Complex cases may incur an additional fee and take longer to prepare a report (only after agreement)
Titles
- Consultant Hepatologist
- Honorary Senior Lecturer, University College London
Procedures
- Upper and Lower GI diagnostic and therapeutic endoscopy
- Fibroscan
Most common conditions seen
- Abnormal liver function tests
- Viral hepatitis (Hepatitis B, Hepatitis C, Hepatitis D, Hepatitis E, Hepatitis A, Epstein Barr Virus infection, Cytomegalovirus infection, liver disease in the context of HIV)
- Liver Cancer (hepatocellular carcinoma)
- Decompensated cirrhosis - ascites, hepatic encephalopathy, vatical bleeding
- Liver disease prevention in the context of chemotherapy, immunosuppression and immunotherapy
Most common symptoms seen
- Lethargy and fatigue
- Jaundice
- Abdominal distension
- Gastrointestinal bleeding
- Brain-fog and memory dysfunction in the context of liver disease
Background
He has been a Consultant Hepatologist since 2014 at a leading liver transplant unit in England which is recognised as a tertiary specialist centre for patients with liver disease and widely recognised as the birthplace of Hepatology as a medical specialty. In addition to providing ward-based care to his inpatients, he has sub-specialty clinics in liver cancer (hepatocellular carcinoma), viral hepatitis and regular endoscopy lists. He is clinical director of the North Central London Hepatitis C elimination programme and is also an honorary Senior Lecturer at University College London, Specialist Training Lead for Gastroenterology and Hepatology and coordinator of the annual UCL postgraduate Hepatology course.
Training
He graduated from the University of Southampton in 2001 with Honours and Distinctions in Medical Sciences and Clinical Medicine and a First Class honours degree in Biomedical Sciences. He became a Member of the Royal College of Physicians whilst a senior house officer on the Hammersmith rotation and King’s College Hospital Liver Transplant Unit, before working as an Imperial College research fellow in infectious diseases in Lima, Peru. He returned to London for specialist registrar training in Gastroenterology and Hepatology based at the Imperial College Hospital NHS Trust. In 2009 he was awarded an MRC Clinical Research Fellowship and subsequently a PhD in Virology and Immunology at University College London. This was followed by a research fellowship at Yale University in 2012. He obtained his CCT in Gastroenterology, Hepatology and General Internal Medicine in 2013.
Clinical interests and areas of expertise
His clinical practice covers ward and intensive care-based treatment of patients with liver disease, upper and lower GI endoscopy and outpatient hepatology. His subspecialty clinical interests are viral hepatitis and liver cancer. He is responsible for delivering the elimination of Hepatitis C from his region by 2030, with an annual budget of >£12M and covering a population of over 3 million. His hospital is the busiest trust for Hepatitis C treatment in the UK which has the aim of transferring that activity into community-based settings over the next three years. One of the complications of viral hepatitis is liver cancer, a curable condition if caught early enough. He is currently researching means to improve liver cancer surveillance and treatment options in the region to improve long-term survival from this disease.
Research interests
He continues to collaborate in translational immunology research and is Principal Investigator of two trials investigating therapeutic vaccination in chronic Hepatitis B, in addition to several recent clinical trials of novel agents in Hepatitis C. His recent publications have focussed on achieving and measuring real-world improvements to liver cancer surveillance and curative treatment of viral hepatitis. The elimination of an infectious disease through treatment rather than vaccination has no historical precedent in medicine and is unchartered territory.
Qualifications
- CCT Gastroenterology, Hepatology and General Internal Medicine 2013
- PhD Virology and Immunology 2014
- MRCP (Lon)
- BM (hons) BSc (hons)
GMC Number: 6026966
Date of Registration: 2001
Memberships
- GMC
- MDU
- MRCP
- BMA
Complex cases may incur an additional fee and take longer to prepare a report (only after agreement)
Titles
- Consultant Hepatologist
- Honorary Senior Lecturer, University College London
Procedures
- Upper and Lower GI diagnostic and therapeutic endoscopy
- Fibroscan
Most common conditions seen
- Abnormal liver function tests
- Viral hepatitis (Hepatitis B, Hepatitis C, Hepatitis D, Hepatitis E, Hepatitis A, Epstein Barr Virus infection, Cytomegalovirus infection, liver disease in the context of HIV)
- Liver Cancer (hepatocellular carcinoma)
- Decompensated cirrhosis - ascites, hepatic encephalopathy, vatical bleeding
- Liver disease prevention in the context of chemotherapy, immunosuppression and immunotherapy
Most common symptoms seen
- Lethargy and fatigue
- Jaundice
- Abdominal distension
- Gastrointestinal bleeding
- Brain-fog and memory dysfunction in the context of liver disease
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