e-Consultation with Dysphagia

Professional statement

Dr Christos Toumpanakis is one of London's leading consultant gastroenterologists practising at the Royal Free Hospital London. He is also an honorary Associate Professor at University College London (UCL) and has won the 'Top-Teacher of the Year' Award on five different occasions. His sub-specialty is neuroendocrine tumours and he is considered to be one of the international experts in the field.  He also specialises in coeliac disease, dyspepsia, gastro-oesophageal reflux, bowel disease including inflammatory bowel disease (IBD), gastrointestinal endoscopy as well as gastro-intestinal problems of patients with congenital immuno-deficiencies. He has lectured at several international conferences and has published numerous papers and reviews. He is currently the Chairman of the Advisory Board of the European Neuroendocrine Tumour Society (ENETS), co-editor of ENETS CME program, co-author of ENETS & UK & Ireland NET Guidelines, as well as member of the Advisory Board of the UK NET patients’ foundation. He leads a NET Clinical Research Group and his main research interests include novel biomarkers and molecular imaging in NETs, mesenteric fibrosis, and carcinoid heart disease.

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Professional statement

Mr Ricard Simó is one of London's most distinguished consultant ENT surgeons, specialising in head and neck oncologic surgery, thyroid, parathyroid and salivary gland surgery. He has won multiple awards for the work in his field, and has published over 100 original articles in peer reviewed medical journals and has authored five chapters in national and international head and neck surgery textbooks. In addition to his private practice in London, Mr Simó is Consultant Head, Neck and Thyroid surgeon at Guy's and St Thomas' Hospital NHS Trust and has accrued experience on a number of different units, completing his education and training in Spain, the UK and the USA. Mr Simó is an honorary senior lecturer and clinical advisor at Guy's, King's and St Thomas' School of Medicine, is an active council member of the ENT-UK Head and Neck Society, and the section of laryngology and rhinology of the Royal Society of Medicine.

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Professional statement

With over 35 years of consultant-grade experience, Mr Peter Rhys-Evans is a leading ENT surgeon in London and one of the UK's foremost head and neck cancer surgeons. His special areas of interest are voice, throat and swallowing problems, sinus and nasal conditions, thyroid and salivary gland disease, benign growths, and malignant tumours. Mr Rhys-Evans is currently involved in developing new robotic surgical techniques for tumours of the throat. He has been listed in the UK Good Doctor Guide since 1994. Mr Rhys-Evans oirginally qualified from St Bartholomew's Hospital in 1971 and underwent specialist training in London and Birmingham. He completed a Postgraduate Degree in Head and Neck Cancer Surgery at the University of Paris, and was later awarded the Lionel College Fellowship to study head and neck reconstructive techniques in America. As Consultant ENT Surgeon at the Queen Elizabeth Hospital in Birmingham, Mr Rhys-Evans was a pioneer in laser conservation surgery and voice construction. He was appointed Chief of ENT/Head and Neck Surgery at The Royal Marsden Hospital in 1986, where he practised until 2017.  Throughout his career, Mr Rhys-Evans has made a significant contribution to the ENT field, with over 250 publications to his name, hundreds of presentations at major international conferences, and a landmark textbook in 2003 recognised by the University of London as the best international publication in Otolaryngology during the preceding five years. He is the founder and Executive Chairman of The Oracle Trust, which has raised over £6m since 2001 to fund research into new treatments for head and neck cancer. He has had a long-term research interest in early human evolution and his new book: 'The Waterside Ape: An Alternative Account of Human Evolution' is being published at the end of June 2019.

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Professional statement

Mr Nicholas Gibbins is a London-based ENT specialist who treats adults and children. He has a special interest in voice disorders and the care of the professional voice, as well as performing salivary gland and thyroid surgery, while also treating more general ENT complaints. He primarily specializes and has gained a reputation for dealing with complex voice and throat symptoms, but also specializes in the diagnosis of head and neck cancers. He gained training in paediatric ENT at Great Ormond Street Hospital for Sick Children and is an award-winning consultant with international experience. In 2011 he received a medical doctorate for his advanced research into tongue cancers and his research was awarded the gold medal at the ENT masterclass in 2012, also receiving the Van Lawrence Prize in 2016 and the David Howard Prize in 2017 for Voice Research. He is passionate about teaching and is dedicated to passing on his expertise. He runs ENT courses and has published numerous book chapters and articles on field-related issues.

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Professional statement

Professor Martin Birchall is a world-leading academic, renowned surgeon, and pioneer in the field of laryngology. He is a specialist in voice, swallowing and breathing problems as well as coughs and neck lumps. He co-led the first team that used stem cell-based organ transplants and continues to dedicate himself to pioneering life-altering techniques via his active research and presence in the field. He is currently the principal investigator on four clinical trials, including one which is exploring a new way to restore voice functions using the drive from unaffected nerves. He treats vocal cord weakness (palsy) using the latest technology such as laryngeal reinnervation and transcutaneous vocal cord injections and is an expert in managing pharyngeal pouches (Zenker's diverticula) using techniques including lasers and transnasal oesophagoscopy. He is a supporter and medical advisor to a number of charities including the National Association of Laryngectomee Clubs, Shout Against Cancer and Youth Against Crime.  

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Professional statement

Mr Gaurav Kumar is a top consultant ear, nose and throat (ENT) surgeon based in Brentwood and Ilford. He has an extensive wealth of experience in treating all adult and paediatric ear, nose and throat conditions. His areas of expertise lie in rhinoplasty, dysphagia (swallowing difficulties), voice disorders and endoscopic ear and sinus surgery for both children and adults. He is passionate about providing high-level care to all his patients with complex ear, nose and throat problems. To date, he has performed over 500 cases of LASER in-ear surgery to treat cholesteatoma and more than 1,000 other types of ear surgery procedures. This includes eardrum perforation repair with no facial palsy complications. He initially trained in ENT centres and centres of excellence in India before undergoing further training in the UK. Here, he was awarded his fellowship from the Royal Colleges of Surgeons. He also underwent advanced training in voice disorders from University College London. He has a subspecialist interest in managing patients with voice and swallowing disorders and offers rhinoplasty procedures for both functional and nasal valve problems. Other procedures he specialises in include stapes surgery for patients with otosclerosis. Mr Kumar pioneered the use of narrow band imaging in cholesteatoma surgery, which is an imaging technique for endoscopic diagnostic medical tests. He also publishes widely in peer-reviewed journals and frequently presents his research work at international conferences.

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Professional statement

Mr Ravinder Natt is a distinguished consultant ENT (ear, nose & throat) surgeon with considerable experience in treating a full range of general adult and paediatric ENT conditions through procedures and operations. Mr Natt has a specialist interest in rhinology (the nose and sinuses), and facial aesthetic surgery, but sees both children and adults for all kinds of ear, nose and throat conditions. After qualifying from Guy's & St Thomas' School of Medicine, he completed two prestigious fellowships in reconstructive facial aesthetic surgery and advanced rhinology and skull base surgery. Mr Natt has a strong background in education and currently serves as the Undergraduate Programme Lead for ENT/head and neck surgery at University College Medical School. He regularly attends and delivers lectures at both conferences and courses, and often demonstrates surgical procedures to students and patients, staying up-to-date with the latest technology and treatments in his field.  

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Professional statement

Professor Stuart Winter is an experienced consultant ear, nose & throat (ENT) surgeon with a specialist interest in tumours of the head and neck. Based across the major private hospitals in Oxford, Mr Winter runs a full ENT practice for adults and children. He runs a specialist swallowing clinic at the Churchill Hospital. He holds, and has held a number of positions nationally including with NICE, ENT-UK, and is a member of the national Clinical Reference Group (CRG) for complex Head and Neck Cancer. Originally qualifying from the University of Bristol, Mr Winter completed his surgical training in the south west of England, where he developed an early interest in head and neck cancer. In order to further develop advanced techniques for head and neck cancer and sinus surgery, he spent a year working at the Royal Adelaide Hospital in South Australia. During this time he received a number of awards, including the Lionel College Memorial Fellowship and the Ethicon Travelling Fellowship. As Consultant Ear, Nose & Throat Surgeon at Oxford University Hospitals, Mr Winter leads an active research program into head and neck cancer, and to date has over 70 publications in peer-reviewed journals. He is regularly invited to speak at national and international conferences and he teaches on a number of local and national courses.

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Professional statement

Mr Tony McGilligan is an experienced consultant ENT surgeon, based in Brighton and Sussex. From his private clinics he provides all apects of ENT treatment for adults and paediatric patients, with a special interest in sinus and nasal surgery.  Mr Tony McGilligan initially trained in London, before completing a research fellowship at Boston MIT and at New England Medical Centre. During his career in London, he has worked at a number of prestigious hospitals such as The Royal Marsden Hospital, and North Thames Teaching Hospitals including St Mary's Hospital, Charing Cross Hospital, Barts, The Royal National Throat, Nose, and Ear Hospital, before being appointed at Royal Sussex County Hospital in 2000.  Alongside his clinical practice, Mr McGilligan devotes time to teaching and training, and has roles as lecturer and examiner for a number of academic organisations. He has also been involved in numerous research projects, and has been published multiple times in peer-reviewed medical journals. 

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Professional statement

Professor Muntzer Mughal is an esteemed consultant general surgeon, based in London. Specialising in gastroesophageal cancer, gastroesophageal reflux, hiatal and abdominal wall hernias. He has particular expertise in managing complications of surgery of the stomach and the oesophagus including oesophageal reconstruction and ​trachea-oesophageal fistula. Currently practising from his private clinics on London's Harley Street and the London Digestive Centre on Welbeck Street, he also serves as a consultant honorary clinical professor in surgery at University College Hospitals London and Director of Surgical Oncology at Cleveland Clinic London. Professor Muntzer Mughal has 35 years of experience in his field, and has led on centralisation of surgery for cancer of the oesophagus and stomach in the North West as well as North and Central London.  

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