The SCE Gastroenterology is delivered as the European Specialty Examination in Gastroenterology and Hepatology (ESEGH), administered jointly with UEMS. It sits once per year in June. The European collaboration means some questions reflect pan-European practice, and the guideline base extends beyond NICE to include EASL (hepatology), ECCO (IBD), and UEG/ESGE (endoscopy) guidelines.
The single annual sitting and the heavy hepatology weighting (approximately 20 per cent of questions) make this one of the more demanding SCEs to prepare for.
StudyPRN
StudyPRN's Gastroenterology bank contains approximately 552 questions. For a curriculum that spans luminal GI, hepatology, biliary and pancreatic disease, nutrition, and interventional endoscopy, 552 questions results in thin coverage of some domains — particularly hepatology, where the guideline landscape (EASL alone publishes clinical practice guidelines for cirrhosis, HBV, HCV, NAFLD/MASH, AIH, PBC, PSC, DILI, Wilson's, and haemochromatosis) is vast.
The questions are written by consultant gastroenterologists and the clinical quality is solid. Pricing follows the standard StudyPRN model — approximately £149 to £199 for three months with no cross-specialty access.
iatroX
iatroX's SCE Gastroenterology bank contains over 1,500 questions covering the full JRCPTB GI curriculum with explicit alignment to BSG, NICE, EASL, ECCO, and ESGE guidelines. The hepatology domain alone contains over 300 questions — more than half of StudyPRN's entire bank — covering cirrhosis management, portal hypertension, variceal bleeding, HCC surveillance, viral hepatitis treatment (DAAs for HCV, tenofovir/entecavir for HBV), NAFLD/MASH staging and management, autoimmune hepatitis, PBC, PSC, Wilson's disease, haemochromatosis, and drug-induced liver injury.
IBD content covers biologic sequencing in depth — infliximab, adalimumab, vedolizumab, ustekinumab, risankizumab, tofacitinib, filgotinib, and upadacitinib — with questions testing mechanism of action, NICE TA eligibility criteria, therapeutic drug monitoring interpretation, and the distinction between primary non-response and secondary loss of response. This level of detail is essential for an exam that tests real-world prescribing decisions.
The adaptive algorithm ensures hepatology receives proportional emphasis — 20 per cent of your questions should come from hepatology, and the system maintains this weighting regardless of your natural topic preferences. For many gastroenterology registrars, clinical experience skews toward luminal GI and endoscopy, leaving hepatology relatively under-revised without deliberate effort.
All included at £29 per month or £99 per year.
The hepatology gap
The critical differentiator for SCE Gastroenterology preparation is hepatology depth. The exam allocates roughly one in five questions to hepatology, yet many candidates report feeling least prepared for this domain. StudyPRN's 552-question total means approximately 110 hepatology questions at most. iatroX's 300-plus hepatology questions provide nearly three times the practice volume for the domain that candidates find most challenging.
If you are confident in your hepatology knowledge from clinical practice, either platform will serve you. If hepatology is a weak area — as it is for most luminal-focused registrars — the additional question volume and adaptive targeting in iatroX are worth the difference.