Phil Smith
@PhilSmithIsBack
Views entirely my own and do not represent anyone else. RT does not mean agree. Apologies for typos.
🔁 Repost from @FrontGastro_BMJ for the practicing gastroenterologist 🤔 Gastroparesis or functional dyspepsia? They look the same—but require different approaches. 1️⃣ FD is ~500x more common 2️⃣ Overlapping symptoms mislead 3️⃣ Poor GE test technique = frequent misdiagnosis 📖…
Functional dyspepsia or gastroparesis? 1️⃣ Gastroparesis is often incorrectly diagnosed due to improperly performed GE tests. 2️⃣ Symptoms of functional dyspepsia (FD) and gastroparesis are often indistinguishable. 3️⃣ The prevalence of FD is considerably higher compared with…
I see stage 1 of "gong-grift" has been achieved already in the RCP - see the end of the RCP President newsletter - absolute farcical state of affairs #gonggrift
🔁 Repost from @FrontGastro_BMJ ⚠️ 1 in 5 IBS patients may have an undiagnosed eating disorder That’s double the rate seen in IBD or Coeliac disease. 🧠 Younger age + psychiatric comorbidity = highest risk ✅ Use tools like SCOFF to screen early and support better outcomes 📖…
🍽️ Eating Disorders & GI Conditions: What’s the link? 🤔 IBS patients have a higher risk of eating disorders (18%) compared to those with Coeliac Disease (CeD) (9.4%) and Inflammatory Bowel Disease (IBD) (11.5%). Younger patients and those with psychiatric conditions are more…
Nice paper in @FrontGastro_BMJ and a beautiful figure too! Link to read in the tweet below!
👩⚕️👨⚕️ Still avoiding ERCP training due to radiation fears? 🛑 Let’s bust the myths. 📚 Stringer et al lay out the facts, risks & practical mitigations to promote safety, equity, and confidence. 💡 Guidance on PPE, pregnancy, ergonomics, and exposure monitoring. 🔗…
Radiation safety in ERCP ☢️⚠️ 📸: @FrontGastro_BMJ fg.bmj.com/content/early/…
👩⚕️👨⚕️ Still avoiding ERCP training due to radiation fears? 🛑 Let’s bust the myths. 📚 Stringer et al lay out the facts, risks & practical mitigations to promote safety, equity, and confidence. 💡 Guidance on PPE, pregnancy, ergonomics, and exposure monitoring. 🔗…
Shame we can't make it retrospective For say, the past 10 years
NHS bosses who silence whistleblowers to be banned from health service news.sky.com/story/nhs-boss…
Congratulations to @medicalreg on this award from @FrontGastro_BMJ!
💡 Well done to Dr Benjamin Norton, awarded the BMJ Frontline Gastroenterology Prize for best abstract for patient benefit – making care better for all #BSGLIVE25 @FrontGastro_BMJ
🔗 Dual stenting for malignant airway + oesophageal obstruction is complex—but feasible. 🧵 Gertner et al present the first algorithm for MDT-led, same-session double stenting 💡 📉 Median survival: 7.9 weeks 🎯 Focus: palliation, airway first, tailored sequencing 🔗…
💡 Well done to Dr Benjamin Norton, awarded the BMJ Frontline Gastroenterology Prize for best abstract for patient benefit – making care better for all #BSGLIVE25 @FrontGastro_BMJ
🆕 Real-world UK & Ireland multicentre data on EUS-guided gallbladder drainage (EUS-GBD) using electrocautery-enhanced LAMS (EC-LAMS) ✅ 95% technical success ✅ Durable outcomes up to 3 years ⛔️ Minimal reinterventions 🧠 Should we rethink routine stent removal? 🔗…
“Still open to reflecting on the outcome of them and changing your position?” A question for the ages indeed And why are you still not regulated by @gmcuk Get regulated Change title to Assistant Wear a uniform As per @lengreview @djnicholl @mmamas1973 @KeeleyMP…
Yeh. Sure thing Partha. 😂. I'm looking forward to the Leng review findings. Still open to reflecting on the outcome of them and changing your position?
🚨 New #FGCaseReport A 70-year-old man with neutropenic sepsis of unknown origin — the surprising culprit? A rare cholecystocutaneous biliary fistula with migrating gallstones. Smart CT imaging. No surgery. Full recovery. 🧠💊 🔗 fg.bmj.com/content/early/… 🖋️ Premathilaka C,…
We are delighted to share the July 2025 BSG Gut Highlights! 🤩 This initiative highlights the best and most interesting articles recently published either online or in print in the journal Gut. Read the latest edition here 👉 ow.ly/xHWW50WpNF2 @Gut_BMJ
Well- that was a blockbuster 2 years as an elected Councillor @RCPhysicians 🔴Fought for IMGs, SAS and LED doctors. (RCP now has documents to stand by) 🔴Challenged overt secrecy of Council meetings. (RCP Council changes are coming) 🔴Fought a lot of chicanery…
All of this by @DrAsifQasim
This is very poor @RCPhysicians cannot expect any member or fellow to be complicit in concealing information - “the faith” is not part of @gmcuk GMP and duty of candour We can all see this as a targeted investigation yet the same people have refused to investigate alleged…
This is very poor @RCPhysicians cannot expect any member or fellow to be complicit in concealing information - “the faith” is not part of @gmcuk GMP and duty of candour We can all see this as a targeted investigation yet the same people have refused to investigate alleged…
Thank you to Council @RCPhysicians for confirming decision of Censors. Not unexpected given that same Council voted FOR Associate Membership for PAs-even after #RCPEGM -and got halted by me exposing that in public. To the appeal next. And then next steps. And there are so many…
Look what arrived just now, post the @RCPhysicians vote on rescinding @parthaskar FRCP....They email receipt of this now, POST vote. Again, appalling but what I expect from the @RCPhysicians now. Fellows need to leave en masse #RCPExodus
