El Grupo de Trabajo del Grupo Joven reúne a los médicos especialistas en Aparato Digestivo en formación y adjuntos jóvenes de hasta 40 años, independientemente de sus preferencias en las diferentes áreas de la especialidad.
El grupo de trabajo del grupo joven incluye a todos aquellos jóvenes gastroenterólogos interesados en desarrollarse profesionalmente a nivel investigador y actualizar sus conocimientos y constante formación gracias al acceso a docencia de calidad. Mantiene un estrecho contacto con el área senior de AEG, permaneciendo bajo su amparo, así como con otras sociedades y grupos jóvenes tanto nacionales como internacionales, contando con un representante dentro del grupo joven de la UEG europea.
Los objetivos son los propios de la asociación, enfocados a promover la investigación, el estudio y la difusión de la gastroenterología entre residentes y adjuntos jóvenes, y proporcionar todo tipo de oportunidades para aquellos jóvenes que quieran potenciar y enriquecer su carrera profesional. Específicamente:
El proyecto del grupo joven comenzó a fraguarse en junio de 2017. Tras ser designado el actual coordinador, se realizó un análisis nacional de los centros que formaban a residentes en Aparato Digestivo y se envió un correo a todas las unidades docentes del país. Fue en marzo de 2018 cuando se llevó a cabo la primera reunión durante el congreso anual de AEG, a la que asistieron 28 personas interesadas en lo que podíamos ofrecer. En esa fecha quedó establecido el nacimiento del grupo, contando con 3 miembros adicionales como miembros del comité organizador. Desde entonces, el grupo ha tratado de potenciar el área investigadora, habiendo sido promotor y responsable de varios estudios multicéntricos y contando con beca anual propia a los mejores proyectos; facilitar el acceso a docencia de calidad; y ha ofrecido numerosas iniciativas y oportunidades de contacto con otras asociaciones. A día de hoy, cuenta con más de 260 miembros, siendo un grupo joven referente no sólo a nivel nacional, sino también internacional.
La coordinadora actual es Natalia García Morales.El fundador del grupo fue Óscar Murcia Pomares (2017-2021).
Tienes la oportunidad de unirte al hacerte socio de AEG. Si ya eres socio de AEG, rellena el formulario electrónico que se encuentra en el área del grupo, al que podrán acceder haciendo login previamente.
En este mapa interactivo podréis encontrar los centros que se han ofrecido a recibir a rotantes externos para formarles en áreas específicas. Haz click encima de los marcadores y ¡encontrarás lo que buscas!
Si quieres ofrecer tu centro para rotaciones externas, rellena este formulario por favor:
Background and Aims
Patients with colonic inflammatory bowel disease (IBD) have a high risk of colorectal cancer (CRC). Current guidelines recommend endoscopic surveillance, yet epidemiological studies show poor compliance. The aims of our study were to analyse adherence to endoscopic surveillance, its impact on advanced colorectal lesions, and risk factors of non-adherence.
A retrospective multicentre study of IBD patients with criteria for CRC surveillance, diagnosed between 2005 and 2008 and followed up to 2020, was performed. Following European guidelines, patients were stratified into risk groups and adherence was considered when surveillance was performed according to the recommendations (±1 year). Cox-proportional regression analyses were used to compare the risk of lesions. p-values below 0.05 were considered significant.
A total of 1031 patients (732 ulcerative colitis, 259 Crohn’s disease and 40 indeterminate colitis; mean age of 36 ± 15 years) were recruited from 25 Spanish centres. Endoscopic screening was performed in 86% of cases. Adherence to guidelines was 27% (95% confidence interval, CI = 24–29). Advanced lesions and CRC were detected in 38 (4%) and 7 (0.7%) patients respectively. Adherence was associated with increased detection of advanced lesions (HR = 3.59; 95% CI = 1.3–10.1; p = 0.016). Risk of delay or non-performance of endoscopic follow-up was higher as risk groups increased (OR = 3.524; 95% CI = 2.462–5.044; p < 0.001 and OR = 4.291; 95%CI = 2.409–7.644; p < 0.001 for intermediate- and high- vs low-risk groups).
Adherence to endoscopic surveillance allows earlier detection of advanced lesions but is low. Groups at higher risk of CRC are associated with lower adherence.
Small bowel capsule endoscopy (SBCE) is a non-invasive diagnostic technique whose use in inflammatory bowel disease (IBD) has spread. A panenteric capsule, PillCam Crohn's (PCC), has recently been developed. We lack information on the availability and use of the CEID and PCC in our environment.
We conducted an electronic and anonymous survey among the members of the Grupo Español de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa (GETECCU) [Spanish Working Group on Crohn's Disease and Ulcerative Colitis] and the Asociación Española de Gastroenterología (AEG) [Spanish Association of Gastroenterology], consisting of 37 multiple-choice questions.
One hundred and fifty members participated, the majority dedicated to IBD (69.3%). 72.8% worked at centres with an IBD unit. 79% had SBCE available at their hospital, 14% referred patients to another centre; 22% had a PCC available, 9% referred patients to another centre. 79.3% of respondents with available SBCE used it in a small percentage of patients with IBD and 15.6% in the majority. The most frequent scenarios were suspicion of Crohn's disease (76.3%), assessment of inflammatory activity (54.7%) and assessment of the extent of the disease (54.7%). More than half (59.7%) preferentially used the Patency capsule to assess intestinal patency. Almost all respondents (99.3%) considered that training resources should be implemented in this technique.
SBCE is widely available in Spanish hospitals for the management of IBD, although its use is still limited. There is an opportunity to increase training in this technique, and consequently its use.
Gastric premalignant conditions (GPC) surveillance has been proposed to improve the prognosis of gastric cancer (GC), but the early GC detection rate remaining low, and missing GC during an esophagogastro-duodenoscopy is still a problem. We aimed to explore the gastroenterologists’ attitudes on the detection and management of GPC
A cross-sectional study was designed based on a survey among gastroenterologists from Asociación Española de Gastroenterología.
The participation rate was 12% (146/1243). Eighty-one percent worked at secondary or tertiary-care hospitals with the capability to perform mucosectomy (80%), but with a lesser availability of endoscopic submucosal dissection (35%). Most respondents had high-definition endoscopes (88%), and virtual chromoendoscopy (86%), but during performing an upper endoscopy, 34% never or rarely use chromoendoscopy, and 73% apply a biopsy protocol often/very often when atrophy or intestinal metaplasia (IM) is suspected. Half of the respondents self-reported their ability to recognize atrophy or IM ≤7 (on a scale from 0 to 10), whereas ≤6 for dysplasia or early GC. Helicobacter pylori infection is eradicated and verified by ≥90%. Endoscopic surveillance of atrophy/IM is performed by 62%. An immediate endoscopy for dysplasia is not always performed. For lowgrade dysplasia, 97.6% consider endoscopic management, but for high-grade dysplasia, 23% regard gastric surgery.
There is a wide variability in the detection and management of GPC among Spanish gastroenterologists, and compliance with guidelines and biopsy protocols could be improved. Performance of high-quality gastroscopies including use of virtual chromoendoscopy, that might allow an improvement in the GPC detection, needs also to be generalized.
Background and aims: Although coronavirus disease 2019 (COVID-19) has affected endoscopy services globally, the impact on trainees has not been evaluated. We aimed to assess the impact of COVID-19 on procedural volumes and on the emotional well-being of endoscopy trainees worldwide.
Methods: An international survey was disseminated over a 3-week period in April 2020. The primary outcome was the percentage reduction in monthly procedure volume before and during COVID-19. Secondary outcomes included potential variation of COVID-19 impact between different continents and rates and predictors of anxiety and burnout among trainees.
Results: Across 770 trainees from 63 countries, 93.8% reported a reduction in endoscopy case volume. The median percentage reduction in total procedures was 99% (interquartile range, 85%-100%), which varied internationally (P < .001) and was greatest for colonoscopy procedures. Restrictions in case volume and trainee activity were common barriers. A total of 71.9% were concerned that the COVID-19 pandemic could prolonged training. Anxiety was reported in 52.4% of respondents and burnout in 18.8%. Anxiety was independently associated with female gender (odds ratio [OR], 2.15; P < .001), adequacy of personal protective equipment (OR, 1.75; P = .005), lack of institutional support for emotional health (OR, 1.67; P = .008), and concerns regarding prolongation of training (OR, 1.60; P = .013). Modifying existing national guidelines to support adequate endoscopy training during the pandemic was supported by 68.9%.
Conclusions: The COVID-19 pandemic has led to restrictions in endoscopic volumes and endoscopy training, with high rates of anxiety and burnout among endoscopy trainees worldwide. Targeted measures by training programs to address these key issues are warranted to improve trainee well-being and support trainee education.
Artículo que repasa las diferentes fases y pasos para ser investigador clínico, dirigido a jóvenes profesionales
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