A5074078970- Congenital gastrointestinal and neural anomalies
- Intestinal Malrotation and Obstruction Disorders
- Esophageal and GI Pathology
- Congenital Diaphragmatic Hernia Studies
- Hernia repair and management
- Pelvic floor disorders treatments
- Tracheal and airway disorders
- Medical Malpractice and Liability Issues
- Gastroesophageal reflux and treatments
- Urological Disorders and Treatments
- Congenital Anomalies and Fetal Surgery
- Pediatric Hepatobiliary Diseases and Treatments
- Pleural and Pulmonary Diseases
- Intestinal and Peritoneal Adhesions
- Innovations in Medical Education
- Diversity and Career in Medicine
- Inflammatory Bowel Disease
- Biliary and Gastrointestinal Fistulas
- COVID-19 and healthcare impacts
- Radiopharmaceutical Chemistry and Applications
- Gallbladder and Bile Duct Disorders
- Surgical Simulation and Training
- Gastrointestinal disorders and treatments
- Dysphagia Assessment and Management
- Dental Education, Practice, Research
Great Ormond Street Hospital
2014-2025
University College London
2014-2025
Chelsea and Westminster Hospital NHS Foundation Trust
2009-2024
Great Ormond Street Hospital for Children NHS Foundation Trust
2018-2023
University College London Hospitals NHS Foundation Trust
2018
Brain Tumour Research
2015
Monash University
2015
Monash Health
2015
St George’s University Hospitals NHS Foundation Trust
2015
South West London and St George's Mental Health NHS Trust
2015
Risk stratification scores for oesophageal atresia with tracheoesophageal fistula (OA-TOF) are useful to predict survival. Scores from single-centre series may lack external validity. We aimed model survival in OA-TOF and validate a new risk score using an international, multicentre database of patients. Retrospective data (2000-2022) 4 tertiary centres were used; multivariable logistic regression discharge was derived single centre data, then validated on the whole dataset bootstrapping. In...
Outcome data for surgery in paediatric Crohn's disease are limited. We report 10 years' experience at a regional gastroenterology centre.Children undergoing (January 2002-December 2012) were identified from an onsite patient register. Patients followed until transition to adult services. Data obtained medical records and expressed as median (range).Sixty-nine children, aged 13.8 years (6.3-17.0) diagnosis, included. 42 male (61%). Follow-up was 1.8 (27 days-6 years). Surgery diagnosis by 9...
This study describes functional and health-related quality of life (HRQoL) outcomes in patients with Hirschsprung's disease (HSCR) associated learning disability or neurodevelopmental delay (LD), completing a core outcome set for HSCR. was cross-sectional from tertiary pediatric surgery center. Patients treated between 1977 2013 were prospectively contacted to complete an survey. Children under 12 older LD assisted these by proxy. Bowel urologic function assessed (Rintala's BFS modified...
ECMO is an escalation treatment for hypoxic respiratory failure in patients with CDH. Open repair has been advocated after indicating that physiological changes associated to thoracoscopic were not well tolerated.We have performed a retrospective review of all who underwent prior CDH over 7 year period (2015-2021). Outcome measures intra-operative Ph, PCO2, PO2 and FiO2 at 30 min, 1 h 2 min surgery, operative time recurrence rate. Data are shown median (range).Eleven required repair. Six...
BACKGROUND: The long term effects of Hirschsprung disease are clinically variable. Improved understanding challenges patients may face as adults can help inform transitional care management. OBJECTIVE: To explore the outcomes and experiences in adult with Hirschsprung. DESIGN: Cohort study. SETTING: Single center. PATIENTS: All treated for 1977-2001 (aged >18 at time survey July 2018-2019). Eligible were sent validated multi-domain surveys well qualitative questions regarding their care....
Complex tracheo-oesophageal fistulae (TOF) are rare congenital or acquired conditions in children. We discuss here a multidisciplinary (MDT) approach adopted over the past 5 years. retrospectively collected data on all patients with recurrent TOF managed at single institution. All cases were investigated neck and thorax CT scan. Other investigations included flexible bronchoscopy bronchogram (B&B), microlaryngobronchoscopy (MLB) oesophagoscopy. subsequently discussed an MDT meeting emergent...
Aim Regular anal dilatations are commonly recommended in the postoperative management following posterior sagittal anorectoplasty (PSARP) anorectal malformations (ARM). We hypothesized that routine may not affect surgical outcomes PSARP. compare of versus no from two United Kingdom tertiary pediatric centers. Materials and Methods This is retrospective records review patients undergoing definitive surgery for ARM centers UK over 5 years. Center A used a protocol dilatations, center B...
<b>Purpose</b> Total colonic aganglionosis (TCA) is a rare condition, which challenging to manage. Outcome data are sparse. We aimed review the demographics, treatment, and outcomes of TCA in our center. <b>Patients Methods</b> A retrospective case note 15 years from single center was undertaken. <b>Results</b> total nine patients (five male) were managed. Gestational age at birth 39 weeks (range, 32.5–41 weeks). All referred with distal intestinal obstruction median day 2 1–6 days) life....
Abstract Introduction Congenital duodenal obstruction (CDO) repair can be performed open or laparoscopically. We aimed to determine the potential benefit of laparoscopic regarding tolerance enteral feeding, postoperative pain, hospital stay, and complication rate. Materials Methods In a single-center retrospective cohort study, we compared neonates with isolated CDO operated versus laparoscopically from 2010 2019. No transanastomotic tubes were used, anastomoses created in side-to-side...