June 2018

Walsall Manor Hospital’s Bariatric Unit have managed to secure a visit by Doctor Rutledge who will be sharing his experience on Mini Gastric Bypass and he will be performing live surgery on Monday, 25 June.

Please click here for the programme for the day. If you would like to attend, contact Paula Lightwood, Bariatric Medical Secretary at Walsall Manor Hospital, on 01922 721172 ext 7763 to secure your place.

April 2018

The course is for one day including live surgery and keynote lectures.The deadline for application is 24 April.

  • The course fee is £95 and the UGI trainees will enjoy 50% discount.
  • The course is for UGI trainees with bariatric interest and also for junior bariatric Consultants who are interested in the procedure.
  • Email Mr A Hussain, consultant bariatric surgeon, at abdulzahra.hussain@nhs.net or Sandra Patterson at sandrapatterson1@nhs.net  for a registration form and programme details.

March 2018

Andy Strickland and Richard Krysztopik would like to invite people to an Educational Day to highlight key topics in UGI surgery, on Wednesday, 4 July 2018 at the Holiday Inn in Bristol.

Topics include:

  • Endoluminal treatment of oesophageal disease
  • Complications of bariatric surgery for the non-bariatric surgeon
  • Management of common bile ducts stones
  • Severe acute pancreatitis and its complications

There will be an expert faculty with a wide range of expertise:

  • Professor Jane Blazeby, UGI Surgeon, Bristol
  • Professor Mark Callaway, Radiologist, , Bristol
  • Ben Colleypriest, Gastroenterologist, Bath
  • Jim Hewes, UGI and Bariatric Surgeon, Bristol
  • James Hopkins, UGI and Bariatric Surgeon, Bristol
  • Lee Humphreys, UGI and Bariatric Surgeon, Plymouth
  • Richard Krysztopik, UGI Surgeon, Bath
  • Hamish Noble, UGI Surgeon, Taunton
  • Sally Norton, UGI Surgeon, Bristol
  • Alan Osborne, UGI and Bariatric Surgeon, Bristol
  • Jim Portal, Gastroenterologist, Bristol
  • Jonathan Rees, HpB Surgeon, Bristol
  • James Skipworth, UGI and Bariatric Surgeon, Bristol
  • Andy Strickland, HpB Surgeon, Bristol
  • Dan Titcomb, UGI Surgeon, Bristol
  • Profesor Giles Toogood, UGI Surgeon, Leeds
  • Richard Welbourn, UGI and Bariatric Surgeon, Taunton
  • Paul Wilkerson, UGI Surgeon, Bristol

The event is free. The programme is here – SW UGI training day – 4th July 2018

The Holiday Inn in Bristol is close to the train station, and with onsite parking available. To register please email richard.krysztopik@nhs.net

Richard Krysztopik (South West rep)

March 2018

The AUGIS – Trent Region Education Day will take place on Friday 18th May (10am start) at the Nottingham Doubletree Hilton

Topics to be covered include :Difficult Day on Call – Case Discussions, Safety in Cholecystectomy, Benign Biliary Strictures, Management of Acute Pancreatitis, Complications of Bariatric Surgery, Career Options in Upper GI Surgery, ERCP vs Laparoscopic CBD exploration – Debate, Surgery for Giant Hiatus Hernia and Getting it Right First Time – Implications for UGI Surgery

Registration is free – 100 places available (first come first served).

Please click on the link below for further information and registration details:

AUGIS Trent Meeting – 18th May 2018 Flyer

December 2017

South Thames: The South-East Thames region continues to be busy with mergers of Trusts and efforts to improve on hospital performance against government measures and targets. Currently, the tertiary HPB service is provided by King’s College Hospital and the Oesophagogastric Cancer Service by Guys and St Thomas’ Hospitals. Both trusts cover Kent as well as South-East London, making them some of the busiest units nationally. Kings College Hospital also provides the regional bariatric service together with Lewisham Hospital.

The dissolution of the London Cancer Alliance has led to the development of regional Accountable Clinical Networks (ACNs). The OG ACN has been in existance for over 6 months and is working on methods to improve the 62 day treatment pathways. This is a constant challenge and is putting pressure on the endoscopy services to provide 2 week wait assessments. The HPB ACN is due to start in the New Year.

On the OG side, the region held the autumn annual ‘Houses of Parliament’ meeting with both regional and international speakers. It was a great success with an update on the CROSS results. In November, King’s College Hospital held the 7th Endosurgery Masterclass which welcomed a record attendance. The OG symposium at the Royal College of Surgeons is due in March 2018.

Mr James Gossage (South Thames rep)

East Anglia: Within the East of England significant progress has been made in organising the first regional AUGIS meeting between Addenbrooke’s hospital in Cambridge and the Norfolk and Norwich University Hospital. This joint meeting will be held in mid-January at Newmarket and is kindly sponsored by Medtronic. Both units are ever busy with OG cancer referrals and currently offer Fellowship training with a new collaboration in 2018 between Norwich and the Australian New Zealand Gastro-oesophageal Association (ANZGOSA). Both sites have worked closely together as pilot centres in the forthcoming RCS ‘Improving Surgical Training’ (IST) programme in 2018. Other meetings in the horizon include the 7th Cambridge Upper GI symposium at Addenbrookes as well as the Annual meeting of the British Oesophageal Group in Norwich.

Bhaskar Kumar (East Anglia rep)

Oxford & Wessex Report: The Oxford & Wessex region is made up of five cancer centres (Oxford, Basingstoke, Portsmouth, Southampton and Bournemouth), and around 10 DGHs, stretching from Banbury to the Isle of Wight, and from Poole to Chichester. The Improving Outcomes Guidance was implemented reasonably swiftly in this region, and the position has been stable for over 10 years – referral patterns are ingrained, and all units are performing at nationally acceptable levels. Local Sustainability & Transformation Projects have instigated discussions about whether further centralisation might be beneficial – particularly on the South Coast; it is hoped that the clinicians in each unit will be engaged and empowered in planning for the future treatment of their patients.

Professor Underwood continues to bloom as the poster-boy for the upper GI cancer world – this year he was awarded an Advanced Clinician Scientist Fellowship by CRUK and RCSE, and during the autumn gave plenary lectures at AUGIS in Cork and ESDE in Utrecht. An administrative whirlwind with Professor Mo Abu-Hilal at its centre put together a hugely successful gathering of Laparoscopic Liver surgeons in February, leading to the publication of the Southampton Laparoscopic Liver Surgery Guidelines, and their public unveiling at AUGIS in Cork.

Following on from Krishna Moorthy’s Oesophagogastric Anastomisis symposium in London last June, Bruno Sgromo arranged a successful video symposium on Laparoscopic Gastric Mobilisation in Oxford in March; several of the Oxford & Wessex upper GI teams have embraced minimal access oesophagectomy, and are organising a MAO anastomosis video symposium in Spring 2018.

Mr Stuart Mercer (Oxford & Wessex)

Trent: We have had a busy year with several successful local meetings. In February we hosted a regional Neuroendocrine Tumour Meeting in Nottingham and, in July, Professor Ashley Dennison and Mr Ali Arshad hosted the Midlands HPB meeting in Leicester. More recently, there has been a regional training day focusing on pancreatitis and pancreatic cancer pathways, with Mr Andrew Smith from Leeds proving a fantastic outside speaker.

As we look ahead to 2018, plans are already at an advanced stage for a local Trent AUGIS meeting in June which hopefully will involve speakers form every hospital in our region. The local database has been updated and all consultants involved with Upper Gastrointestinal surgery who are not members will receive another invitation to join us early in the New Year, as will all ANPs involved in Upper GI cancer care who are not yet members.

Mr Iain Cameron (Trent)

February 2017

North Thames: Over the last two years there has been a major re-configuration of cancer services in North, North East London and West Essex, which make up London Cancer, covering a population of 3.2 million. This included oesophagogastric cancer surgery with the merger of the surgical units at UCLH and The Royal London Hospital at UCLH in December 2015. One year on, the new centre, based on a hub and spoke model, is working well and providing excellent training. The centre is tracking outcomes but the centralisation of OG and urological cancer services in London Cancer and Manchester Cancer is also part of the RESPECT-21 (reorganising specialist cancer surgery for the 21st century: a mixed methods evaluation) study which will report in a few years.

An oesophageal anastomosis workshop was held at UCLH in June 2016, under the auspices of the UGI Collaborative. It was attended by 12 consultants and 9 trainees. In September, a symposium on recent advances in benign oesophageal disease was held at Imperial College, London. It was attended by 42 delegates. Feedback was excellent for both meetings.

Mr Dinesh Sharma (North Thames)