A5043640352- Esophageal and GI Pathology
- Appendicitis Diagnosis and Management
- Pancreatitis Pathology and Treatment
- Pancreatic and Hepatic Oncology Research
- Gallbladder and Bile Duct Disorders
- Esophageal Cancer Research and Treatment
- Intraperitoneal and Appendiceal Malignancies
- Minimally Invasive Surgical Techniques
- Biliary and Gastrointestinal Fistulas
- Pediatric Hepatobiliary Diseases and Treatments
- Gastroesophageal reflux and treatments
- Gastric Cancer Management and Outcomes
- Abdominal Surgery and Complications
- Long-Term Effects of COVID-19
- Gastrointestinal disorders and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 Clinical Research Studies
- Medical Imaging and Pathology Studies
- Cancer Genomics and Diagnostics
- Teratomas and Epidermoid Cysts
- Muscle and Compartmental Disorders
- Enhanced Recovery After Surgery
- Hernia repair and management
- Electrolyte and hormonal disorders
- Intestinal and Peritoneal Adhesions
Dumfries and Galloway Royal Infirmary
2015-2024
NHS Dumfries and Galloway
2016-2024
Collaborative Group (United States)
2023
Musgrove Park Hospital
2023
Royal Derby Hospital
2021
University of Nottingham
2021
Royal Alexandra Hospital
2021
There is emerging evidence that the pancreas may be a target organ of SARS-CoV-2 infection. This aim this study was to investigate outcome patients with acute pancreatitis (AP) and coexistent
Barrett's oesophagus surveillance places significant burden on endoscopy services yet is vital to detect early cancerous change. Oesophageal cell collection device (OCCD) testing was introduced across Scotland for in response the COVID-19 pandemic. This national pragmatic retrospective study presents CytoSCOT programme results and evaluates whether OCCD successfully identifying high-risk patients requiring urgent endoscopy.
The diagnosis of epidermoid cyst is seldom in doubt, and associated malignancy extremely rare, yet it commonplace for the lesion to be sent pathology laboratory analysis. aim this study was evaluate our current practice with regards diagnostic accuracy among clinicians, assess risk not routinely sending suspected cysts histological examination. Potential cost savings were also estimated calculated.Retrospective analysis clinical data on all excised from a Scottish district general hospital...
High quality Barrett's esophagus surveillance is crucial to detect early neoplastic changes. An esophageal cell collection device (OCCD) was introduced as a triage tool for surveillance. This study aims evaluate whether the Scottish OCCD program (CytoSCOT) has reduced delays surveillance, and delayed negatively impacts endoscopic pathology. All patients undergoing testing across 11 health boards between 14/9/2020 13/9/2022 were identified. Patients dichotomised into two groups (Year 1 vs....
Mechanical small bowel obstruction is an uncommon but important complication of cholelithiasis. Recurrent gallstone ileus has historically been considered a rare occurrence; however, the incidence likely to be underreported and condition carries high mortality rate.We present case in which 67 year old man suffered recurrence 10 days after his initial enterolithotomy, requiring further laparotomy.We review literature highlight potential clinical predictors as well benefits pitfalls management...
Pancreatic ductal adenocarcinomas are poor prognostic cancers accounting for 3% of all cancer cases in the UK. They often present late course disease process with non-specific symptoms, including gastro-intestinal(GI) symptoms. Delays diagnosis occur when investigations carried out a primary care setting GI The aim this study was to assess delays pancreatic patients were referred and evaluate its effect on survival.Retrospective cohort diagnosed adenocarcinoma Scottish district general...
Background Barrett’s esophagus is strongly associated with esophageal adenocarcinoma. Considering costs and risks invasive surveillance endoscopies better methods of risk stratification are required to assist decision-making move toward more personalised tailoring surveillance. Methods A Bayesian network was created by synthesizing data from published studies analysing factors for developing adenocarcinoma in oesophagus through a two-stage weighting process. Results Data synthesized 114 (n =...
Abstract Background Oesophageal cell collection device (OCCD) and biomarker testing was implemented nationally across Scotland in 2020 following the COVID-19 pandemic for symptomatic reflux patients referred to secondary care. Collected cells undergo presence of trefoil factor 3 (TFF3), an indicator intestinal metaplasia (IM), addition atypia p53. This national retrospective cohort study is first evaluate clinical application OCCD aims assess whether can safely be used as a triage tool upper...
Abstract Aims Laparoscopic cholecystectomy in the elderly patient is a challenging operation with variable outcomes. We evaluate outcome of patients who underwent laparoscopic hospital that serves large ageing population. Methods Retrospective analysis 53 over age 70 years between January and December 2023. Outcomes were compared elective vs emergency procedures, indications, groups (70-74, 75-79, 80-84, 85+) Charlson comorbidity index (CCI). Results The mean was 77±4.9 years, CCI 4±1. Of...
Abstract Cholecystocholedocholithiasis is managed surgically by laparoscopic cholecystectomy (LC) and simultaneous common bile duct (CBD) exploration or preoperative Endoscopic Retrograde Cholangiopancreatography (ERCP) followed LC. Rendezvous ERCP (RERCP) an innovative laparoendoscopic technique combining LCs ERCPs. As a single staged procedure, LC performed selective canulisation of the CBD aided transcystic placement guide-wire into duodenum. We present case series RERCPs within DGH. This...
Abstract Background Recent literature has proposed that emergency laparotomy in the frail population may be qualitatively futile leading to negative desired morbidity and missed opportunities for palliation. The aim of this study was appraises futility laparotomies within a 3 month period based on predictor pre-operative frailty with large district general hospital. Method Retrospective analysis all patients undergoing time Dumfries Royal Infirmary. Futility defined as all-cause mortality...
Abstract Background Oesophageal endoscopic stenting has a wide range of indications however dysphagia and use in cancer the oesophagus is by far most common, being 14th common UK, despite advances diagnosis therapy with patients often presenting at advanced stages disease. Greater than 50% presentations are an stage disease where resection not possible palliation required. Palliation potential combination palliative chemotherapy, radiotherapy to control burden improve symptoms. One limiting...
Capsule sponge testing, using an oesophageal cell collection device with biomarkers, was implemented nationally across Scotland in 2020 for symptomatic reflux patients referred to secondary care non-urgent endoscopy. The aim use capsule testing as a triage tool reduce pressures on the endoscopy service during COVID-19, focus resources those most likely have pathology and streamline patient pathway. This prospective cohort study presents first real-world results evaluates clinical application...
Background and Objectives:Loss of visualization the surgical field due to pneumoperitoneum deflation when CO2 insufflator cylinders become empty can occur at key moments during laparoscopic surgery. The purpose this study was examine incidence intraoperative cylinder exhaustion in United Kingdom, determine its impact on patient safety, design test a novel device minimize phenomenon.Methods:We performed national cross-sectional survey U.K. surgeons, inviting all members Association Surgeons...
Abstract Aim Is to measure the conformity of practice with guidelines issued by NICE (National Institute for Health and Care Excellence), GIFTASUP (Guidance on Intravenous Fluid Therapy Adult Surgical Patients) local hospital policies. Methods recommendations were reviewed. Data collected from medical records 40 in-patients surgical wards. The incomplete information excluded analysis. data was then analyzed using Excel sheets, results reviewed compared against mentioned above. variables...
Abstract Background Recent guidelines from the American Society for Gastrointestinal Endoscopy (ASGE) recommend ‘conditional’ use of intravenous fluids in prevention those at moderate to high risk post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. The aim this study was appraises rates post-ERCP pancreatitis following administration procedural and post ERCP (Hartmans) within a years period large district general hospital. Conclusion Intravenous may have benefit...
Abstract Introduction The NHS Dumfries & Galloway Clinical Handbook was developed to provide readily accessible and practical guidance when assessing managing a wide variety of medical conditions for junior doctors. We summarise the relevant NICE SIGN guidelines link other handbooks. Until now content has been purely medical. Aim To expand handbook include topics in General Surgery Orthopaedics that would be useful Methods Results Initial survey sent 15 doctors showed everyone stating it...