Podcast
BSG From Top to Bottom
Hosted by British Society of Gastroenterology · ENGLISH
British Society of Gastroenterology's podcast, From Top to Bottom, gives you all the latest insights shaping modern gastroenterology practice from inspirational interviews to guideline summaries from leading experts.
Whether you're a gastroenterologist, trainee, or other healthcare professional seeking practical, evidence based updates — this podcast keeps you current from top to bottom.
13episodes
Episodes
Newest firstAll episodes
BSG IBD Surveillance Guidelines - part two
Mar 2700:42:47Tap to summarizeIn this episode of the BSG Top to Bottom podcast, Prof James East and Prof Pradeep Bhandari dive into the endoscopic aspects of the new BSG IBD Surveillance Guidelines. Building on part one’s focus on cancer risk and surveillance rationale, this discussion explores practical essentials, from bowel preparation and patient comfort to chromoendoscopy, lesion detection, and the nuances of managing dysplasia in IBD. The conversation also highlights training, service delivery, MDT decision‑making, and the evolving roles of advanced endoscopic techniques and surgery.
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BSG IBD Surveillance Guidelines - part 1
Mar 2000:34:04Tap to summarizeJoin Dr. Shahida Din, consultant gastroenterologist and Chair of the BSG IBD Section, for an in‑depth conversation with Professor James East, leading gastroenterologist, endoscopist, and co‑author of the new BSG IBD Surveillance Guidelines. They explore how cancer risk in IBD has evolved, when to start or stop surveillance, and the shift toward personalised risk assessment. The episode covers key updates on bowel prep, biopsy strategies, patient experience, and what clinicians should know to deliver high quality, patient centred surveillance. Stay tuned for Part 2 on endoscopic techniques and dysplasia management with Professor Pradeep Bhandari
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BSG IBD Guideline - Post-op Crohn's Disease
Dec 1900:29:40Tap to summarizePart seven of seven: Dr Alexandra Kent, Consultant Gastroenterologist at King’s College Hospital, is joined by Professor Jimmy Limdi, Head of the IBD section at the Northern Care Alliance NHS Foundation Trust, to explore how Crohn's Disease recurrence is defined, predicted, monitored, and managed after surgery as recommended in the BSG IBD Guidelines. Together, they discuss the continuum of post-operative recurrence from histological and endoscopic changes to clinical and surgical relapse. They highlight key patient, disease, and surgical risk factors, including smoking and aggressive disease phenotypes. The episode covers best practice for post-operative monitoring, including the role of ileocolonoscopy, Rutgeerts scoring, faecal calprotectin, intestinal ultrasound, and cross-sectional imaging.
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BSG IBD Guideline - Luminal Crohn's Disease
Dec 1200:26:04Tap to summarizePart six of seven: Polychronis Pavlides, Consultant Gastroenterologist at King's College Hospital in London and Fraser Cummings, Consultant Gastroenterologist in Southampton and adult IBD service lead, discuss the first line treatment of Luminal Crohn’s Disease outlined in the newly updated BSG IBD Guidelines. They explore the importance of shared decision making and patient centred care along with practical guidance on choosing therapies, monitoring response, and aligning with STRIDE targets. This podcast also includes the challenges in comparative effectiveness and why sequencing remains complex.
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BSG IBD Guideline - Advanced Therapies in UC
Dec 501:13:40Tap to summarizePart five of seven: Krishna Shah, Gastroenterology Registrar and IBD Research Fellow at the Royal London Hospital and Dr. Kamal Patel, Consultant Gastroenterologist at St George's Hospital discuss the Advanced Therapies in Ulcerative Colitis section of the new BSG guidelines beginning with mesalazine, prednisolone and azathioprine through to thiopurines and anti-TNFs. They discuss the cost-benefit outcomes of the drug pathways advised in the BSG Guidelines including some of the potential adverse side-effects.
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BSG IBD Guideline - Perianal Crohn's Disease
Nov 2800:15:14Tap to summarizePart four of seven: Professor Naila Arebi, Consultant Gastroenterologist and colleague, Consultant Colorectal Surgeon, Janindra Warusavitarne, both at St Mark's National Bowel Hospital, discuss the application of the BSG IBD Guidelines to provide optimal treatment using a holistic approach and deliver the best quality of care for patients. They talk about the important relationship between surgeons and gastroenterologists in the diagnosis and treatment of Perianal Crohn’s disease, supporting this with systematic clinical research.
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BSG IBD Guideline - Acute Severe Ulcerative Colitis (ASUC)
Nov 2100:15:28Tap to summarizePart three of seven: Trainee Gastroenterologist, Jennifer Tham, interviews, Dr. Bel Kok, Consultant Gastroenterologist at the Royal London Hospital and Honorary Senior Lecturer at Queen Mary University of London, to discuss the practical application of the latest ASUC guidelines. They explore the presenting symptoms and diagnosis of acute severe ulcerative colitis, including the use of statistical algorithms summarised in the IBD guidelines. Given the severity and high risk profile of ASUC, rapid access to up-to-date guidance is essential to prevent delays in treatment. Jennifer and Dr. Kok also examine the updated therapies and management strategies outlined in the new guidelines.
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BSG IBD Guideline - De-escalation of Therapy
Nov 1401:05:43Tap to summarizePart two of seven: Dr. Shahida Din, Chair of our IBD Committee, and Dr. Jonathan Blackwell—both Consultant Gastroenterologists at the Edinburgh IBD Unit—are joined by Mrs. Fiona Rees, Consultant Pharmacist at University Hospitals Sussex, to explore the BSG IBD Guidelines with a focus on therapy de-escalation. Together, they discuss how best to manage patient expectations around treatment and outcomes. They also take a detailed look at the role of Mesalazine, routes of administration, Thiopurines, anti-TNF therapies, Pulse Therapy, and the importance of continually reassessing treatment plans.
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BSG IBD Guideline - Methodology
Nov 700:47:41Tap to summarizePart one of a seven part series discussing different elements of the BSG IBD in Adults Guideline published in June 2025. Prof. Gordon Moran from the University of Nottingham and Prof. Morris Gordon from the University of Central Lancashire (UCLan) discuss the new BSG IBD Guidelines published in GUT, June 2025. In particular, they discuss insight on methodology used to produce the guideline, the difference in previous guidelines (e.g. ECCO Guideline) and the use of network meta-anaysis.
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Colorectal Polyps in Patients with Limited Life Expectancy
Sep 1200:31:30Tap to summarizeDr. Jabed Ahmed and Dr. Ravi Ranjan discuss colorectal polyps in patients with limited life expectancy. The bowel cancer screening strategies rely on the long time a polyp takes before progressing to cancer by early detection and removal of polyps. Although polypectomy comes with risks of some significant complications the risk is deemed small compared to the benefit of cancer prevention. This risk benefit equation changes in patients with advanced age or multiple co-morbidities This new BSG ACP guidance developed by a multidisciplinary guidance development group aims to provide a structural framework to support clinicians and the patients in decision making in such situations. Dr. Ranjan is a Consultant physician and gastroenterologist at University Hospital of North Tees and completeing his MD at Newcastle University. He also coordinated the a BSG/ACPGBI guidance. Video Interview with Dr. Ahmed and Dr. Ranjan: Colorectal polyps in patients with limited life expectancy
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