A5077149969- Bariatric Surgery and Outcomes
- COVID-19 and healthcare impacts
- Diet and metabolism studies
- Body Contouring and Surgery
- Diabetes Treatment and Management
- Gastric Cancer Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Esophageal and GI Pathology
- Obesity and Health Practices
- Trauma and Emergency Care Studies
- Dysphagia Assessment and Management
- Gallbladder and Bile Duct Disorders
- Gastroesophageal reflux and treatments
- Diverticular Disease and Complications
- Hormonal Regulation and Hypertension
- Ultrasound in Clinical Applications
- Cancer, Lipids, and Metabolism
- Pharmacology and Obesity Treatment
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Gestational Diabetes Research and Management
- Intestinal and Peritoneal Adhesions
- Inflammatory Biomarkers in Disease Prognosis
- Healthcare cost, quality, practices
- Global Cancer Incidence and Screening
- Metastasis and carcinoma case studies
Chelsea and Westminster Hospital NHS Foundation Trust
2023-2025
Imperial College London
2017-2025
Highland Hospital
2024
University of Rochester
2024
West Middlesex University Hospital
2023
Hammersmith Hospital
2018-2022
Royal Surrey County Hospital
2021-2022
Whittington Health NHS Trust
2021
University College London
2021
Medical University of Białystok
2020
Abstract Aims Pancreatitis is a severe, acute inflammatory condition of the pancreas, potentially leading to life-threatening complications. This closed-loop audit assessed impact newly established multidisciplinary Upper GI (UGI) team on management pancreatitis patients at Chelsea and Westminster Trust. Methods analysed 131 admitted with over two 6-month periods in 2023 2024. Data were prospectively collected diagnostic timing, Glasgow score calculations, imaging, referral practices,...
Background Roux-en-Y gastric bypass is an established treatment option for type 2 diabetes and obesity. However, the optimal lengths small intestinal limbs remain controversial with variation in practice. A longer biliopancreatic limb length of 150 cm (‘Long Limb’) was hypothesised to better improve glycaemia compared standard a 50 (‘Standard Limb’). The aim trial evaluate short-term mechanistic outcomes long-term clinical safety Long Limb versus Standard bypass. Methods We undertook...
OBJECTIVE Roux-en-Y gastric bypass (RYGB) characteristically enhances postprandial levels of glucagon-like peptide 1 (GLP-1), a mechanism that contributes to its profound glucose-lowering effects. This enhancement is thought be triggered by food the distal small intestine with higher densities neuroendocrine L-cells. We hypothesized if this predominant behind enhanced secretion GLP-1, longer intestinal would potentiate peak in translating into insulin and, thus, additional improvements...
Hyperglucagonemia is a key pathophysiological driver of type 2 diabetes. Although Roux-en-Y gastric bypass (RYGB) highly effective treatment for diabetes, it presently unclear how surgery alters glucagon physiology. The aim this study was to characterize the behavior proglucagon-derived peptide (glucagon, glucagon-like peptide-1 (GLP-1), oxyntomodulin, glicentin) secretion after RYGB surgery.Prospective 19 patients with obesity and pre-diabetes/diabetes undergoing RYGB. We assessed glucose,...
An excessively long-blind end of the alimentary limb following a Roux-en-Y gastric bypass (RYGB), known as 'candy cane' (CC), may cause symptoms including abdominal pain, regurgitation and vomiting. Very few studies have examined efficacy surgical resection CC. The aim this study was to assess sensitivity preoperative diagnostic tools for CC, well perioperative outcomes symptom resolution after CC revision surgery. High volume bariatric centre excellence, United Kingdom. Observational...
Background Roux-en-Y gastric bypass is recognised as a standard of care in the treatment diabetes mellitus and obesity. However, optimal length limbs remains controversial, with substantial variation practice. Specifically, longer biliopancreatic limb 150 cm (‘long limb’) has been hypothesised to be better for because it increases postprandial secretion gut hormones, such glucagon-like peptide 1, insulin sensitivity, compared utilising 50 (‘standard limb’). Objective To evaluate mechanisms,...
The Heald Silastic Anal Stent (HSAS) was designed to protect a newly constructed low colorectal anastomosis by keeping the anus open for up 10 days postoperatively, and has also been used in combination with percutaneous drainage treat leak from rectal anastomosis. We describe technique two patients where HSAS alone allowed adequate of leaking
Bariatric surgery has beneficial effects on obesity and associated comorbidities such as glycaemic control in type 2 diabetes, dyslipidaemia, hypertension, renal hepatic function. Nevertheless, this is not free of complications possible side due to restrictive and/or malabsorptive related components. We report the case a 60-year-old woman whose past medical history included morbid obesity, hypertension Scopinaro biliopancreatic diversion (BPD) with duodenal switch 1998. In 2015, she attended...
A 69 year old woman was treated with an intravenous infusion of iron polymaltose (1800 mg in 500 mL normal saline). Within minutes …
Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)
Objective <p>Roux-en-Y gastric bypass (RYGB) characteristically enhances post-prandial levels of Glucagon-like peptide 1 (GLP-1), a mechanism that contributes to its profound glucose-lowering effects. This enhancement is thought be triggered by food the distal small intestine with higher densities neuroendocrine L-cells. We hypothesised if this predominant behind enhanced secretion GLP-1, longer intestinal would potentiate peak in translating into insulin and thus additional...
Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)
Abstract Background Timely management is essential in preventing recurrence of gallstone disease and The National Institute for Clinical Excellence (NICE) recommends that laparoscopic cholecystectomy (LC) should be performed within seven days admission. However, there remains wide variation between NHS Trusts managing disease. As part an ongoing surgical quality improvement project, a restructured Upper Gastrointestinal Surgery (UGI) firm was created (with three dedicated UGI consultant...
An incident involving the discovery of a computed tomography report in hospital canteen, identifying patient's name, age and current location, prompted us to review our emergency surgical data protection practice. This highlighted lack training, awareness implementation policy. All employees working NHS are bound by legal duty confidence protect personal information they may come into contact with during course their work. They responsible for any records create or use duties.