Doctors in upper gastrointestinal (GI) surgery provide care for patients with problems concerning the oesophagus, stomach, gallbladder, pancreas, and part of the intestine. This often includes invasive investigations such as endoscopy and advanced endoscopic techniques such as endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic fundoplication. ERCP is a highly specialist technique to investigate and treat conditions of the bile and pancreatic ducts. Laparoscopic fundoplication is a keyhole procedure performed for patients with severe acid reflux, Barrett’s oesophagus and symptomatic hiatus hernias that no longer respond to medication.
Surgical management of conditions can include laparoscopic ‘key-hole’ procedures such as cholecystectomy (removal of the gallbladder), removal of tumours, hernia repairs, splenectomy, and bariatric surgery. Patients may be urgently referred to upper GI specialists when they have swallowing problems, jaundice, upper abdominal pain, or suspected abdominal masses.
Why might you need to instruct an upper GI surgery expert witness?
As with any area of medicine things can go wrong, and often upper GI surgery expert witnesses will be instructed in cases of clinical negligence and personal injury. Expert evidence plays a central role in informing the court regarding the relevant standard of care in medical litigation, and in helping the court calculate compensation. An example of a case requiring expert evidence from an upper GI surgery expert would be if a patient has acute cholecystitis (inflammation of the gall bladder) missed on attendance at A+E with upper abdominal pain. The vast majority of cases of acute cholecystitis occur when the main opening to the gallbladder, the cystic duct, gets blocked by a gallstone or biliary sludge. Without appropriate treatment, acute cholecystitis can sometimes lead to potentially life-threatening complications. This can include death of the gallbladder tissue, serious infections which can spread trough the abdomen, and gallbladder perforation. If acute cholecystitis is not promptly treated, it is far more likely that someone will need emergency removal of the gallbladder, a far more invasive procedure that can itself lead to complications.
What upper GI surgery experts does Expert Court Reports have?
We have a highly experienced and well-respected upper GI surgery expert witness on our panel, Mr Max Almond.
Mr Almond is an experienced upper gastrointestinal and general surgeon currently based at University Hospital Birmingham. After training in general and upper GI surgery, Mr Almond gained further specialist experience in abdominal and retroperitoneal sarcoma surgery. His areas of expertise include surgical oncology (soft tissue sarcoma, gastrointestinal stromal tumours, adrenal tumours, neuroendocrine tumours), abdominal trauma surgery, emergency general surgery, upper GI surgery (cholecystectomy, hiatus hernia repair, anti-reflux surgery), elective general surgery, and diagnostic and therapeutic endoscopy including ERCP.
Mr Almond has experience of acting for both claimants and defendants in personal and occupational injury claims and in medical negligence cases. His main areas of medicolegal expertise include emergency or elective general surgical negligence; cases involving abdominal trauma and complications of gallbladder surgery, and cases involving mismanagement of abdominal tumours. Mr Almond has experience in root cause analysis investigation and in providing evidence for criminal investigations.
How quickly can you provide a report?
At Expert Court Reports Ltd, we understand the pressures of the legal profession. We recognise that litigation is subject to defined timescales and for this reason, we will be as flexible and accommodating as we are able to be. However, we pride ourselves on not promising work that cannot be reliably delivered within a given timescale. The quality of the evidence which is provided by our experts is subject to review and scrutiny. All expert reports are subject to a detailed and robust proofreading process to ensure that our expert evidence is accurate and expertly formatted.