Biography

Dr Besherdas is a consultant physician and gastroenterologist at the Royal Free London.

He is an honorary senior lecturer and gastroenterologist at the University College London Medical School. Dr Besherdas is actively involved in teaching and training undergraduates and was undergraduate lead clinician for medicine at Barnet Hospital.

Dr Besherdas completed his undergraduate degree at the University of London in 1991 at St George’s Hospital Medical School and has been a consultant since 2000. He has developed an interest and expertise in therapeutic endoscopy.

He is a Joint Advisory Group on Gastrointestinal Endoscopy accredited bowel cancer screening colonoscopist. He also has expertise in endoscopy of the biliary tree of which he undertakes more than 200 procedures per annum. He has expertise in all aspects of diagnostic and therapeutic upper gastrointestinal endoscopy (gastroscopy) as well as lower gastrointestinal (colonoscopy) including dilatation, stenting and feeding tube insertions.

Languages

English

Gujarati

Hindi

Dr Besherdas has published many abstracts since his appointment as a consultant in 2000 that have been presented at national and international meetings. These include:
• Are Proton Pump inhibitors NICE or Not ? Poster at DDW 2004
• Top or bottom first or do both together in iron deficiency anaemia. Poster at BSG 2005
• Are dyspepsia guidelines being followed in primary care. Poster at the BSG 2005
• Top or bottom first or do both together in iron deficiency anaemia. Poster at DDW 2005
• Are dyspepsia guidelines being followed in primary care. Poster at the DDW 2005
• Prevalence of Helicobacter pylori positive duodenal ulcers in a district general hospital.. Poster at the DDW meeting 2006
• The value of follow up gastroscopy in detecting cancer in gastric ulcer patients in a district general hospital. Plenary at UEGW 2007
• Prevalence of H.pylori within duodenal ulcers is much lower than previously established. Poster at UEGW 2007
• Is there a difference in time taken for inpatient and outpatient endoscopy? Posters at BSG and UEGW 2008.
• How Thoroughly Do We Investigate Chronic Diarrhoea in Secondary Care? Poster at AGA and plenary at UEGW 2008.
• Audit of Percutaneous Liver Biopsies within an Associate Teaching Hospital in England. Poster at UEGW 2008. Junior doc received travel grant.
• Are we scoping too many elderly people with anaemia? Poster at UEGW 2008
• How accurate is an endoscopist’s hunch for cancer? Correlation with histology. Poster at UEGW 2008, BSG 2009.
• Intervals between routine surveillance colonoscopies. Are guidelines being followed? Poster at UEGW 2008.
• How alert are we at detecting microscopic colitis.Poster at BSG 2009.
• How are abnormal LFTs dealt with in secondary care? Poster at BSG 2009
• The yield of endoscopy in pathology detection is much higher than expected. Posters at BSG 2009.
• Needle Knife Fistulotomy in difficult ampullary cannulation increases the rate of ciliary cannulation: 10 year experience in a district general hospital. Poster at BSG 2009
• Colonic Stent usage in modern day management for colonic obstruction. Poster at the DDW meeting 2009
• Dietary Advice for Irritable Bowel Syndrome – Is Everyone Singing from the Same Recipe Sheet? Poster at the DDW meeting 2009
• Are We Scoping Too Many Elderly People With Anaemia? Poster at the DDW meeting 2009.
• Endoscopy in the acute coronary syndrome. Poster at the DDW meeting 2009
• Is anaemia a consistent feature in IBD. Poster at ECCO meeting 2010
• What is the frequency of 5-ASA administration in colitis within clinical practice. Poster at ECCO meeting 2010
• The use of proton pump inhibitor4s and clopidogrel in a district general hospital. Poster at the BSG meeting 2010
• “Prophylactic” placement of self-expandable metal stent in colorectal cancer prior to obstruction: is this of any value? Poster at the BSG meeting 2010
• Vitamin D levels in coeliac disease: do they warrant monitoring? Poster at the BSG meeting 2010
• Specialist nurse-led percutaneous endoscopic gastrostomy insertion and patient assessment in modern-day practice. Poster at the BSG meeting 2010
• Are We Following up Patients in Our Gastroenterology Outpatients Department Appropriately? Poster at DDW meeting 2010
• Eosinophilic Oesophagitis. An Overlooked Entity? Poster at DDW meeting 2010
• The use of Proton Pump Inhibitors and Clopidogrel in a District General Hospital. Poster at DDW meeting 2010
• “Prophylactic” placement of self-expandable metal stent in colorectal cancer prior to obstruction: is this of any value? Poster at the UEGW meeting 2010
• Monitoring liver function tests (LFTs) in Inflammatory bowel disease (IBD) patients: are we doing this appropriately? Poster at AASLD
• A Technique for Salvaging the Lost Stent at ERCP. Poster at DDW meeting 2011
• Photographic documentation of caecal intubation rate: How good is it? Poster at DDW meeting 2011
• Straight to Endoscopy Triage Saves Significant Time for Cancer Diagnosis. Poster at DDW meeting 2011
• Suspected Upper GI cancer referrals: Are guidelines being followed? Poster at UEGW 2011.
• Post operative Crohn’s disease: are we following ECCO guidelines? Poster at UEGW 2011.
• Straight to Endoscopy Triage Saves Significant Time for Cancer Diagnosis. Poster at UEGW 2011.
• Barrett’s oesophagus: Are BSG guidelines being followed? Poster at UEGW 2011.
• Post operative Crohn’s disease: are we following ECCO guidelines? Poster at ECCO meeting 2012
• How many biopsies at colonoscopy are required to confirm the diagnosis histologically in suspected colorectal cancer? Poster at DDW meeting 2012
• Is Colonoscopy Required Post CT Scan Confirming Diverticulitis? Poster at DDW meeting 2012.
• The Importance of Histology in Inflammatory Bowel Disease Poster at DDW meeting 2012.
• The impact of bowel preparation on other colonoscopy quality indicators. Poster at DDW meeting 2012.
• NAFLD: below the radar on surfacing even in secondary care! Poster at DDW meeting 2012
• Self expandable metal stents or surgery in colonic obstruction: which is better? Poster at DDW meeting 2012
• Are we measuring Vitamin D in Inflammatory bowel disease (IBD) patients? Poster at DDW meeting 2012
• How many biopsies at colonoscopy are required to confirm the diagnosis histologically in suspected colorectal cancer? Poster at DDF meeting 2012
• Dual energy X-ray Absorptiometry (DEXA) scans in Coeliac Disease (CD): are BSG guidelines followed? Poster at DDF meeting 2012
•Quality of Flexible Sigmoidoscopy for colorectal cancer screening: are we there yet? Poster at DDF meeting 2012
• Is it time for Gastroenterology and General medicine to go their separate ways? Poster at DDF meeting 2012
• Assesment of H.pylori in anaemia; Do we do this? Poster at DDF meeting 2012
• The impact of bowel preparation on other colonoscopy quality indicators Poster at the DDF meeting 2012
• Is Colonoscopy Required Post CT Scan Confirming Diverticulitis? Poster at DDF meeting 2012.
• The Importance of Histology in Inflammatory Bowel Disease Poster at DDF meeting 2012.
• NAFLD: below the radar on surfacing even in secondary care! Poster at the DDF meeting 2012.
• Surgery for pancreatic cancer without pre-operative biliary drainage: Fiction in reality. Poster at DDF meeting 2012
• Techniques for the removal of polyps from the right colon: how are we doing them? Poster at DDF meeting 2012
• Are we measuring Vitamin D in Inflammatory bowel disease (IBD) patients? Poster at DDF meeting 2012
• Is Colonoscopy Required Post CT Scan Confirming Diverticulitis? Poster at UEGW meeting 2012
• Surgery for pancreatic cancer without pre-operative biliary drainage: Fiction in reality. Poster at UEGW meeting 2012.
• Are we measuring Vitamin D in Inflammatory bowel disease (IBD) patients? Poster at UEGW meeting 2012
• How many biopsies at gastroscopy are required to confirm the diagnosis histologically in suspected upper gastrointestinal cancer? Poster at DDW meeting 2013.
• Dysphagia with normal endoscopic appearances – Could we do better? Poster at UEGW 2013
• Colonoscopy in the over nineties: How safe is it? Poster at UEGW 2013.
• Colonoscopy for Chronic constipation should not be undertaken as the yield is poor! Poster at UEGW 2013
• Correlation of endoscopy and histology in melanosis coli: Are routine biopsies required? Poster presentation at the WBGS meeting 2014
• Terminal ileitis at endoscopy in clinical practice : Is it always Crohn’s Disease? Poster at DDW 2014
• Correlation of Endoscopy and Histology in Ileitis: Are Routine Biopsies Required? Poster at DDW 2014
• How well do we investigate iron deficiency anaemia with colonoscopy following a normal gastroscopy? Poster at DDW 2014
• Do patients with a previous normal colonoscopy within the United Kingdom Bowel Cancer Screening Program who subsequently have a positive FOBt require repeat colonoscopy?Poster at DDW 2014
• Measurement of colonic polyps. Is visual estimation accurate? Poster at BSG 2014
• Terminal ileitis at endoscopy in clinical practice : Is it always Crohn’s Disease? Poster at BSG 2014
• Dysphagia with normal endoscopic appearances – Could we do better? Poster at BSG 2014
• How rewarding is gastroscopy in diagnosis of cancer in isolated iron deficiency anaemia? Poster at BSG 2014
• The value of gastroscopy in the investigation of non-cardiac chest pain. Poster at BSG 2014
• Colonoscopy in the over nineties: How useful and safe is it? Poster at BSG 2014
• Pneumococcal vaccination in patients with liver cirrhosis – Is the message being heard? Poster at BSG 2014.
• Does use of sedation affect the speed at which endoscopy is performed and number of biopsies obtained in Barrett’s oesophagus? Poster at BSG 2014
• Odynophagia – A Symptom Worth Asking About? Poster at BSG 2014
• Do patients with a previous normal colonoscopy within the United Kingdom Bowel Cancer Screening Program who subsequently have a positive FOBt require repeat colonoscopy? Plenary presentation at BSG 2014
• Raised intraepithelial Lymphocytes in the presence of normal small bowel mucosa: confirmation of coeliac disease in clinical practice. Poster at UEGW 2014
• Measurement of colonic polyps. Is visual estimation accurate? Poster at UEGW 2014
• Limited Value for Follow Up Endoscopy in Severe Oesophagitis: Findings From A Large London District General Hospital. Poster at UEGW 2014
• Poor Recognition and Management of Iron Deficiency Anaemia in Inflammatory Bowel Disease: A Missed Opportunity. Poster at UEGW 2014
• Raised Intraepithelial Lymphocytes in the Presence of Normal Small Bowel Mucosa: Confirmation of Coeliac Disease in Practice. Poster at UEGW 2014
• Odynophagia – A Symptom Worth Asking About? Poster at UEGW 2014
• Should Patients with Rectal Bleeding having a Flexible Sigmoidoscopy come Fully Prepared for a Colonoscopy? Poster at UEGW 2014
• Pancreatic enzyme replacement therapy in pancreatic cancer- Are we getting it right? Plenary presentation at UEGW 2014.
• How good are we at detecting and managing folate deficiency? Poster at ECCO 2015.
• Poor recognition and management of iron deficiency anaemia in inflammatory bowel disease: A missed opportunity. Poster at ECCO 2015.
• A significant proportion of patients still required colonoscopy after CT colonoscopy within the United Kingdom Bowel cancer screening programme. Poster at DDW 2015.
• An opportunity missed in diagnosing coeliac disease. Poster at DDW 2015.
• Eosinophilic Oesophagitis: Biopsy protocol and histological reporting fall short of recommendations. Poster at DDW 2015.
• Pancreatic enzyme replacement therapy in pancreatic cancer- Are we getting it right? Poster at DDW 2015.
• Poor recognition and management of iron deficiency anaemia in inflammatory bowel disease: A missed opportunity. Poster at DDW 2015.
• Raised Intraepithelial Lymphocytes in the Presence of Normal Small Bowel Mucosa: Confirmation of Coeliac Disease in Practice. Poster at DDW 2015.
• The value of follow up endoscopy in oesophagitis patients : A UK District General Hospital Experience. Poster at DDW 2015.
• Portal Hypertensive Gastropathy in non cirrhotic patients: are we investigating this endoscopic finding adequately? Poster at DDF 2015.
• Should patients with rectal bleeding having a flexible sigmoidoscopy come fully prepared for a colonoscopy? Poster at DDF 2015.
• Raised Intraepithelial Lymphocytes in the Presence of Normal Small Bowel Mucosa: Confirmation of Coeliac Disease in Practice. Poster at DDF 2015.
• An opportunity missed in diagnosing coeliac disease. Poster at DDF 2015.
• Pancreatic enzyme replacement therapy in pancreatic cancer- Are we getting it right? Poster at DDF 2015.
• Pancreatic enzyme replacement therapy in pancreatic cancer – A role for the dietician. Poster at DDF 2015.
• Eosinophilic Oesophagitis: Biopsy protocol and histological reporting fall short of recommendations. Poster at DDF 2015.
• Is there any value in performing a CLO test at endoscopy in patients previously having a stool antigen test? Poster at DDF 2015.
• A significant proportion of patients still required colonoscopy after CT colonoscopy within the United Kingdom Bowel cancer screening programme. Poster at DDF 2015.
• Is there any value of endoscopy for GORD patients under 45? Poster of Excellence at UEGW 2015
• Single centre clinical experience of haemospray endotherapy in patients with acute upper gastrointestinal bleeding. Poster at UEGW 2015.
• A significant proportion of patients still required colonoscopy after CT colonoscopy within the United Kingdom Bowel cancer screening programme. Poster at UEGW 2015.
• Dietary Management of Irritable Bowel Syndrome is Suboptimal in Secondary Care. Poster at DDW
• Are Patients Undergoing Endoscopic Mucosal Resection for Colorectal Lesions Appropriately Assessed and Referred Prior To Their Procedure. Poster at BSG 2016
• Proton Pump Inhibitors– A risk for micronutrient deficiency. But are we looking out for this? Poster at BSG 2016
• How Good Are We At Looking For Osteoporosis In Chronic Pancreatitis? Plenary at BSG 2016
• Non-bowel cancer screening colonoscopy has inferior rates of polyp retrieval and adenoma detection than bowel cancer screening. Poster at BSG 2016
• Dedicated Barretts’s oesophagus surveillance lists improves diagnosis and documentation of findings. Poster at DDW, UEGW and BSG 2016
• Management of constipation in secondary care. Is everyone singing from the same hymn sheet? Poster at DDW and BSG 2017
• Eosinophilic Oesophagitis: Are we following the protocol on biopsy, histological reporting and management? Poster as BSG 2017
• What is the yield of routine duodenal biopsies in those presenting with weight loss at gastroscopy? Poster at the BSG and UEGW 2017
• Is portal vein diameter being reported in abdominal ultrasound scans of decompensated liver cirrhosis patients? Poster at BSG 2017
• Management of constipation in secondary care. Is everyone singing from the same hymn sheet? Poster at DDW 2017
• Do patients referred for diagnostic gastroscopy for iron deficiency anaemia have biochemical evidence of this and what are their outcomes? Oral presentation at ESGE days 2018
• Surveillance for hepatocellular carcinoma..Are we getting it right? : A single centre retrospective study. Poster at DDW 2018
• Dyspepsia in 2017: are we adhering to guidelines? Poster at BSG 2018
• Coffee ground vomit:does it justify an urgent endoscopy? Poster at BSG 2018
• A retrospective analysis of endoscopic management of post liver transplant biliary anastomotic strictures. Poster at BSG 2018
• Lower gastrointestinal two week wait referrals: are they best managed by the gastroenterologist? Poster at BSG 2018
• Is there any role for flexible sigmoidoscopy for inpatients with overt lower gastrointestinal bleeding? Poster at BSG 2018