This symposium provided an update in aspects of gastroenterology that are of relevance and interest to both the general physician and specialist gastroenterologist. Everyday practical dilemmas, such as the investigation of iron deficiency anaemia, consideration of PEG feeding and the management of IBS, were considered alongside updates in the management of variceal bleeding and alcoholic and non-alcoholic fatty liver disease. Looking to the future, developments in endoscopy safety and quality, with particular reference to the colorectal cancer screening programme, were outlined.