A5045537812- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Esophageal and GI Pathology
- Pancreatitis Pathology and Treatment
- Appendicitis Diagnosis and Management
- Gastrointestinal disorders and treatments
- Biliary and Gastrointestinal Fistulas
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Anesthesia and Sedative Agents
- Pediatric Hepatobiliary Diseases and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 and healthcare impacts
- Gastric Cancer Management and Outcomes
- Neuroendocrine Tumor Research Advances
- Mycobacterium research and diagnosis
- Diverticular Disease and Complications
- Vascular Malformations and Hemangiomas
- Colorectal Cancer Screening and Detection
- Ginseng Biological Effects and Applications
- Healthcare cost, quality, practices
- Renal and related cancers
- Tracheal and airway disorders
- Cancer, Lipids, and Metabolism
- Minimally Invasive Surgical Techniques
- Bariatric Surgery and Outcomes
Royal Stoke University Hospital
2009-2025
University Hospitals of North Midlands NHS Trust
2008-2024
Stoke-on-Trent City Council
2014
Keele University
2013
The University of Arizona Global Campus
2005
ABSTRACT Mycobacterium avium subsp. paratuberculosis is a robust and phenotypically versatile pathogen which causes chronic inflammation of the intestine in many species, including primates. M. infection widespread domestic livestock present retail pasteurized cows' milk United Kingdom and, potentially, elsewhere. Water supplies are also at risk. The involvement Crohn's disease (CD) humans has been uncertain because substantial difficulties detecting this pathogen. In its Ziehl-Neelsen...
The aim of this study was to investigate whether definitive treatment gallstone pancreatitis (GSP) by either cholecystectomy or endoscopic sphincterotomy in England conforms with British Society Gastroenterology (BSG) guidelines and validate these guidelines.Hospital Episode Statistics data were used identify patients admitted for the first time GSP between April 2007 2008. These followed until 2009 any who underwent readmitted a further bout as an emergency.A total 5,454 2008, whom 1,866...
Abstract Background Laparoscopic distal pancreatectomy (LDP) is increasingly being performed as an alternative to open surgery. Whether the implementation and corresponding learning curve of LDP have impact on patient outcome unknown. The aim was investigate temporal trends in practice across UK centres. Methods This a retrospective multicentre observational cohort study 11 tertiary referral centres between 2006 2016. analysed by pooling data for first 15 consecutive patients who had...
To determine the incidence of bile duct reconstruction (BDR) following laparoscopic cholecystectomy (LC) and to identify associated risk factors.Major injury (BDI) requiring is a serious complication cholecystectomy.All LC attempted operations in England between April 2001 March 2013 were identified. Patients with malignancy, stone or those who underwent exploration excluded. This cohort patients was followed for 1 year BDR as surrogate marker major BDI. Logistic regression used factors need...
Despite increasing evidence of the benefits and safety early laparoscopic cholecystectomy (LC) in acute gallstone disease, it is not widely practised England. The Royal College Surgeons England support separation emergency elective surgical care. aim this prospective study was to examine impact implementation 'Surgeon Week (SoW)' model on number LCs performed efficiency theatre activity our hospital. This also looked into its implications specialist registrar training for LC, financial...
Background Following recommendations from the Royal College of Anaesthetists and British Society Gastroenterology, we report our results propofol sedation for complex endoscopic procedures delivered by a single consultant anaesthetist over 5-year period. Methods A weekly session was provided in endoscopy department that were or could previously not be completed successfully. Deep intermittent bolus doses, supplemented with fentanyl where necessary, titrated to clinical effect. Patients...
A 73-year-old man was admitted with symptoms of large bowel obstruction. An emergency CT scan revealed pneumobilia and obstruction at the level rectosigmoid due to a 4×4 cm impacted gallstone. Flexible sigmoidoscopy confirmed diagnosis but initial attempts drag stone into rectum failed. endoscopic mechanical lithotripter employed repeatedly fracture gallstone smaller fragments, which were passed spontaneously next day. The patient made complete recovery avoiding potential dangers surgery....
Duodenal-jejunal intussusception is an extremely rare occurrence and has never been reported in the context of a gastrointestinal stromal tumour (GIST). We present case duodenal GIST which presented with major intestinal haemorrhage addition to duodenal-jejunal intussusception.
Endoscopic ultrasonography-guided choledochoduodenostomy (EUS-CDS) using an electrocautery-enhanced lumen-apposing metal stent (LAMS) is effective tool in the endoscopic management of biliary obstruction [1]. Complications can occur during delivery LAMS, and these include maldeployment [2]. Several salvage methods have been described, such as stent-in stent, position adjustment post-full deployment [3], natural orifice transluminal surgery (NOTES) [4]. We describe a novel method to recapture...
Objective To examine the outcome of endoscopic retrograde cholangiopancreatography (ERCP) in management common bile duct (CBD) stones. Design A retrospective review 100 consecutive ERCPs performed for CBD Results were on 84 patients with a median cohort age 77. Completion this cohort, as defined by clearance, was achieved 65% cases. rates fell rapidly after two ERCPs. 33% had small stones <10 mm, and 67% >10 mm. Size, but not number stones, affected completion rate frequency...
<h3>Introduction</h3> Nationally there is a drive amongst endoscopists to improve both procedural quality and safety through standardisation sharing of best practice trainers trainees. This perhaps most evident in colonoscopy where number KPIs evaluation tools (DOPyS) have been established order meet the requirements for JAG accreditation. ERCP however seems lagged behind with no existing formal process UK, yet arguably more challenging procedure inherent risks than standard endoscopy. It...