The gallbladder is a reservoir for concentrated bile which hangs under the liver; when we eat rich food it contracts, emptying its contents into the duodenum to mix with our food. Gallstones can form in the gallbladder and are the commonest reason for patients to seek the help of an expert Surgeon. Biliary colic and cholecystitis are the commonest conditions resulting from gallstones. Cancers of the gallbladder are very rare. Removal of the gallbladder is a safe and quick operation, often done as a day case procedure. My standard practice includes laparoscopic ultrasound cholangiogram or bile duct exploration as needed.
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Only expert Bariatric Surgeons should perform weight loss surgery. Having worked in two International Centres of Excellence for Obesity Surgery I regard myself as a member of a team delivering high quality care for surgical patients.
Completing the south west of England surgical training programme I was awarded a national fellowship in bariatric surgery. I now offer a specialist service in upper gastro-intestinal and bariatric surgery including surgery for type 2 diabetes. I provide the full range of endoscopic and surgical treatments for obesity from gastric balloons to revisional gastric bypass or sleeve gastrectomy surgery.
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If your BMI is 35 or above (30 with type 2 diabetes), then you may be suitable for weight loss surgery.
Check your BMIHaving trained and worked in two International Centres of Excellence for Metabolic (diabetic) Surgery I was the first Hunterian Professor in metabolic (diabetic) surgery. I now offer a specialist service in upper gastro-intestinal and bariatric surgery including surgery for type 2 diabetes. I provide the full range of endoscopic and surgical treatments for diabetes from gastric balloons to revisional gastric bypass surgery for gastric bands.
Hernia surgery has traditionally come under the umbrella of "General Surgery". However, many upper gastrointestinal surgeons have used their expertise in key-hole surgery to develop specialist practices dealing with groin and abdominal wall hernias. I provide the full range of hernia surgery. The majority of this work is performed as day case or within an enhanced recovery short stay programme in order to maximise patient experience whilst maintaining the quality of the service.
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Often due to a hiatus hernia, acid reflux (heartburn) is very common. Most patients are well treated with medication alone but if this does not control symptoms, key-hole anti-reflux surgery can be very successful. My experience allows me to offer the full range of anti-reflux and dysmotility surgery including para-oesophageal and hiatus hernia repair. I have recently established the state of the art oesophageal physiology unit at North Bristol NHS Trust allowing me to help improve the treatment of reflux disease.
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Stomach problems include indigestion, dyspepsia, vomiting, weight loss, poor appetite or upper abdominal pain. As well routine OGD endoscopy I have recently established the state of the art oesophageal physiology unit at North Bristol NHS Trust allowing me to perform high resolution oesophageal manometry and impedence pH studies to improve the treatment of reflux disease. I perform the full range of complex interventional endoscopy including Bravo for wireless pH monitoring.