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Consultant Gastroenterologist

Complex cases may incur an additional fee and take longer to prepare a report (only after agreement)

Titles

  • Honorary Consultant Gastroenterologist
  • Chairman of the British Intestinal Failure Alliance (BIFA) and the Nightingale Trust for Nutritional Support

Expertise

  • Intestinal failure
  • Short bowel syndrome
  • Bowel ischaemia
  • Malnutrition
  • Nutritional support
  • Inflammatory bowel disease (Crohn's disease and Ulcerative colitis)
  • Enterocutaneous fistula

Procedures

  • Venous access for parenteral nutrition
  • Enteral feeding catheters (into stomach or small bowel)
  • Upper and lower gastrointestinal endoscopies with stricture dilatation and polypectomy

Most common conditions seen

  • Intestinal failure
  • Short bowel syndrome
  • Crohn's disease
  • Ulcerative colitis
  • Enterocutaneous fistula
  • Bowel ischaemia
  • General gastroenterology
  • Post gastrectomy problems

Most common symptoms seen

  • Ileostomy diarrhoea/high output stoma
  • Weight loss and malnutrition
  • Diarrhoea with or without blood
  • Fatty stools (steatorrhoea)
  • Abdominal pain
  • Abdominal wounds or fistulas
  • Rectal bleeding
  • Vomiting (often with joint hypermobility/Ehlers-Danlos Syndrome or EDS)

Background

He has been a Consultant Gastroenterologist specialising intestinal failure and inflammatory bowel disease since April 2006. He retired from full time work in May 2017 and now has an honorary contract.

For 10 years previously he was a Consultant Gastroenterologist and General Physician where he set up and established a nutrition support team. He originally trained at St Mark’s Hospital under the guidance of Professor JE Lennard-Jones. He was awarded the Sir David Cuthbertson Medal by the Nutrition Society in 1993 for his work on the problems of a short bowel.

He has edited a best selling textbook entitled “Intestinal Failure”. He is the chairman of the independent charity “The Nightingale Trust for Nutritional Support (1109586)” and also chairman of the British Intestinal Failure Alliance (BIFA). He is a member of the Royal College of Physicians Nutrition Committee and of the British Society of Gastroenterology Small Bowel and Nutrition Committee. He was the British Society of Gastroenterology representative on the NICE (National Institute for Health and Clinical Excellence) committee for “Nutritional Support in Adults: oral supplements, enteral and parenteral feeding”.

In 2006 he was the first author on the British Society of Gastroenterology (BSG) guidelines on the management of patients with a short bowel. He was a member of the expert group advising the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) 2008-10. Published in 2010 “A mixed bag. An enquiry into the care of hospital patients receiving parenteral nutrition”. He was the primary author for the advanced curriculum in nutrition for gastroenterology trainees in 2010.

He was a GDG member for the NICE guidelines on ulcerative colitis published in 2013. He was secretary of the Coloproctology Section of the RSM for 2015/16 and is now a Vice President. Inaddition to many articles about intestinal failure, short bowel and nutritional support he has published work about ulcerative colitis assessment and treatment with steroids and epidermal growth factor.

He breeds llamas and is a keen tennis/croquet player.

Training

  • Undergraduate training at the Royal London Hospital
  • 1996-2006 Consultant Gastroenterologist and General Physician, Leicester Royal Infirmary
  • 2003-2006  Honorary Senior Lecturer in the Department of Cancer Studies & Molecular Medicine

Clinical interests and areas of expertise

His most recognised expertise is in managing patients with intestinal failure most commonly due to having a short bowel. He also has a major interest and vast experience in inflammatory bowel disease (IBD) having trained under Professor John Lennard-Jones.

He continues to do some General Medicine and so maintains a wide medical expertise.

Research interests

  • Intestinal failure, especially bowel ischaemia
  • Short bowel syndrome and its physiology
  • Ulcerative colitis assessment and topical treatments especially epidermal growth factor

Qualifications

  • MB BS University of London 1981
  • MRCP 1984
  • MD 1993
  • Certificate in Managing Health Services 1993
  • FRCP 2002

GMC Number: 2909796

Date of Registration: 1957

Memberships

  • Royal College of Physicians Nutrition Committee
  • Vice President and Council member for Coloproctology section of the Royal Society of Medicine
  • Chairman of British Intestinal Failure Alliance and member of BAPEN Council
  • Member of British Society of Gastroenterology Small Bowel and Nutrition Section
  • Member of the Expert Working Group on Chapters F &G for HRG 4
  • Chairman of the Nightingale trust for Nutritional Support
  • ESPEN Faculty member 2012 in recognition of significant contributions within ESPEN developing and improving the field of Clinical Nutrition and Metabolism

Complex cases may incur an additional fee and take longer to prepare a report (only after agreement)

Titles

  • Honorary Consultant Gastroenterologist
  • Chairman of the British Intestinal Failure Alliance (BIFA) and the Nightingale Trust for Nutritional Support

Expertise

  • Intestinal failure
  • Short bowel syndrome
  • Bowel ischaemia
  • Malnutrition
  • Nutritional support
  • Inflammatory bowel disease (Crohn's disease and Ulcerative colitis)
  • Enterocutaneous fistula

Procedures

  • Venous access for parenteral nutrition
  • Enteral feeding catheters (into stomach or small bowel)
  • Upper and lower gastrointestinal endoscopies with stricture dilatation and polypectomy

Most common conditions seen

  • Intestinal failure
  • Short bowel syndrome
  • Crohn's disease
  • Ulcerative colitis
  • Enterocutaneous fistula
  • Bowel ischaemia
  • General gastroenterology
  • Post gastrectomy problems

Most common symptoms seen

  • Ileostomy diarrhoea/high output stoma
  • Weight loss and malnutrition
  • Diarrhoea with or without blood
  • Fatty stools (steatorrhoea)
  • Abdominal pain
  • Abdominal wounds or fistulas
  • Rectal bleeding
  • Vomiting (often with joint hypermobility/Ehlers-Danlos Syndrome or EDS)

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