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Areas of Expertise
Tests he performs including:
- High Resolution Manometry
- Impedance-pH monitoring
- Wireless pH monitoring
- Oesophageal physiology
Treatments he provides include:
- Behavioural modification therapy
- Botox of the oesophagus and stomach
- Dilatation of the oesophagus and stomach
- Endoscopic Mucosal Resection
- Irritable bowel syndrome (IBS)
- Per-oral Endoscopic Myotomy (POEM)
- Radio-frequency Ablation
- Small Intestinal Bacterial Overgrowth (SIBO)
- Trans-oral Incisionless Fundoplication (TIF),
Conditions he commonly investigates and treats include:
- Dysphagia (swallowing problems)
- Reflux, heartburn, regurgitation, LPR
- Chest pain
- Barrett’s oesophagus
- Spasm and hypercontraction of the osophagus
- Oesophageal divertriculum
- Eosinophilic oesophagitis
- Oesophageal stricture
- Rumination syndrome and Belching disorders
- Vomiting disorders
- Gastroparesis/Delayed gastric emptying
- Abdominal pain
- Irritable bowel Syndrome (IBS)
- Rectal bleeding
- Small intestinal bacterial overgrowth (SIBO)
Recent Publications Include
S Sanagapalli, A Plumb, R Sweis, Timed barium swallow: Esophageal stasis varies markedly across subtypes of esophagogastric junction obstruction. Neurogastroenterology and Motility. Jan 2022. DOI:10.1111/nmo.14322
A Mari, R Sweis, Assessment and management of dysphagia and Achalasia. Clinical medicine 21(2):119-123. March 2021. DOI:10.7861/clinmed.2021-0069
M R Fox, R Sweis, R Yadlapati, N Rommel, Chicago classification version 4.0© technical review: Update on standard high‐resolution manometry protocol for the assessment of esophageal motility. Neurogastroenterology and Motility. March 2021. DOI:10.1111/nmo.14120
M Pesce, R Sweis, Advances and caveats in modern achalasia management. Therapeutic Advances in Chronic Disease. March 2021. DOI:10.1177/2040622321993437
S Sanagapalli, R W Leong, K Patel, R Sweis, The Clinical Relevance of Manometric Esophagogastric Junction Outflow Obstruction Can Be Determined Using Rapid Drink Challenge and Solid Swallows. The American Journal of Gastroenterology. Oct 2020. DOI:10.14309/ajg.0000000000000988
R Sweis, M Fox, High-Resolution Manometry—Observations After 15 Years of Personal Use—Has Advancement Reached a Plateau?. Current Gastroenterology Reports. Aug 2020. DOI:10.1007/s11894-020-00787-x
S Sanagapalli, A Plumb, J Maynard, R W Leong, R Sweis, The timed barium swallow and its relationship to symptoms in achalasia: Analysis of surface area and emptying rate. Neurogastroenterology and Motility. June 2020. DOI:10.1111/nmo.13928
S Ishaq, H Louis, S van-Meer, D Pohl, F Prat, D von-Renteln, R Sweis, J Tack, J Martinek, V L Zúñiga, E Savarino, R Tutuian, Endoscopic management of gastrointestinal motility disorders – Part 1: European Society of Gastrointestinal Endoscopy. Endoscopy. May 2020. DOI:10.1055/a-1160-5549
B L A M Weusten, M Barret, A J Bredenoord, P Familiari, J M Gonzalez, J E van-Hooft, V L Zúñiga, H Louis, J Martinek, S van-Meer, H Neumann, D Pohl, F Prat, D von-Renteln, E Savarino, R Sweis, J Tack, R Tutuian, S Ishaq, Endoscopic management of gastrointestinal motility disorders – part 2: European Society of Gastrointestinal Endoscopy. Endoscopy. May 2020. DOI:10.1055/a-1171-3174
R Sweis, M Fox, The global burden of gastro-oesophageal reflux disease: more than just heartburn and regurgitation. The Lancet Gastroenterology & Hepatology. March 2020. DOI:10.1016/S2468-1253(20)30002-9
N J Trudgill, D Sifrim, R Sweis, M Fullard, K Basu, M McCord, M Booth J Hayman, G Boeckxstaens, B T Johnson, N Ager, J de Caestecker, British Society of Gastroenterology guidelines for oesophageal manometry and oesophageal reflux monitoring. Gut. July 2019. DOI:10.1136/gutjnl-2018-318115
S Sanagapalli, S Roman, A Hastier, R W Leong, K Patel, A Raeburn, M R Banks, R J Haidry, L B Lovat, D Graham, S Sami, R Sweis, Achalasia diagnosed despite normal integrated relaxation pressure responds favorably to therapy. Neurogastroenterology and Motility. Apr 2019. DOI:10.1111/nmo.13586
Further publications from Dr Rami Sweis: Click Here
Getting to know Dr Sweis
Why did you choose to become a part of OneWelbeck
I have a close relationship with many of the consultants at OneWelbeck having worked with most in the NHS over the years and having trained with several others. I have sent members of my family to OneWelbeck and felt it to would be right for me to join the team. Also, I have put together an Upper GI Physiology unit at OneWelbeck which will replicate the reputable unit that I have run for many years at University College London Hospital, my NHS base.
Why did you choose to specialise in disorders of function of the GI tract?
This is a field which almost everyone has personal experience with but receives very little training in medical school and as a junior doctor. It is the bread and butter of gastroenterology. I decided early to specialise in this field and to delve deep into the underlying problems, methods of testing and treatments. I completed my PHD and continue to publish widely in this field, including co-authoring many of the national and international guidelines. My interests include problems in the oesophagus (disorders of swallowing, reflux, pain), stomach (vomiting, pain) and colon (disorders of diarrhoea, constipation, IBS).
How can I decide what treatment is best for me?
I spend a long time just listening and gathering information regarding your main problems and priorities. I then offer the tests that allow us together to reach the best answer to what the problems might be, after which I take you step by step through what treatments are available in an open and honest way such that you have enough time to ask questions, consider your options, understand the risks and decide together on the best way forward.
Is there any other treatment available to treat oesophageal problems other than just taking omeprazole?
Yes, I have an interest in treating a variety of conditions that may require more than just ‘a tablet’. For example, eosinophilic oesophagitis is a condition like asthma but in the oesophagus which is under-recognised but common that can be treated with medication similar to what asthmatics use. Also, careful oesophageal stretching might be needed if there is associated scarring/narrowing. To avoid having surgery, I also treat reflux with a novel technique called Trans-oral incisionless fundoplication (TIF), which is not offered on the NHS and is available in very few private centres in the UK. For conditions such as achalasia, another under-recognised swallowing disorder, I offer specialised treatments such as per-oral endoscopic myotomy (POEM) which is offered in only a handful of units in the country and also is an alternative to surgery. Finally, in other conditions of burping and regurgitation, where suitable, I offer behavioural modification therapy which I teach in the clinic. There are yet a variety of other treatments that can be offered for many such conditions, but all will be discussed openly and you will always have plenty of opportunity to ask questions and return at a later stage if you need time to consider.