Rebecca Fitzgerald

Researching early cancer detection solutions. With 4 boys and ageing parents I know about balancing academic and private live. Keen to encourage aspiring GIs.

[Rebecca Fitzgerald @RC_Fitzgerald]

Main points:
- do surveillance well
- get your pathologist to do p53 IHC
- Cytopsonge might save on endoscopy. Watch that space! #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@IanForgacs don't worry Ian, it is only your oesophagus that is at risk if you have heartburn! #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

#FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

Just to emphasize that ablation is for dysplasia and not for everyone. #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

This is where the #Cytosponge could also be advantageous. Just need to determine biomarkers for surveillance but p53 looks good #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@IanForgacs Because of sampling bias and late dysplasia sadly I do think we need lots of biopsies #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@FrontGastro_BMJ Good question. Patients with confirmed dysplasia. Does have side effects -EG stricture and costs so not for all #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@saragreensara Interesting but needs more data. Not ready for routine use yet. #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

#FGDebate https://t.co/U6RznzZpGZ

[Rebecca Fitzgerald @RC_Fitzgerald]

@IanARowe @FrontGastro_BMJ @IanForgacs Agree. This is still research territory. Clinical surveillance needs careful white light OGD + path

[Rebecca Fitzgerald @RC_Fitzgerald]

@IanARowe @FrontGastro_BMJ @IanForgacs Agree. This is still research territory. Clinical surveillance needs careful white light OGD + path

[Rebecca Fitzgerald @RC_Fitzgerald]

Advanced imaging needs skilled endoscopists to interpret the images, which can have very subtle changes #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@IanForgacs Good data support careful endoscopists using white light is generally the best way. #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@CharlieMuz @IanForgacs @FrontGastro_BMJ Good point. #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@FrontGastro_BMJ @IanForgacs I think dedicated lists and endoscopists as routine, centralization for long segment and dysplasia #FGDebate

[Frontline Gastro @FrontGastro_BMJ]

@IanForgacs Is this the case of centralisation the Dutch have advocated? #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@IanForgacs Yes I think so if it's worth doing it needs doing well! #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

Great thing about #Cytosponge is can use it in primary care, little sampling bias and objective biomarker to diagnose #Barretts #FGDebate

[Frontline Gastro @FrontGastro_BMJ]

@RC_Fitzgerald @IanForgacs Here is the link to the @BritSocGastro guidelines on this http://t.co/iZz90Pf8hl #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@CharlieMuz @IanForgacs I agree non-endoscopic methods need to take over diagnosis and surveillance? #FGDebate

[Rebecca Fitzgerald @RC_Fitzgerald]

@IanForgacs Thanks! We really tried to make the guidelines practical & user-friendly. Check them out on BSG website #FGDebate