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Free for all myUEG account holders. Your access level is set automatically based on your occupation. Medical professionals get full access to all content. If you are a non-medical user, you can only access UEG Week content from congresses you attended.

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Introduction

Intestinal ultrasound (IUS) is an increasingly valuable, non-invasive imaging tool for assessing inflammatory bowel diseases (IBD). IUS training remains a significant challenge due to the need for hands-on experience and expert supervision. Traditional training programs offer limited hands-on training, restricting the competency level of trainees. To address this gap, we developed the IUS MindsView system, an innovative tele-ultrasound and augmented reality (AR) platform designed to provide real-time remote supervision and extend hands-on IUS training.

Aims & Methods

This study aimed to evaluate the feasibility and effectiveness of the system in improving trainee competency. The IUS MindsView system integrates AR glasses, real-time ultrasound streaming, and remote annotation capabilities to facilitate interactive, long-distance training. The system was deployed in two hospitals, where one trainee at each site performed IUS examinations under remote expert guidance. Over five supervised training sessions, each lasting up to two hours, trainees scanned 3-4 patients per session. The remote expert provided live feedback on probe positioning and ultrasound image interpretation through the MindsView ARNet platform, ensuring accurate imaging and anatomical identification.

Results

Both trainees completed the full 10-hour training program and reported high satisfaction with the system. They particularly appreciated the real-time expert annotations, the interactive nature of the training, and improved precision in probe handling. By the end of the study, both trainees demonstrated significant improvement in identifying bowel wall thickness, vascularity, and other key IUS parameters. They also expressed confidence in applying their newly acquired skills independently in clinical practice.

Conclusion

The system presents a scalable and accessible solution to address current limitations in IUS education, potentially reducing the need for prolonged on-site training at specialized centers. Additionally, its potential applications in telemedicine could enhance IBD patient care, particularly in remote or resource-limited settings.

Disclosure

AbbVie sponsored the project; contributed to the ideation, characterization, adaptation and the design; in writing, reviewing, and approval of the final version. No honoraria or payments were made for authorship.
Prof. Dan Carter has served as a consultant to AbbVie and has received research funding and speaker fees from AbbVie.
Dr. Tamar Thurm has received consulting and speaker fees from AbbVie.
Dr. Bernardo Melamud has received consulting and speaker fees from AbbVie.
Gabriel Dan has no conflict of interest.
Dr. Assaf Halperin and Dr. Shiran Naftelberg Blonder are employees of AbbVie and may own AbbVie stock.

TELE-ULTRASOUND FOR INFLAMMATORY BOWEL DISEASE: ENHANCING IUS TRAINING AND ACCESSIBILITY WITH AUGMENTED REALITY TECHNOLOGY

Dan Carter 1, Shiran Blonder 2, Tamar Thurm 3, Bernardo Melamud 4, Assaf Halperin 2, Gabriel Dan 5

1 Sheba Medical Center, Ramat Gan, Israel|||Tel Aviv Univesity, Tel Aviv, Israel

2 Abbvie Inc, Hod-HaSharon, Israel

3 Tel Aviv Medical Center, Tel-Aviv, Israel|||Tel Aviv Univesity, Tel Aviv, Israel

4 Edith Wolfson Medical Center, Jerusalem, Israel

5 Mindsview, Sha’ar Ha’negev Regional Council a.n Hof Ashkelon, Israel

Conference

UEG Week Berlin 2025

Topics

IBD

Submission format

Abstract

Session

Using AI to tackle IBD (Posters)

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Etiology in adults

John Leeds 1

1 Freeman Hospital, Newcastle Upon Tyne, United Kingdom

Event

UEG Week Berlin 2025

Topics

Immunology Pancreas

Session

Chronic pancreatitis and rare etiologies

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

UEG Presentation

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DIGITAL TRANSFORMATION IN DIGESTIVE NURSING: ARTIFICIAL INTELLIGENCE AS A TOOL TO OPTIMIZE CLINICAL PRACTICE

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Introduction

The integration of artificial intelligence (AI) into nursing practice offers a significant opportunity to enhance patient care and support clinical decision-making. This study examines the deployment of a customized generative language model (GPT) as a clinical assistant in outpatient digestive care. The tool aims to streamline access to evidence-based information and promote structured patient follow-up. While its implementation holds considerable potential for improving efficiency and fostering clinical learning, it also presents challenges related to validation, user adoption, and building trust among nursing professionals.

Results & Findings

A digital tool named Digestive Nursing Follow-Up was developed and piloted in the Gastroenterology Departments of two university hospitals in Spain during Q1 2025. The tool was integrated into four clinical domains: inflammatory bowel disease, gastroesophageal reflux disease, irritable bowel syndrome, and advanced endoscopy. The AI assistant was designed to: Collect and organize structured clinical data; Provide evidence-based clinical suggestions aligned with institutional protocols; Facilitate learning and care continuity. Prior to implementation, participating nurses underwent a one-hour training session. The tool was then incorporated into routine consultations, and nurses were surveyed pre- and post-intervention using a 5-point Likert Scale. Open-ended feedback was also collected.

Summary & Discussion

80% of nurses rated the tool as easy to use following training, and 75% reported high satisfaction, citing improved time management and a reduction in repetitive tasks. Positive perceptions centered on enhanced consultation efficiency and clinical safety. However, concerns were expressed regarding the balance between technology and patient-centered care, as well as the need for ongoing training and more personalized outputs.

Conclusion

Among the strengths identified were improved time management, support for clinical decision-making, and enhancement of standardized nursing practice. The main weaknesses were resistance to change and the initial learning curve, which required additional support. Opportunities include the potential of AI to strengthen professional training, enhance professional autonomy, and contribute to the standardization of clinical procedures. The tool reinforces clinical safety by being based on established protocols, and its use can accelerate their implementation and promote continuous learning, helping to consolidate a more efficient care model. The observed technological dependence was more associated with increased consultation efficiency, highlighting the importance of progressive and balanced integration with clinical practice.

References

Exploring the deep learning of artificial intelligence in nursing: a concept analysis with Walker and Avant’s approach. BMC Nurs. 2024;23:170. doi:10.1186/s12912-024-02170-x.
Examining the Role of AI in Changing the Role of Nurses in Patient Care: Systematic Review. JMIR Nurs. 2025;1:e63335. doi:10.2196/63335.
Artificial intelligence in healthcare: a scoping review of perceived threats to patient rights and safety. Arch Public Health. 2024;82:1414. doi:10.1186/s13690-024-01414-1.
Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC Med Educ. 2023;23:4698. doi:10.1186/s12909-023-04698-z.
Utilization of Generative Artificial Intelligence in Nursing Education: A Topic Modeling Analysis. Educ Sci. 2023;14:1234. doi:10.3390/educsci14111234.
Human-centered design and evaluation of AI-empowered clinical decision support systems: a systematic review. Front Comput Sci. 2023;5:1187299. doi:10.3389/fcomp.2023.1187299.
Generative AI in healthcare: an implementation science informed translational path on application, integration and governance. Implement Sci. 2024;13:357. doi:10.1186/s13012-024-01357-9.
Telehealth and Remote Patient Monitoring Innovations in Nursing Practice: State of the Science. OJIN: The Online Journal of Issues in Nursing. 2022;27(2):1-15.
Artificial Intelligence and Digital Innovations in Nursing Care. Nurs Rep. 2023;13(1):45-60.

DIGITAL TRANSFORMATION IN DIGESTIVE NURSING: ARTIFICIAL INTELLIGENCE AS A TOOL TO OPTIMIZE CLINICAL PRACTICE

Beatriz Gil-Albert Sáenz de Cabezón 1, Itziar Alarcón Higuera 1, Carmen Arteaga-Jordá 1, Adriana Arregui-Azagra 2, Maite Herraiz Bayod 2

1 Clínica Universidad de Navarra, Madrid, Spain

2 Clínica Universidad de Navarra, Pamplona, Spain

Event

UEG Week Berlin 2025

Topics

Nurses

Submission format

Abstract

Session

Abstracts I: Management and education

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Which advanced therapy should you choose in patients with fistulising Crohn's disease?

Krisztina Barbara Gecse 1

1 Amsterdam University Medical Center, Amsterdam, Netherlands

Event

UEG Week Berlin 2025

Topics

IBD Mechanisms & Personalised Medicine Surgery

Session

Focus on fistulising Crohn’s disease

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Use of boroscopes in daily routine: Pro-contra debate

Ulrike Beilenhoff 1, Harry Oussoren 2

1 ESGENA Scientific Secretary, Ulm, Germany

2 Amsterdam UMC, Amsterdam, Netherlands

Event

UEG Week Berlin 2025

Topics

Nurses

Session

Hygiene: Update 2025

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Which measures are important to prevent complication of IBD

Elena Sonnenberg 1

1 Charité – Universitätsmedizin Berlin, Berlin, Germany

Event

UEG Week Berlin 2025

Topics

IBD Nurses

Session

IBD nurses: All around the gut

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Introduction

Cholecystectomy is recommended for patients with acute biliary pancreatitis to prevent recurrence and other biliary complications. However, some patients, due to advanced age and comorbidities, are unfit for surgery. The role of endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (ES) in these cases is not well established^1,2.

Aims & Methods

We aimed to evaluate whether ES reduces the risk of recurrent biliary pancreatitis (RBP) in patients unfit for cholecystectomy.
A unicentric retrospective review was conducted including all patients admitted for a first episode of acute biliary pancreatitis between January 2016 and November 2023 at a non-tertiary hospital, who were deemed unfit for cholecystectomy by either surgical or anesthetic teams. Patients with concurrent acute cholangitis at admission or during hospitalization, as well as those with prior cholecystectomy or ES, were excluded. Time-to-event analysis was performed using Kaplan-Meier survival curves.

Results

A total of 169 patients were included, with a mean age of 79.07 ± 8.25 years, and 65% were female. The mean Charlson Comorbidity Index was 5.11 ± 2.09. Most cases (94%) presented as mild or moderately severe pancreatitis. The mean follow-up period was 3.80 ± 1.95 years.
During the index admission, 37% (n=62) underwent ERCP with ES.
Recurrent biliary pancreatitis (RBP) occurred in 35 patients (21%), 97% of whom had not undergone ES. Only one patient in the ES group was readmitted for a new episode of pancreatitis (p<0.001, OR 0.035; 95% CI 0.005–0.265). The mean time to recurrence was 2.67 ± 7.78 months. Kaplan-Meier survival analysis demonstrated a significantly lower cumulative incidence of RBP in the ES group (log-rank p<0.001).
Endoscopic sphincterotomy did not significantly reduce other biliary events, including choledocholithiasis, acute cholangitis, and acute cholecystitis (all p>0.05). There was no statistically significant difference in overall mortality between the two groups (p=0.585).

	Overall (n=169)	No intervention (n=107)	ERCP + ES (n=62)	p value
Recurrent biliary pancreatitis	21% (n=35)	32% (n=34)	2% (n=1)	p<0.001
Choledocholithiasis	3% (n=5)	4% (n=4)	2% (n=1)	p=0.653
Acute cholangitis	2% (n=4)	3% (n=3)	2% (n=1)	p=1
Acute cholecystitis	7% (n=11)	4% (n=4)	2% (n=1)	p=0.101
Overall mortality	25% (n=43)	27% (n=29)	23% (n=14)	p=0.585

Conclusion

Our findings suggest that ERCP with ES may effectively reduce the recurrence of gallstone pancreatitis in elderly patients with high surgical-anesthetic risk due to comorbidities. Further studies are needed to refine the selection criteria for these patients.

References

1 - Hwang SS, Li BH, Haigh PI. Gallstone pancreatitis without cholecystectomy. JAMA Surg. 2013 Sep;148(9):867-72.
2 - McAlister, V., Davenport, E., & Renouf, E. (2007). Cholecystectomy deferral in patients with endoscopic sphincterotomy. Cochrane Database of Systematic Reviews.

ENDOSCOPIC SPHINCTEROTOMY FOR RECURRENT BILIARY PANCREATITIS IN PATIENTS UNFIT FOR SURGERY

Sara Ramos Lopes 1, Madalena Teixeira 1, David Ferro Tomás 1, António Bastos 1, João Mangualde 1, Ricardo Freire 1, Elia Gamito 1, Ana Luísa Alves 1

1 Unidade Local de Saúde da Arrábida, Setúbal, Portugal

Conference

UEG Week Berlin 2025

Topics

Pancreas

Submission format

Abstract

Session

A scope, a needle and a stent: All you need in treating pancreatitis (Posters)

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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