The weekend effect - ow can it be mitigated? Introduction of a consultant-delivered emergency general surgical service

Operative data was analysed from a prospectively collected database over 5-years. Primary outcome measures were 30-day all-cause mortality and Clavien-Dindo class ≧ 2 morbidity. Secondary outcomes included time from admission to diagnostic imaging and time to surgery, post-operative length of stay and requirement for Intensive Care Unit admission.

Peer-reviewed publications

The Diagnostic Utility and Clinical Impact of After-Hours CT Scans of the Abdomen and Pelvis Investigating Abdominal Pain; Scientific World Journal Volume 2017, Monil Karia, Matthew Seager, Akkib Rafique, and Hemant Sheth; Article ID 4028352, 6 pages,

Non-haemorrhagic, bilateral adrenal infarction in a patient with antiphospholipid syndrome along with lupus myocarditis ;Nicholas Marinus Batt, Dean Malik, Miranda Harvie, Hemant Sheth; BMJ Case Reports 2016:published online 20 July 2016, doi:10.1136/bcr-2016-216364

Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT Colonography; Monil Karia , Grigorios Mitsopoulos, Ketan Patel, Akkib Rafique, and Hemant Sheth; Case Rep Surg. 2015; 2015: 813708. Published online 2015 Oct 26. doi: 10.1155/2015/813708

Unemployment, public-sector healthcare spending and stomach cancer mortality in the European Union, 1981-2009. Maruthappu M, Painter A, Watkins J, Williams C, Ali R, Zeltner T, Faiz O, Sheth H. Eur J Gastroenterol Hepatol. 2014 Nov;26(11):1222-7. doi: 10.1097/MEG.0000000000000201

Vancomycin-induced thrombocytopaenia in a patient with severe pancreatitis; Rowland S, Rankin I, Sheth H: BMJ Case Reports 2013; doi:10.1136/bcr2013200830.

Spontaneous Intraperitoneal Rupture of a Hepatic Hydatid Cyst with Subsequent Anaphylaxis: A Case Report; Tinsley B, Abbara, A, Kadaba R, Sandhu G, Sheth H Case Reports in Hepatology;Volume 2013 (2013), Article ID 320418, 4 pages

Hepatic Portal Venous Gas: Comparison of Two Cases; Rankin I and Sheth H: Case Reports in Surgery; Volume 2013 (2013), Article ID 637951, 5 pages

Hepatic Portal Venous Gas due to Acute on Chronic Gastric Ischaemia; Misro A & Sheth H: Eur J Surg Sci 2012;3(2):69-72;

A case of emphysematous pyelonephritis. Rowland SP, Sheth H; ANZ J Surg. 2013 Oct 28. doi: 10.1111/ans.12224. [Epub ahead of print] No abstract available.

An intraoperative cholangiogram: unusual anatomy. Rowland SP and Sheth H ; BMJ. 2013 Sep 13;347:f5238. doi: 10.1136/bmj.f5238.

Endoscopic biopsy on patients taking antiplatelet agents: How much do we follow BSG, ASGE or ESGE guidelines? Misro AK, Pal A, Sheth H, ; Indian J Gastroenterol. 2013 Oct 2. [Epub ahead of print] No abstract available. PMID:24085709

Glycine reduces liver warm ischaemia reperfusion injury by improving the hepatic microcirculation and enhancing mitochondrial activity; Sheth H, Hafez T, Glantzounis G, Sales K, Seifalian A, Fuller B, Davidson B R Journal of Hepatology and Gastroenterology 2010.

Methods of vascular occlusion for elective liver resections; Gurusamy KS, Sheth H, Kumar Y, Sharma D, Davidson BR COCHRANE DATABASE SYST REV. 2009 Jan 21;(1):CD007632.

Acute limb ischemia caused by femoral arterial line induces remote liver injury in a rabbit model of liver ischemia/reperfusion injury; Glantzounis GK, Sheth H, Thompson C, Hafez TS, Kanoria S, Pamecha V, Davies S, Mikhailidis DP, Seifalian AM, Davidson BR Angiology. 2009 Oct-Nov; 60(5):554-61. Epub

Glycine Protects Bile Physiology and Biliary-Specific Liver Cell Metabolism from Ischemia-Reperfusion Injury; a 1H NMR Study: Hafez T, Sheth H, Glantzounis G, Parkes H, Seifalian A, Fuller B, Davidson B; Cell Preservation Technology 6:173–180 (2008).

Fishbone perforation mimicking a gastric intramural tumour: a case report; Bajwa A, Sheth H, Hughes F ; Grand Rounds, Vol 7, pg 42-44, 2007.

Midgut malrotation as a rare cause of chronic abdominal pain: a case report and review of literature: Bajwa A, Sheth H, Hughes F ; Grand Rounds, Vol. 7, pg 6769, 11 September 2007.

Formation and role of plasma S-nitrosothiols in liver ischaemia-reperfusion injury; Glantzounis G, Rocks S A, Sheth H, Knight I, Salacinski H J, Davidson B R, P G Winyard P G, Seifalian A M; Free Radic Biol Med. 42(6): 882-92; 15 March 2007

N- Acetylcysteine ameliorates the late phase of liver ischaemia/reperfusion injury in the rabbit with hepatic steatosis: , Fusai G,Glantzounis G, Hafez T, Yang W, Quaglia A, Sheth H, Kanoria S, Parkes H, Seifalian A, Davidson B R; Clin. Sci (Lond); 2005; 109:465-73.

Radioisptope bone Scans in the Preoperative Staging of Hepato-pancreato biliary Cancer: Sheth H, Javed S S, Hilson A J W, Buscombe J R, Davidson B R British J of Surgery; 92 (2): 203-7. February 2005

  • The Clementine Churchill Hospital
  • NHS Royal Free London
  • UCL
  • NHS London North West
  • Royal College of Surgeons of England