- Colorectal Cancer Surgical Treatments
- Anorectal Disease Treatments and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Pancreatitis Pathology and Treatment
- Pancreatic and Hepatic Oncology Research
- Gastrointestinal disorders and treatments
- COVID-19 and healthcare impacts
- Colorectal and Anal Carcinomas
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Global Health and Surgery
- Diversity and Career in Medicine
- Abdominal vascular conditions and treatments
- Healthcare cost, quality, practices
- Parvovirus B19 Infection Studies
- Skin Diseases and Diabetes
- Helicobacter pylori-related gastroenterology studies
- Diagnosis and Treatment of Venous Diseases
- COVID-19 Clinical Research Studies
- Polyomavirus and related diseases
- Ultrasound in Clinical Applications
- Stoma care and complications
- Gastrointestinal Tumor Research and Treatment
- Colorectal Cancer Treatments and Studies
- Surgical Simulation and Training
- AI in cancer detection
Alexandrovska Hospital
2015-2024
University College London
2024
Royal London Hospital
2024
University of Birmingham
2023
ESCP Business School
2023
NIHR Birmingham Biomedical Research Centre
2023
National University of Avellaneda
2023
ESCP Business School
2023
Collaborative Group (United States)
2023
Medical University of Sofia
2023
The identification of high-risk patients in the early stages infected pancreatic necrosis (IPN) is critical, because it could help clinicians to adopt more effective management strategies. We conducted a post hoc analysis MANCTRA-1 international study assess association between clinical risk factors and mortality among adult with IPN. Univariable multivariable logistic regression models were used identify prognostic mortality. identified 247 consecutive IPN hospitalised January 2019 December...
Abstract Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods internationally intended protocol, iteratively co-developed by multistage Delphi process, comprised online educational module introducing stratification, intraoperative checklist, harmonized surgical...
Abstract Background Anastomotic leak rates after colorectal surgery remain high. In most left-sided colon and rectal resection surgeries, a circular stapler is utilized to create the primary bowel anastomosis. However, it remains unclear whether relationship between technology anastomotic in exists. Methods A post-hoc analysis was conducted using prospectively collected data set of patients from 2017 European Society Coloproctology snapshot audit who underwent elective (left hemicolectomy,...
Background and Objectives: Colorectal cancer is the third most common oncological disease worldwide. The standard treatment of locally advanced rectal tumors neoadjuvant radiochemotherapy in combination with surgical resection. choice specific algorithm highly dependent on MRI findings. aim this study to show potential role ADC measurements their usage different clinical scenarios. Materials Methods: A total 135 patients had evaluation. Seventy-five (56%) histologically proven adenocarcinoma...
Introduction: Although gastrointestinal stromal tumors (GIST) are the most common mesenchymal of tract, they constitute less than 1% all cancers digestive tube. Only 4-5% these located in duodenum and GISTs pancreas, omentum retroperitoneum extremely rare. Diagnosis pancreatic or duodenal GIST is often difficult because formation resembles cancer clinically on imaging tests.Aim: The aim this paper to make a detailed review literature regarding surgical treatment present observed cases our...
Introduction: Pancreatic pseudocysts mostly occur as a consequence of acute pancreatitis. However, they can also in the setting chronic pancreatitis, postoperatively, or after pancreatic trauma. Pseudocysts may be asymptomatic present with variety symptoms such pain, satiety, nausea and vomiting, upper gastrointestinal bleeding, etc. In 33% cases, disappear spontaneously. Most persistent require treatment because occurrence symptoms, increase size, impossibility for differentiation malignant...
We present our preliminary results of clinical application two original enzyme-derived topical preparations, Neprolysin and Post-Neprol, on patients with chronic wounds. is a preparation containing purified proteolytic enzyme possessing strong activity in the neutral pH-area. The main active component Post-Neprol collagen hydrolysate. aim study to assess safety efficacy local enzymatic treatmentof For period 3 years, single institution 56 suffering from wounds were treated. Twenty-two %...
Sclerosing mesenteritis is a rare medical condition, affecting radix mesenterii. Its initial clinical appearance very atypical. Pathological finding was non-specific and in most cases associated with inflammatory process. Currently there no imaging method confirming the diagnosis, which requires patients to make laparotomy biopsy from changed tissue. At least six months of conservative therapy are needed for patient become asymptomatic. The material presents our experience brief literature...
OBJECTIVES:The study aims to eval u ate the ef fi cacy of percutaneous necrosectomy (PN) per formed un der ul tra sound con trol and en do scopic through sec ond ary si nus track (ENTSST) us ing nephroscope cystoscope.MATERIAL AND METHOD: Punc ture fluid col lec tions in pan creas was ultrasonographic 23 pa tients with acute necrotizing cre ati tis (ANP).ENTSST cystoscope 47 af ter open or sis tent sep (with out sat el lite tion CT).RESULTS: Sev teen (74%) treated re cov ered sur gery.Two...
Since December 2019, the COVID-19 pandemic has created an increasing challenge in managing inflammatory bowel dis- ease patients both medically and surgically. Although several international national medical/surgical associations published guide- lines this area, there is still a huge difference between daily practices these guidelines, especially depending on regional governmental policies. Therefore, we aimed to investigate define gastroenterologists' surgeons' fear of how they have...