Husband & Dad (@DisneyLauren). Gastroenterologist, IBD lead, BCSP. @thebowelgroup board, @midsgastrosoc secretary. RTβ endorsement. #DGBI #IBD #GIB
Joined June 2013
- Tweets 8,666
- Following 1,013
- Followers 1,942
- Likes 13,062
1,129 Photos and videos
π±ππ π³πππππ’ retweeted
6 Apr 2025
The Difficult Colonoscopy is humbling to all endoscopists.
My Pearls :
#1 Female Patients
If hysterectomy or diverticulitis, use pedi colonoscope water immersion. (Angulated colon)
If chronic idiopathic constipation or visceral obese, use adult colonoscope (redundant colon)
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π±ππ π³πππππ’ retweeted
Upper GI endoscopy done well is more than reaching D2. π¦πΈ
New BSG & AUGIS guidance in @FrontGastro_BMJ sets out best practice for upper GI endoscopy β from preparation and mucosal visualisation to lesion recognition, photo-documentation and quality standards. π₯β
Essential reading for anyone performing, training in or quality assuring OGD.
Read more: fg.bmj.com/content/early/202β¦
#UpperGI #Endoscopy #OGD #QualityImprovement #Gastroenterology #FrontlineGastro #GItwitter #EndoscopyTraining #MedEd @gastroreg @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
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π±ππ π³πππππ’ retweeted
May 8
Finally the spotlight shifts from colonoscopy to upper GI endoscopy, where the same seismic shift in quality improvement is needed. Read this article to improve your practice of diagnostic upper GI endoscopy and π for more publications in FG on therapeutic upper GI endoscopy.π
Upper GI endoscopy done well is more than reaching D2. π¦πΈ
New BSG & AUGIS guidance in @FrontGastro_BMJ sets out best practice for upper GI endoscopy β from preparation and mucosal visualisation to lesion recognition, photo-documentation and quality standards. π₯β
Essential reading for anyone performing, training in or quality assuring OGD.
Read more: fg.bmj.com/content/early/202β¦
#UpperGI #Endoscopy #OGD #QualityImprovement #Gastroenterology #FrontlineGastro #GItwitter #EndoscopyTraining #MedEd @gastroreg @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
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π±ππ π³πππππ’ retweeted
Future of IBD Monitoring using wearable technology. Sleep and heart rate variability and other metrics can differentiate responders to therapy. Intriguing concept.#ddw2026
Image the future with remote telemonitoring of patients and alerting high risk patients. One way to break the therapeutic ceiling through early optimization. Now we just need more effective therapies ! #ddw2026
@RobertHirten MD, shares compelling insights from his research on using wearable technology to monitor how patients with #IBD respond to biologic therapies. #DDW2026
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π±ππ π³πππππ’ retweeted
Emerging data on JAKs & pregnancy presented by @UmaMahadevanIBD β overall in this cohort there were no adv signals of maternal complications, preg outcomes, infant devel, infection or vax response. JAKi should only be used if no other viable option for maternal health. #DDW2026
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Hello, Moon. Itβs great to be back.
Hereβs a taste of what the Artemis II astronauts photographed during their flight around the Moon. Check out more photos from the mission: nasa.gov/artemis-ii-multimedβ¦
ALT A crescent Earth setting behind the Moon\u2019s horizon. Credit: NASA
ALT Earth setting behind the Moon as seen by the Artemis II crew. Over half the left side of the image is filled by the gray lunar surface, pocked with craters. Credit: NASA
ALT A close view of the Moon. Jagged circles of craters dot the gray surface, fading to dark on the left side of the image. Credit: NASA
ALT A crescent Earth setting behind a hemisphere of the Moon. Credit: NASA
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π±ππ π³πππππ’ retweeted
Mar 24
Have you heard about young people dying suddenly after COVID-19 vaccination?
Our new study in @PLOSMedicine shows there's absolutely nothing to that. If anything, the opposite is true.
With @husam247 and @DrJeffKwong
journals.plos.org/plosmediciβ¦
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π±ππ π³πππππ’ retweeted
Mar 4
π’NEW: In a study of 600,000 people published today in @bmj_latest, we found GLP-1 drugs (Ozempic, Wegovy, Mounjaro) associated with reduced risk of addiction across alcohol, opioids, cocaine, cannabis, nicotineβand 50% fewer substance-related deaths.
π§΅
bmj.com/content/392/bmj-2025β¦
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π±ππ π³πππππ’ retweeted
Another great slide: what to do with gastric intestinal metaplasia @GuildConference
So many pearls from @AnthonyLemboMD and TR Levin @GuildConference
1. Mediterranean diet and low ultra processed food diet helps IBS
2. Eating seeds and nuts DID NOT increase diverticulitis
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This quite possibly shows that doctors probably waste a lot of time doing βmedically fitβ ward rounds because of bare-bones social services.
It does not show that nurses can manage unselected inpatient general medical patients the same as Consultant led general medical wards.
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π±ππ π³πππππ’ retweeted
Jan 26
π¨ β οΈ IBD SYSTEMATIC REVIEW π¨ β οΈ
π 14 articles
βοΈ 11 different tools to measure health literacy
π Marked geographical variation was observed in the prevalence of limited HL:
- highest rates in China (31β86%)
- lowest rates in the USA (4β40%)
π₯ Limited HL was associated with reduced QoL, patient knowledge and self-management skills, but no association was found with adverse clinical IBD outcomes.
With thanks to Dr Robertus JB Pierik and co-authors for this fantastic contribution to the journal!
Read the full paper here π π π
doi.org/10.1136/flgastro-202β¦
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @jonathansegal85
#IBD #CrohnsDisease #UlcerativeColitis #IBDResearch #IBDAwareness #IBDLife #IBDCommunity #GutHealth #DigestiveHealth #ChronicIllness #IMID #Gastroenterology #MedTwitter #MedEd #AcademicTwitter
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π±ππ π³πππππ’ retweeted
Jan 26
π¨ π¨ π¨ β οΈ HIGH-YIELD EDUCATION π₯ π₯ π₯ π₯
Listen to the latest FG podcast on CPIC by @dr_aditi_kumar et al ποΈ
Find it here β¬οΈ β¬οΈ β¬οΈ or wherever you get your podcasts!
bit.ly/4rauX4A
Want the full paper? Read it here βΆοΈ βΆοΈ βΆοΈ bit.ly/3Nz6c3C
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @jonathansegal85
#Podcast #MedPodcast #GIPodcast #CheckpointInhibitorColitis #ImmuneRelatedAdverseEvents #Immunotherapy #GIOncology #Inflammation #InflammatoryDisease #Gastroenterology #MedicalEducation #AcademicGI
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π±ππ π³πππππ’ retweeted
Jan 22
S/C IFX - A REAL WORLD EXPERIENCE
β Original research - check out this retrospective observational cohort study! β
π§ 101 adult patients on SC-IFX monotherapy - 57 (56.4%) CD, 44 (43.6%) UC
π Treatment persistence at 12 months was 91.1% (92/101) with maintenance or improvement of clinical, biochemical and endoscopic outcomes at 12 months
π Multivariate regression analysis identified prior ileal resection as an independent predictor of treatment discontinuation at 12βmonths
Check out the full paper here!! π π π
fg.bmj.com/content/early/202β¦
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @Jonathansegal85
#IBD #IBDTwitter #IBDAwareness #myIBD #IBDChat #inflammatoryboweldisease
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π±ππ π³πππππ’ retweeted
Jan 22
β β β IBD in the UAE π¦πͺ
This fantastic study published in FG journal reveals an accelerating pIBD burden π in a UAE centre, with CD predominance.
π Retrospective cohort study of 146 pIBD patients (<18 years) diagnosed from 2012-2024
β οΈ This study observed a significant rise in annual pIBD diagnoses (IRR 1.22, p<0.0001), mainly CD (IRR 1.25, p<0.0001)
π©Ί pIBD patients had predominantly ileocolonic disease (68.6%) with frequent perianal (44.2%) and complicated (48.8%) disease. UC was mostly extensive/pancolitis (78.0%).
High rates of immunomodulator (CD 83.7%, UC 88.0%) and biologic (CD 76.7%, UC 58.0%) use were noted, with earlier biologic initiation in CD (p=0.001).
Lower albumin predicted first biologic failure in CD (p=0.027).
Congratulations to Dr Eman Al Atrash and colleagues for this important and informative piece of work. @SKMCAbuDhabi
Read about it here! π π π
fg.bmj.com/content/early/202β¦
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @Jonathansegal85
#IBD #IBDTwitter #IBDAwareness #myIBD #IBDChat #inflammatoryboweldisease
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π±ππ π³πππππ’ retweeted
Jan 19
π How confident are you at diagnosing, classifying and managing perianal Crohn's disease? π
π¬ pCD affects 20% of people with Crohn's disease, and describes fistulising and non-fistulising manifestations
π₯ It is associated with substantial symptom burden and psychosocial sequelae
β
It has been historically under-researched. Recent global collaborative initiatives have begun to address critical knowledge gaps in this under-served IBD cohort
This fantastic review summarises recent advances in the field, offering gastroenterologists and surgeons an up-to-date overview of the evolving pCD landscape.
Read the full paper here! π π π
bit.ly/45dA63s
Congratulations to Dr Eathar Shakweh and co-authors. @eathar_s @easan_anand @TheoHPelly @philtozer1 @DrAilsaHart @StMarksHospital @TOpClassConsrtm @BowelsOfStMarks
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @Jonathansegal85
@ACPGBI @BSGTrainees
#IBD #CrohnsDisease #PerianalCrohns #PerianalIBD #FistulisingCrohns #PerianalFistula #CrohnsCare #IBDResearch #TranslationalResearch #PatientCentredCare #FistulaAwareness #CCUK #CrohnsandColitis
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π±ππ π³πππππ’ retweeted
Jan 16
π¨ β οΈ π¨ ESSENTIAL READING π¨ β οΈ π¨
BSG, ACPGBI and AUGIS guidance on the scope of professional practice for clinical endoscopists. @BritSocGastro @ACPGBI @Augishealth
Read the 23 consensus statements here! π π π
doi.org/10.1136/flgastro-202β¦
With thanks to Helen Livett and co-authors!
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub
#Endoscopy #GIEndoscopy #EndoscopyPolicy #ClinicalGuidelines #PracticeGuidelines #ConsensusStatement #ExpertConsensus #EvidenceBasedMedicine #QualityStandards #EndoscopyStandards #PatientSafety #ClinicalGovernance #HealthPolicy #ServiceDelivery #EndoscopyQuality #Audit #Benchmarking #BestPractice #Implementation
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π±ππ π³πππππ’ retweeted
Jan 15
π₯ π₯ π₯ JUST RELEASED π₯ π₯ π₯
Unmasking twinning flames - chronic non-bacterial osteomyelitis, a rare extra-intestinal manifestation of Crohnβs disease.
Read about this fantastic clinical case here - a very interesting read for paediatric AND adult gastroenterologists!
fg.bmj.com/content/early/202β¦
With thanks to Dr Argyropoulou and co-authors!
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @jonathansegal85
#IBD #CrohnsDisease #IBDCare #IBDResearch #IBDNurse #IBDSurgery #IBDTherapeutics #IBDPathophysiology #IBDEducation #ExtraIntestinalManifestations #PaediatricIBD #PedsIBD #EarlyOnsetIBD #VEOIBD
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π±ππ π³πππππ’ retweeted
π€Ever wonder about role of Endoscopy in #IBD
Check out recently published @AmerGastroAssn Clinical Practice Update on Role of Therapeutic Endoscopy in IBD @AGA_CGH
π¬Strictures
ποΈFistula & abscesses
βοΈColitis associated neoplasia
π§Surgery complications
πlink in comment
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π±ππ π³πππππ’ retweeted
Jan 13
@Bealoquebea amazing and mind blowing talk on AI! Thanks to all the panel @PhilSmithIsBack @Shellie_Jean @drkeithsiau @drshaunchuah @jonyckwok @BritSocGastro look forward to continuing the conversation at BSG Live 26 with you all! βοΈ
Jan 13
Thank you very much @ShahidaDin1 and @BritSocGastro @drkeithsiau @drshaunchuah @PhilSmithIsBack for supporting me in the βAI empowering HCPs webinarβ today
Such great panel, fantastic discussion and thanks to the organizing team Andi Davies
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π±ππ π³πππππ’ retweeted
Jan 13
π¨ββοΈ βοΈ Health literacy in IBD - an unmet clinical need βοΈ π©ββοΈ
Read this NEW systematic review in the journal, reviewing the literature on health literacy in IBD.
What does this study show?
Limited health literacy is frequently observed among IBD patients and is consistently linked to poorer quality of life and self-management, but not clearly to clinical outcomes.
With thanks to Dr Robertus JB Pierik and co-authors.
doi.org/10.1136/flgastro-202β¦
#IBD #CrohnsDisease #UlcerativeColitis #IBDResearch #IBDAwareness #IBDLife #IBDCommunity #GutHealth #DigestiveHealth #ChronicIllness #IMID #Gastroenterology #MedTwitter #MedEd #AcademicTwitter
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @jonathansegal85
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