Contact
Biography
Educated at Cambridge University and University College Hospital London
SHO posts at Hammersmith, London Chest and Queens Square and West Middlesex. 1975-78 Registrar at Charing Cross,West and Central Middlesex 1978-1984.
MRC Travelling Fellowship to Mayo Clinic 1984-5
Senior Registrar Central Middlesex 1985-1988 Appointed Consultant Physician University Hospital Nottingham
!998 Reader and Honorary Consultant Physician University of Nottingham
2000 onwards Professor of Gastroenterology
2010 -2014 Lead Director of the Nottingham Digestive Diseases Centre Biomedical Research Unit
2010 Elected Senior NIHR Investigator
Editor of Gut an international journal of Gastroenterology and Hepatology from 2003 -2009.
Expertise Summary
My main interest is in the pathophysiology of functional GI diseases, particularly focusing on the role of infection and inflammation and alterations in serotonin metabolism in the irritable bowel syndrome. I have twice edited the British Society of Gastroenterology ( BSG )Guidelines for the management of IBS and am a member of the Board of the Rome Foundation, an international group which produced the Rome III criteria for the classification of the functional GI diseases.
I was the founding Chairman of the Neurogastroenterology and Motility Section of the British Society of Gastroenterology (BSG)
I was a member of MRC EME Board 2010-2014 and National Institute for Health Research Senior Investigator. I am the author/co-author of more than 335 scientific reviews and original publications.
Research Summary
Special interest in functional GI diseases, motility disorders.
Research interests include pathology of post-infectious irritable bowel syndrome, neuropathology following gut inflammation .I also have an interest in the application of MRI to study GI pathophysiology
Techniques
- Inflammation and irritable bowel syndrome and genetic basis of IBS
- Clinical trials and functional bowel disease projects
- Intestinal motility assessment using MRI
- Projects
- MRI of colonic physiology in constipation
- Effect of laxatives assessed by MRI
- Colonic motor patterns using both High Resolution manometry and MRI
- Impact of fibre on colonic fermentation
- Effect of FODMAPs on colonic physiology
Past Research
Pathophysiology of functional GI diseases
Original description of postinfectious irritable bowel syndrome, particularly focusing on the role of inflammation and alterations in serotonin metabolism in the irritable bowel syndrome.
Development of MRI for studying gastric processing of complex meals
Future Research
MRI assessment of effect of gelling agents on colonic function and changes in gut microbiota
Effect of ondansetron in IBS-D
Assessment of pathophysiology of Cystic Fibrosis using MRI