A5001438131- Gallbladder and Bile Duct Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Pancreatic and Hepatic Oncology Research
- Biliary and Gastrointestinal Fistulas
- COVID-19 and healthcare impacts
- Esophageal and GI Pathology
- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Gastrointestinal disorders and treatments
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Congenital Anomalies and Fetal Surgery
- Diverticular Disease and Complications
- Gastroesophageal reflux and treatments
- Appendicitis Diagnosis and Management
- Trauma Management and Diagnosis
- Ultrasound in Clinical Applications
- Dysphagia Assessment and Management
- Pneumothorax, Barotrauma, Emphysema
- Intestinal Malrotation and Obstruction Disorders
- Basque language and culture studies
- Hormonal Regulation and Hypertension
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Diagnosis and Treatment of Venous Diseases
- Disaster Response and Management
St Mark's Hospital
2017-2024
Northwick Park Hospital
2018-2024
London North West Healthcare NHS Trust
2019-2023
Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie
2020-2022
St. Mark's Hospital
2018-2022
Royal London Hospital
2016-2021
University of Birmingham
2020-2021
NIHR Birmingham Biomedical Research Centre
2021
Yorkshire Cancer Research
2021
Urology Foundation
2021
Abstract Purpose Transcystic laparoscopic common bile duct exploration (LCBDE) seems safer than transductal LCBDE and is associated with fewer biliary complications. It has traditionally been limited to smaller stones however. This study aimed assess the ability of laser-assisted by laparoendoscopy (LABEL) increase rate successful transcystic in patients at time cholecystectomy. Methods Patients undergoing between 2014 2018 were retrospectively analysed. Baseline demographic medical...
Abstract Background Mirizzi syndrome is an uncommon complication of longstanding gallstone disease. Pre-operative diagnosis challenging, and to date, there no consensus on the standard management for this condition. Until recently open cholecystectomy was care type II (McSherry classification). The objective study assess incidence in patients with proven or suspected choledocholithiasis undergoing laparoscopic common bile duct (CBD) exploration present our experience rare condition over last...
The enteric nervous system (ENS) is derived from vagal and sacral neural crest cells (NCC) that delaminate the tube undergo extensive migration proliferation in order to colonize entire length of gut differentiate into many millions neurons glial cells. Although apoptotic programmed cell death an essential physiological process during development majority vertebrate system, apoptosis within early ENS has not been comprehensively investigated. aim this study was determine presence extent NCC...
Abstract Introduction Colorectal cancer (CRC) is uncommon in patients under the age of 40 years and its association with poor histological features survival uncertain. This study aimed to evaluate age‐related differences clinicopathological prognosis diagnosed CRC. Method A single‐centre retrospective review all CRC between 2004 2013 was performed. Patients were stratified into three groups: (1) 18–40 years, (2) 41–60 (3)> 60 years. Clinicopathological characteristics outcomes compared...
Abstract Background The transcystic approach to laparoscopic common bile duct exploration has gained popularity for the single-stage management of choledocholithiasis with concomitant gallstones. Our team previously described use a porcine aorta segment simulate during skill training. Methods With advent as contender first-line technique accessing duct, we present an evolution training model using Porcine Aorta-Renal Artery (PARA) specimen structural integrity, dimensions and spatial...
Single-stage management of choledocholithiasis with concomitant gallstones consists performing either laparoscopic bile duct exploration (LBDE) or intra-operative endoscopic retrograde cholangiopancreatography at the same time as cholecystectomy. Transductal LBDE is associated significantly higher post-operative morbidity, longer operative times and hospital stay when compared to transcystic LBDE. The aim this study was report rate outcomes from before after implementation LATEST (Leveraging...
Abstract Aim Crohn's disease is a chronic inflammatory bowel characterized by alternating periods of exacerbation and remission. Surgical resection not curative postoperative recurrence (POR) remains challenge in these patients. The aim this study was to identify clinical variables that influence the risk symptomatic anastomotic POR patients with ileo‐colonic disease. Method A retrospective who had undergone ileo‐colic between January 2014 December 2018 performed. For each patient, data...
Primary achalasia is a rare oesophageal motor disorder characterized by the absence of swallow-induced relaxation lower sphincter and diminished or absent body peristalsis. Around 5% these patients will develop end-stage achalasia, where oesophagectomy may be advocated. We present laparoscopic hand-sewn cardioplasty as an alternative 'oesophagus-preserving' procedure in with achalasia.We retrospective review four who underwent cardioplasty. Data collected included pre-operative demographic...
Insertion of an intercostal chest drain (ICD) is a common intervention in the management either blunt or penetrating thoracic trauma. It frequently performed by junior medical personnel as emergency procedure during initial resuscitation period and often within stressful environment. Approximately one-fifth all ICD insertions are associated with complications. In retrospective review over 1000 insertions, 7% complications observed were due to inadequate fixation, resulting dislodgement. The...