Qualified and experienced to receive instruction in the following areas: i. Enteral (tube feeding) and parenteral/intravenous nutrition ii. Upper and lower gastrointestinal surgery, e.g. clients with a stoma and malnutrition evident following gastrointestinal surgery iii. Digestive diseases, including irritable bowel syndrome, coeliac disease, inflammatory bowel diseases - Crohn's and ulcerative colitis iv. Dysphagia/food texture modification v. Neurology - head injuries, stroke and dementias vi. Oncology vii. Type...

Gastroenterology • Endoscopy • Nutritional support • Intestinal failure & enterocutaneous fistulae • Nutritional failure

Management of benign and malignant rectal lesions, with special interest in laparoscopic and minimally invasive procedures. Mr Smith has a wealth of competencies, with specific clinical interest in: • Management of non-variceal upper gastrointestinal (GI) bleeding • Percutaneous endoscopic gastrostomy (PEG) tube insertion • Colonoscopic polypectomy • Banding of haemorrhoids • Argon beam photocoagulation • Endoscopic mucosal resection (EMR) for colonic polyps

Qualified to provide expert instruction on the following matters: • Enteral and parenteral feeding regimes • Malnutrition and related complications resulting from undernutrition or inappropriate nutrition support • Improper dietary management of gastrointestinal conditions (e.g. irritable bowel syndrome, ulcerative colitis, Crohn's disease, coeliac disease) • Assessment of cases where inappropriate or lack of dietary intervention resulted in loss of function or under-recovery from surgery In all other matters,...

All aspects of the management and provision of upper gastro-intestinal surgery and disease, including: • Oesophageal and gastric (stomach) cancer • Antireflux surgery, including LINX and other novel/new devices • Achalasia • GIST • Peptic ulcer • Perforation, including iatrogenic injuries to oesophagus and stomach • Benign biliary disease (gallstones/cholecystectomy) • Endoscopy • Bariatric surgery, bypass, sleeve, gastric band • General surgery and abdominal trauma

CT: brain and body, with an interest in uro-radiology imaging • MRI: brain, spine, MRCP, kidneys, bladder and prostate • General body and vascular ultrasound, vascular embolisation and angiogram/plasty • Tunnelled vascular and ascitic catheters • Nephrostomy and ureteric stent • Supine and prone PCNL • Radiologically inserted gastrostomy (RIG) • Percutaneous transhepatic cholangiogram (PTC) • Biliary drain/stent • Inferior vena cava (IVC) filters • Wide range of CT and ultrasound-guided drains and biopsies All correspondence...

General surgery procedures (e.g. appendectomy, cholecystectomy) • Abdominal surgery (e.g. hernia repair, bowel resection) • Breast surgery (e.g. lumpectomy, mastectomy) • Endoscopy procedures (e.g. gastroscopy, colonoscopy) • Trauma & emergency surgery • Surgical oncology (e.g. cancer resection, lymph node dissection) • Laparoscopic & minimally invasive surgery • Wound care & management • Surgical complications All correspondence to: British Medical Experts, 13 Park Terrace, Carmarthen, Carmarthenshire, SA31 3DG.

34 years' clinical experience within NHS and freelance • Expertise in adult and paediatric dietetics in acute and community settings • Previously professional and clinical lead with responsibility for managing and developing dietetic services • Registrant dietitian for fitness to practise tribunals with HCPC • Paediatric: traumatic injury, artificial feeding, neuro-disability, ARFID, ASD • Adult: artificial feeding, surgical, medical, neuro-disability, eating disorders, LD

Food intolerance - dietary recommendations • Failure to thrive - paediatrics • Enteral feeding - adult & paediatrics • Nutritional requirements - adult & paediatrics • Diet & obesity • Nutritional assessment • Feeding problems • Obesity in children • Dysphagia problems • Dietary assessment • Dysphagia problems - children • Feeding problems - cerebral palsy • Poor growth - children