Hull & East Yorkshire Hospitals NHS Trust

Department of Gastroenterology

The department consists of 10 consultants who provide gastroenterology care to a population of around 600,000 in Hull and East Yorkshire, and a larger 1.2 million tertiary referral area including some areas of North Yorkshire and North Lincolnshire.

The team provide a full range of gastroenterology and liver services (except for liver transplantation). Tertiary referrals are accepted for management of gastric varices, and uncontrolled variceal bleeding which may require Trans-jugular Intra-hepatic Porto-Systemic Stunt (TIPSS). Acute hepatology admissions are cared for in the gastroenterology ward at Hull Royal Infirmary (HRI). Outpatient and endoscopy services are provided at HRI and Castle Hill Hospital, Cottingham.

Hepatology

We have three Consultants who specialise in the treatment of liver disease, and run a team based service.

They provide a weekly pooled general hepatology clinic, which has allocated slots for a ‘one-stop’ liver assessment including non invasive fibrosis assessment with ultrasound elastography. There is weekly viral hepatitis clinic which is run in conjunction with a consultant colleague from Infectious Diseases. In addition there is a weekly jaundice clinic, which runs in parallel to the surgical hepatobiliary clinic at CHH.

The team hold regular histopathology meetings, and monthly viral hepatitis Multi-disciplinary team meetings (MDTs), as well as supporting the hepatopancreatobiliary (HPB) Cancer MDT.

The liver service is supported by two nurse specialists in viral hepatitis and three alcohol liaison nurse specialists (in collaboration with Humber Mental Health Trust) who run independent and parallel clinics.

The viral hepatitis team provide outreach clinics to community treatment centres and to the local prison population. The team treat approximately 80 hepatitis C patients per year and currently have around 40 patients on antiviral therapy for hepatitis B.

The alcohol liaison team assess patients in A&E, AAU and on inpatient wards, and can arrange follow up with themselves or refer on to community services as needed. They provide a parallel clinic to the weekly liver clinic reviewing patients as necessary.

The gastroenterology department has a rapidly developing research unit, primarily involved in Liver and Inflammatory Bowel Disease (IBD) research. This unit is supported by two research nurses, and one Clinical Trials Assistant. We are currently actively recruiting into 18 national portfolio studies, and are about to commence recruitment in 2 international hepatitis c trials. We are also involved in Department of Health (DoH) led collaborative work with other UK centres, piloting the use of integrated care pathways for management of patients with fatty liver disease in the community. The COMMANDs trial is the Hull pilot, and we currently have 18 patients enrolled in the study.

The consultant gastroenterology team is supported by 5 registrars, one of which has protected time away from general medicine which can be used to facilitate higher training in hepatology as requested. The department is recognised for hepatology training.

 

Dr Jacquie Smithson

Dr Smithson led the hepatology service in Hull for many years until recently, and is now the clinical director for gastroenterology and specialist surgery. Main interests include alcoholic liver disease and viral hepatitis. She is the regional adviser for the Medical Council on Alcohol.

 

Dr George Abouda

Dr Abouda joined the department in 2009. He is hepatology and research lead for the department. Specialist clinical interests are fatty liver disease, viral hepatitis and alcohol services.

Dr Morag Barron

Dr Barron joined the department in 2009. She is clinical lead for gastroenterology and endoscopy. Main interests include Alcohol related liver disease, Hepatocellular Carcinoma (HCC) and autoimmune disease

 

 

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