Aspiring Husband | HPB Transplant Surgeon @NHSUHLG @RoyalFreeNHS @UBC | Liver Researcher @LivUni @The_MRC | Past President @Roux_Group

Liverpool-London-Vancouver
Joined March 2020
Pharmacological Activation of Nrf2 Enhances Functional Liver Regeneration @HEP_Journal on #WorldLiverDay aasldpubs.onlinelibrary.wile… @DoctorBenChan, @MohElmasry, Forootan, Copple group. Supported by @The_MRC @LivUniISMIB @LivHospitals. #Nrf2 #LiverRegeneration #LiverTwitter #HPB
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Robotic enucleation of 2cm insulinoma. Ultrasound is invaluable for HPB (and should be more utilized in all surgical fields).
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📑 A systematic review of #noninvasive laboratory indices and #elastography to predict 🔮 hepatic decompensation‼️ #OpenAccess #LiverX journals.lww.com/hepcomm/ful…
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Council Member Monday! Get to know the AUGIS council. Meet Andrew Smith, current President of AUGIS, a role he considers a real privilege. During his presidency, his aim is to make AUGIS relevant and valuable to everyone involved in upper GI surgery, not only surgeons, but also trainees, nurses, dietitians and the wider multidisciplinary team. Outside AUGIS, he is a Consultant Pancreatic Surgeon at Leeds Teaching Hospitals. He is also involved in pancreatic cancer research, national audit and clinical trials, all with the aim of improving outcomes and the experience of patients undergoing treatment. 🩺Favourite procedure? An artery-first, pylorus-preserving pancreaticoduodenectomy. It is a technically demanding operation that combines detailed anatomy, careful dissection and judgement throughout. No two operations are quite the same, and when it goes well there is a tremendous sense of satisfaction, not simply from completing a complex operation, but from knowing that it can make a real difference to a patient with pancreatic cancer. 👤 Why become a member? I joined AUGIS because it provided a professional home for surgeons with an interest in upper GI and HPB surgery. It brought together people facing many of the same clinical challenges, while providing opportunities to learn, exchange ideas and improve practice. Over time, I have increasingly appreciated that AUGIS is about much more than meetings. It has an important role in setting standards, supporting education and research, representing its members and, ultimately, improving the care we provide to patients. 😊 Why he enjoys being on the Council? I enjoy being part of a group of people who genuinely want to improve our specialty. Council brings together individuals with different interests, backgrounds and perspectives, and the discussions can be lively, but they are nearly always driven by a desire to make things better. I particularly enjoy the opportunity to turn ideas into something tangible, whether that is an educational initiative, a research project, support for members or improving the way AUGIS represents the wider upper GI community. 💡Top tip! One of the best pieces of advice I received was from Mike Henderson, then Chairman of Surgery at the Cleveland Clinic, when I was about to start as a consultant. He told me there were three fundamental rules for a new consultant surgeon: 1. Patient selection. 2. Patient selection. 3. Patient selection. His point was that getting the decision about who to operate on, and who not to operate on, right is more important than almost anything else. If you get that correct, much of the rest follows. It was good advice then and, over  twenty years later, I think it is even better advice now. #CouncilMemberMonday #AUGIS #Spotlight
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4️⃣ in 🔟 academic surgeons seriously consider leaving Among 209 faculty in 10 US centres: Why leaving: - Leadership/governance 60% - Burnout 52% In both 1st job & later jobs Why staying: teaching, colleagues, case variety. More in @JAMASurgery doi.org/10.1001/jamasurg.202…
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I am very proud of my boss @Rodrigus01 for the publication of the EPOS II study in @NEJM If our mentor, Miguel Pérez-Mateo—the person who taught us how to conduct research—knew that clinical trials would be conducted at the Gastro department in Alicante (a 300,000 inhabitants touristic city) and published in this journal, he would be very proud of the legacy he has left behind @isabial_iis @manuelansede @GVAsanitat Rodrigo is a good boss, a great person and an awesome researcher 🏆🏆🏆
In this planned interim analysis of a randomized trial, first surveillance colonoscopy at 5 years after the removal of high-risk adenomas was noninferior to first colonoscopy at 3 years for the incidence of colorectal cancer. Full EPoS II trial results: nej.md/4yCEnJN Editorial: When More Is Not Better — Colonoscopy Surveillance after High-Risk Adenomas nej.md/3UXgpKK Correspondence: Colorectal Cancer Risk among Patients with Serrated Polyps (EPoS III trial) nej.md/3UXhqCA
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Surgical ligation of right hepatic artery for actively hemorrhaging massive ruptured HCC after ICG verifying adequate left sided arterial perfusion (IR not available anywhere inside a 100 mile radius). What would you have done?
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Goal of CRLM surgery? As per @AAFretland: tumor control with minimal harm & no trial related death. Wall CHPBA Lecture #CSF2026 on how: 😷MIS to ⬇️ harm vs open 🔥Ablation to ⬇️ harm more in small mets ✨Combine both! Avoid the dangerous major hepatectomy ⚠️
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Getting tricks for safe implementation from over a decade of experience & education with @HoggNDMD as 🇨🇦 expands 🤖 surgery at #CSF2026 ▶️Be systematic in approach ▶️Train before getting on patients ▶️When you start, don’t stop ▶️Build team around you
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Preoperative illustration will make you a legend! Come on, young surgeons! #IHPBA ihpbacongress.org/registrati…
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Why is glutathione, rather than cysteine, the major cellular thiol? Our new work by @ToshiNakamura51 suggests unlike other amino acids, excess cysteine is intrinsically toxic to mammalian cells via mitochondrial iron accumulation. @RockefellerUniv nature.com/articles/s42255-0…
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Took a stroll to the wet labs with @ColinCourtMD for meetings with @IacovosMichael lab 👟 Touring where patient-derived NETs organoids are grown 🌱 Bench - Organoid - Drug screen - Trial 👀 for HAI options in NETs Full pipeline in 🏡 integrating medical & surgical NETs care
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Biliary Anatomy on call: CBD ≤6mm. Up to 10mm post-chole is ok. IHBD should be invisible. If dilated = obstruction. CBD grows ∼1mm/decade after 60. Red flags: Dilated CBD + IHBD + abnormal LFTs. Correlate clinically. #POCUS #GITwitter #SoMe4Surgery Image: @AliAlmutairiMD
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Join the AUGIS Annual Scientific Meeting (ASM) 2026, our flagship event bringing together Dietitians, Allied Health Professionals, Nurses (DAN's), Consultants and Resident Doctors from across the UK and Ireland. 📍 @HgtConventions 📅 23–25 September What to expect: ⭐High‑quality scientific and clinical updates ⭐Multidisciplinary learning and discussion ⭐Research, innovation and best practice ⭐National networking and collaboration To view the full programme and register, visit augis.org #AUGISASM2026 #MedicalConference #Networking
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53min 🤖 Whipple resection in a straight forward case, sped up 4x unedited 👇🏻 youtu.be/Cq5z1A9Wy18?is=MFIT… IMO the SMA-first approach with specimen hanging left is the hack. Deal with the uncinate as step 1 while you’re fresh & uncinate not congested. C&C welcomed. Short version:
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When I look at this photo, I am reminded of how one would want and should be seen by this or any team. We are here to nourish and support each other to the finish line, no matter how long it takes. @CAIRweb @SIRspecialists @SIRRFS @VCHhealthcare @Siemens @CARadiologists
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Mr Syed Hussain Abbas, Academic Clinical Lecturer at NDS, has been selected for a prestigious two-year fellowship in abdominal organ transplantation and HPB surgery at the University of Toronto. Read more ➡️ nds.ox.ac.uk/news/academic-s…
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Diagnosis of gallstones - a quick look at the different diagnostic modalities available ☢️🎯
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Nice to see this in print. 9% bile leak remains an issue that we don’t see in open whipples. We have changed our technique to continuous back & front walls and have had no further bile leaks in 🤖HJ. @tessalelarge suggested the modification & it made a huge difference
⁉️How to identify and manage a #Bile #leak during 🤖 #Robotic #Whipple? @SurgEndosc 🔑During 238 procedures: 9% intraop bile leak detected by routine “HJ gauze test” 💡 and immediately treated ✅ Good outcomes with (if possible) direct sutures or (mostly; in case of small tears from suturing): “anchoring suture” onto the hilair plate 👏Excellent teamwork @amsterdamumc with @HpbKarolinska Oskar Swartling @sparrelid @EAHPBA @IHPBA 📸Photo: Robot anchoring suture for HJ leak detected with gauze test 🔗 link.springer.com/article/10…
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