepatocellular carcinoma (N Rajoriya, J Crichton, M Neilson, 39 PW-405 PW-406 PW-407 PW-408 PW-409 PW-410 PW-411 PW-412 PW-413 PW-414 PW-415 PW-416 E Leen, J Morris, E Forrest, A Stanley) Bedside diagnosis of spontaneous bacterial peritonitis using urine dipsticks (KA Rye, JG Freeman, AS Austin) Acute renal failure in cirrhosis - is it as bad as we think? (KA Rye, N Taylor, K Li, G Mortimore, M Johnson, AS Austin, JG Freeman) Hospital readmission with decompensated alcoholic liver disease: determinants, early outcome and accuracy of prognostic scores (P Sakellariou, KL Bagguley, R Ferguson, J Kerss, E McFarlane, D Gleeson) An audit of the management of osteoporosis associated with chronic liver disease (DA Sheridan, CE Macdonald) Haematological malignancies presenting with acute liver failure: a single centre experience (S Shetty, A Holt, W Syn, B Gunson, G Haydon) The role of small intestinal bacteria in disease initiation and progression of non-alcoholic and alcoholic steatohepatitis (AR Smith, JCM Paterson, JF Dillon) Extraction of RNA from formalin-fixed, parraffin-embedded archival hepatocellular carcinoma (PB Southern, F Lewis, P Quirke, S Bennett, J Wyatt, CE Millson) Alcohol awareness in medical undergraduates (N Sundar, E Colley, N Blundell, R Alcolado) Minimally-elevated liver function tests (LFTS) – are we seeing or doing enough? (RC Thomas, D McClure, R Peaston, M Hudson) Single nucleotide polymorphism of the SRB1 gene and susceptibility to HCV infection (PH Thurairajah, D Hegazy, E Kaminski, A Demaine, ME Cramp) Percutaneous liver biopsies - does size matter? (CM Welch, K Forrest, D Mallon, F Campbell, M Lombard) Treatment of autoimmune hepatitis with mycophenolate moefitil (MMP) (RH Westbrook, EE McFarlane, M Karajeh, D Gleeson) NUTRITION Poster round will be conducted by Dr I Fellows and Dr J Woodward PW-417 PW-418 PW-419 PW-420 PW-421 PW-422 Acid-base problems during home parenteral nutrition (P Chopra, J Groning, BJM Jones) Clinical outcomes can be improved by increasing patient knowledge with an information booklet (A Culkin, SM Gabe, A Madden) Assessing the screening tests for malnutrition (C Somesundum, X Andreou, CA Sabin, K Besherdas, N van Someren, N Rajakumaraswamy, J Jocca, R D’Souza) The nasal bridle – its place within an integrated nutrition service: a prospective audit of one year’s data (E Donaldson, T Earley, PL Shields) “Pexact®" direct-puncture PEG placement: our first 12 months’ experience (H Gupta, R Manikandan, A Byrne, R Nicholson, PA O'Toole) MRSA in gastrostomy sites – prevalence, route of transmission and relation to clinical infection and symptoms (BM Hall, M Ardenaso, PJ Neild) 40 PW-423 PW-424 PW-425 PW-426 PW-427 PW-428 PW-429 Vitamin D levels in patients presenting to a gastroenterology clinic (B Höeroldt, A Ali, M Shrinivas, P Basumani, P Willemse, R Ellis, K Bardhan) Referral for intestinal transplantation: an audit of intestinal failure patients (D Lloyd, A Zabron, S Ralphs, J Woodward, N Jamieson, S Middleton, S Gabe) Fall in PEG insertion rate in Northern England following NCEPOD (S Maitra, S White, A Torrance, K Matthewson) A one-year retrospective audit of naso-jejunal tube placement comparing endoscopically-placed versus radiologically-placed tubes: do those placed with imaging at the time of insertion last longer? (M McCarthy, A Ansari, A de Jabrun, M Small, R Salter, T Sabharwal, J Sanderson) PEG assessment team improves continuity of care for patients requiring enteral nutrition in a district general hospital (K McKeown, VE Sayer, AF Muller) Experience from the nutritional support team at Belfast City Hospital (GP Rafferty, S Lowry, K Robinson, D Kean, C Loughrey) Gastrostomies in patients with dementia: kill or cure? (J Tharakan, S Kaushik) SMALL BOWEL Poster round will be conducted by Dr M McAlindon and Dr J Walters PW-430 PW-431 PW-432 PW-433 PW-434 PW-435 PW-436 PW-437 PW-438 PW-439 PW-440 Specialist follow-up for people with coeliac disease - a questionnaire study (EK Bridcut) Adapting to life without gluten (EK Bridcut) Response of reduced bone mineral density in coeliac disease to treatment (D Comer, W Dickey) Identification of patients with idiopathic bile acid malabsorption presenting with chronic diarrhoea (RR Desai, IJ Tanswell, A Sriharan, J Burdsall, R Ransford, MJ Hall) Nutrient supplements prevent downregulation of intestinal defensin expression during diarrhoeal disease (P Kelly, M Khanam, S Shawa, I Zulu, A Tomkins, C Bevins, W Dhaliwal) The changing presentation of coeliac disease in the North East of England: an epidemiological analysis of four years (V Verma, C Bloxham, A Dhar) ‘Hidden’ lactose in drugs may contribute to symptoms in patients with gastrointestinal conditions and co-existing lactose sensitivity (P Eadala, JP Waud, SB Matthews, JT Green, AK Campbell) Monoclonal antibodies raised against high molecular weight glutenins (HJ Ellis, S McLaughlin, DH Dewar, N Gonzalea-cinca, I Van der Meer, H van den Broeck, H Wieser, C O'Sullivan P Ciclitira) Does tissue transglutaminase sensitivity increase with the severity of villous atrophy in coeliac disease? (AD Hopper, DP Hulrstone, G Wild, DS Sanders) Malignancy and mortality in people with dermatitis herpetiformis: a population-based cohort study (NR Lewis, RFA Logan, J West) Fracture risk in people with dermatitis herpetiformis: a population- 41 PW-441 PW-442 PW-443 based cohort study (NR Lewis, RFA Logan, J West) Capsule endoscopy for obscure gastrointestinal bleeding- analysis of factors for a positive yield (R Sidhu, DS Sanders, K Kapur, DP Hurlstone, JS Leeds, ME McAlindon) Anaemia and osteoporosis in adult coeliac disease (IJ Tanswell, R Desai, H Griffiths, E Horne, M Hall, R Ransford) Persistent diarrhoea due to bacterial overgrowth in patients with midgut carcinoid tumours (C Toumpanakis, K Jones, ME Caplin) 42