Byrne, Mr James Patrick

B.Sc(Hons), MB.ChB, FRCS,MD,FRCS(Gen Surg)

Speciality

General surgery 

Sub-speciality

Upper Gastro-intestinal Surgery(Oesophagigastric)

Training and Education

University of St Andrews  1982-‘86
University of Manchester  1986-‘89
House Officer and Senior House Officer – South Manchester 1989-‘94
Specialist Registrar, North West Region    1994- 2002
Research fellow, University of Manchester  1995-1997
Senior Clinical Fellow, Princess Alexandra Hospital, Brisbane, Australia, 2002

Experience

I have strived to provide a very high quality service together with the rest of the upper GI MDT for all patients with oesophageal and gastric cancer, focussing on all aspects of care as MDT lead.In the 2006 peer review of SUHT as a specialist centre for oesophagogastric cancer, compliance was achieved with 83% of level 1* and 77% of level 1&2 standards. The team was commended as well run and cohesive and for participation in research trials a th elast peer review.

I introduced thoracolaparoscopic surgery for oesophagela and gastric cancer to Southampton and have devloped this service further with my colleague Jamie Kelly. Our unit now has a high level of expertise in minimally invasive oeosphageal resection in the UK. This is reflected in the prestigious appointment to our unit of a surgical fellow by the Royal College of Surgeons.

Laparoscopic adrenalectomy in Southampton has been developed in collaboration with Dr Derek Sandeman, Consultant endocrinologist, since 2006. The average length of stay for these procedures is now 1-2 days. I performed the first laparoscopic bilateral adrenalectomy in a child at Southampton in 2009 with Lara Kitteringham, such patients formerly being referred to Great Ormond Street.

Key achievements

Creation of multidisciplinary bariatric surgical research group in Southampton with membership of Public Health, Health Economics, Diabetes and Endocrinology, Primary Care and user involvement. Award of NHS RFPB grant for £220K(2009) to evaluate role of bariatric surgery amongst diabetics with a BMI of 30-40.

Since Jan 2005 the oesophagogastric team has performed over 250 resections for patients with oesophageal or gastric cancer with 7 in hospital deaths giving a combined mortality rate of just under 3%. This compares very favourably with 2009 UK National Audit in-hospital mortality rates of 4-6% for oesophagectomy and 5-10% for gastrectomy.

Key awards and prizes

British Journal of Surgery Prize, Association Upper GI Surgeons 2002 

Research

Impact of PET-CT on management of oesophageal cancer - population based UK cohort study
Noble F, Bailey D; SWCIS Upper Gastrointestinal Tumour Panel, Tung K, Byrne JP.
Clin Radiol. 2009 Jul;64(7):699-705. 

Beneficial cardiovascular effects of bariatric surgical and dietary weight loss in obesity.
Rider OJ, Francis JM, Ali MK, Petersen SE, Robinson M, Robson MD, Byrne JP, Clarke K, Neubauer S.
J Am Coll Cardiol. 2009 Aug 18;54(8):718-26

A two-consultant approach is a safe and efficient strategy to adopt during the learning curve for Laparoscopic Roux-en-Y gastric bypass : our results in the first 100 procedures
Abu Hilal M, VanDen Bossche M, Bailey IS, Harb A, Sansome AJ, Byrne JP
Obesity Surgery 2007;17(6):742-