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Managing Upper GI Bleeding

7th July 2020


Bleeding from the Upper GI tract is a surgical emergency which needs to be treated on an urgent basis from the moment the patient presents to the hospital. Though the initial management is by the gastroenterologists and patients are admitted under the care of the medical on call team, it is vital that the surgical team is made aware of the patient. This is particularly important if the initial medical therapy has not succeeded.

So how do we make decisions as to which of these patients would not settle with medical management? What are the options available if medical management fails? What are the recent advances in the management of this surgical emergency which can lead to rapid exsanguination? This webinar will seek to provide answers to these questions.


Mr Vittal Rao

Mr. Vittal Rao is a Consultant Upper GI, Bariatric and General Surgeon at the University Hospital of North Midlands, Stoke-on-Trent. He trained in Yorkshire Deanery and was appointed as Consultant Surgeon at UHNM. Mr. Rao is a Honorary Lecturer at the Keele Medical School and has been closely associated with the delivery of the undergraduate medical education program over the last five years. He has a keen research interest in bariatric surgery and is a faculty for the courses of the Royal College. He is also an active RSA of the Royal College of Surgeons of Edinburgh.


Ms Cynthia Borg

Ms Cynthia-Michelle Borg qualified as a Doctor of Medicine and Surgery from the University of Malta in 1997. After foundation and basic surgical training at St Luke’s Hospital, she moved to the UK for specialist training. 

She completed a research degree (MD University of London), focusing on the changes in gut hormones after bariatric surgery. Ms Borg completed her specialist surgical training in upper GI, general and bariatric surgery in London and North-East Thames region.

Cynthia completed a laparoscopic and bariatric surgical fellowship at University College Hospital, London. In 2012, she was appointed as a Lead Consultant Surgeon at University Hospital Lewisham. Her specialist clinical and research interests are bariatric and metabolic surgery. She also has a keen interest in laparoscopic abdominal surgery, in particular the management of gallstone disease and gastro-oesophageal reflux. 

Ms Borg has published in peer-reviewed journals and presented in national and international meetings. She is a reviewer for several international journals. She is a Regional Surgical Advisor of the Royal College of Surgeons of Edinburgh. Cynthia is also an elected council member of British Obesity and Metabolic Surgery Society (BOMSS) and of Association of Upper GI surgery of Great Britain and Ireland (AUGIS). 


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