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Obesity among those newly diagnosed with Crohn’s disease and ulcerative colitis compared with the general population
Obesity is a potentially modifiable risk factor for IBD. In this issue Seghal and colleagues report on patients with a new diagnosis of IBD between 2000 and 2021; 1573 Crohn’s, 1234 UC. Early onset IBD was classified as onset <18 years. In that group 3–8% or CD, 4.9% of UC were obese at diagnosis (population 11.5%). At age>65 years 24.3% of CD, 29.5% of UC (population 23.6%). In summary therefore Patients newly diagnosed with either CD or UC were less likely to be obese compared with their peers when diagnosed early in life. Patients newly diagnosed with either CD or UC were more likely to be obese compared with their peers when diagnosed later in life. Although an association rather than causal the differences were statistically significant and at least encourage consideration of whether obesity is a risk factor for IBD in later life. (See page 319)
Individualised consent for endoscopy: update on the 2016 BSG guidelines
This is an important document which updates the 2016 British Society of Gastroenterology (BSG) published comprehensive guidelines for obtaining consent for endoscopic procedures. The guidance incorporates the General Medical Council (GMC) guidelines on shared decision making and consent updated in 2020 following the Montgomery ruling in 2015, which changed the legal doctrine determining what information should be given to a patient before a medical intervention. The seven principles of shared decision making are summarised. There is a helpful summary table of 8 key questions discussed and debated by the authors and endorsed by the BSG. The document is practical and helpful and essential reading for the endoscopist when taking consent from patients to ensure their needs are met, decision making is shared, and the information given out is …
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.