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Commentary
Progressing pancreaticobiliary medicine in the UK
  1. Andrew R Hart1,
  2. Gavin Johnson2,
  3. Matthew T Huggett3
  1. 1 Norwich Medical School, University of East Anglia, Norwich, UK
  2. 2 Gastroenterology, University College London Medical School, London, UK
  3. 3 Gastroenterology, St James' University Hospital, The Leeds Teaching Hospitals NHS Foundation Trust, Leeds, UK
  1. Correspondence to Professor Andrew R Hart, University of East Anglia, Norwich NR4 7TJ, UK; a.hart{at}uea.ac.uk

https://doi.org/10.1136/flgastro-2019-101192

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    The speciality and why there is a need

    This issue of Frontline Gastroenterology gives an overview of the rapidly developing field of pancreaticobiliary medicine in the UK. Currently, most hospitals in this country do not have gastroenterologists with a subspeciality interest in this area and there is not yet a defined curriculum in the field for training. These deficiencies now need to be addressed urgently to effectively manage the many patients who are increasingly being identified and diagnosed with pancreaticobiliary diseases. A career in pancreaticobiliary medicine is attractive to gastroenterologists, as it combines a range of skills to manage complex benign and malignant disease, including diagnostic and therapeutic endoscopic interventions and working in multidisciplinary teams. Over the last few years, evidence for endoscopic treatment in complex pancreaticobiliary conditions has been accumulating and, thanks to technological advances in equipment, endoscopy is complementing and competing with traditional surgical and radiological approaches. In several areas, such as treating patients with pancreatic cancer, the role of the physician can be expanded. Furthermore, the opportunities for service development and research are significant.

    Components of the speciality

    The seven papers in this series review the broad range of conditions in pancreaticobiliary medicine in which clinicians require expertise.1–7 These discuss …

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    Footnotes

    • Collaborators Gavin Johnson, Matthew Huggett.

    • Contributors AH, GJ and MH all contributed to the planning, conduct and reporting of the work. AH is responsible for the overall content as guarantor and submitted the paper.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Commissioned; internally peer reviewed.

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