Benign Complex Disease

Non-cancerous diseases of the oesophagus and stomach can be incredibly difficult to treat. Conditions such as perforation, recurrent hiatus hernia and achalasia, and rarer conditions such as Crohn's disease and aero-digestive fistula, require very careful investigation, diagnosis and multi-modal management. Surgery is often the last resort, so the intention is to use medical and endoscopic therapy where possible, but if surgery is required, then it must be carefully considered by both surgeon and patient alike. The risk of complications is high in these extremely complex cases, so it his necessary to ensure that there is sufficiently good reason to embark on a surgical management plan.

I have a keen interest in managing complex upper GI disease, and have built up a practise in the NHS taking referrals nationally. Importantly, I have excellent links with top specialists from various surgical and medical fields, and have collaborated with them closely in such cases, for both diagnosis and management, including surgery if required.

Here is some of my research on complex benign disease of the upper GI tract, including clinical experience:

Acquired Adult Aerodigestive Fistula: Classification and Management

https://pmc.ncbi.nlm.nih.gov/articles/pmid/29943138/

The Surgical Management of Non-Malignant Aerodigestive Fistula

https://pmc.ncbi.nlm.nih.gov/articles/pmid/30442164/