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Current posts and contact details

  • Consultant General & Upper GI Surgeon & Director of Surgical Oncology, Cleveland Clinic London

  • Honorary Consultant Upper GI Surgeon, University College Hospitals London

  • Honorary Clinical Professor, University College London


  • GMC No:2382638

Qualifications & Training

  • MB ChB, University of Manchester,1977

  • FRCS, England,1981

  • ChM, Manchester, 1985, for “Non-invasive assessment of oesophageal motility using Technetium99 scintiscanning”

  • Trained in general & gastrointestinal surgery in the North West and strongly influenced by Professor Sir Miles Irving and Mr John Bancewicz

Research Interests & Publications

  • Intra-abdominal sepsis

  • Nutritional support

  • Gastro-oesophageal reflux disease

  • Oesophageal motility disorders

  • Oesophageal and gastric cancer

  • Tracheo-oesophageal fistula

  • Published over 80 papers in peer-reviewed journals

Previous Appointments

  • Senior Lecturer in Surgery, alongside Mr John Bancewicz, in Professor Sir Miles Irving’s Unit at Hope Hospital,1989-1991

  • Consultant General & Upper GI Surgeon, Lancashire Teaching Hospitals NHS Foundation Trust, 1991-2010

  • Head of Upper GI Services, UCLH, 2011 to 2017

Clinical Experience & Expertise

  • Upper GI Surgery, in particular oesophago-gastric and biliary surgery

  • Major resection for oesophago-gastric cancer (over 500 resections with a mortality of 1.5% - below national figures as published by National Oesophagogastric Cancer Audit published by HQIP)

  • Surgery for gastroesophageal reflux disease, hiatus hernia repair and achalasia including re-operations and second opinions

  • Oesophageal reconstruction and treatment of tracheo-oesophageal fistulae

  • Management of Upper GI complications of bariatric surgery

  • Laparoscopic cholecystectomy – over 1000 operations since1991

  • General & emergency surgery

    • Repair of abdominal wall hernias and variety of other gastrointestinal operations.

    • Management of upper GI emergencies including bleeding, and perforation/damage to the oesophagus and stomach (spontaneous, iatrogenic and chemical injury)

Teaching, Assessment & Mentoring

  • I have extensive experience of teaching, training and assessment at undergraduate, postgraduate, local, regional and national levels.

  • Experience of teaching in different environments - bedside, wards, operating theatre and simulation

  • Experience in setting up successful teaching programmes and coursesNorth West HST Surgical Teaching Programme, Alpine FRCS Course and others)

  • Assessment experience through the Specialist Advisory Committee in Surgery, Court of Examiners of the Royal College of Surgeons of England and the Intercollegiate Specialty Board in General Surgery

  • Examiner for higher degrees at UCL and other Universities in the UK

  • I have benefitted enormously from personal mentorship and have have been a mentor to trainees and colleagues over the last 30 years 

Service review, design and reconfiguration

  • I have extensive experience in investigation of Serious Incidents, and of individual and service reviews at local and national levels

  • I have experience of designing and commissioning new medical services (commissioning and staffing of new District General General Hospital in Chorley in 2001), service review (through the Invited Review Mechanism of RCS England) and service reconfiguration (oesophagogastric cancer services in the North West and North Central and North East London)

Committees & non-clinical commitments

  • In the first batch of U.K consultants trained as Advanced Trauma Life Support (ATLS) Providers and member of the faculty of the first ATLS Provider Course to be run in the U.K. in1988

  • Member of the working party to look at nutritional support in U.K. hospitals thatresulted in the report “A Positive Approach to Nutrition as Treatment” commissioned by the King’s Fund in January1992

  • First surgeon to serve on the Appraisal Committee of NICE, from its inception in 1999 to 2005

  • Set up and ran the Northwest Surgical Higher Surgical Trainee Teaching programme from 1999 to 2010

  • Member of the Court of Examiners of the Royal College of Surgeons of England from 2001 to 2007

  • Member of the Examiners Panel of the Intercollegiate Specialty Board in General Surgery from 2001 to 2016

  • Member of the Specialist Advisory Committee in General Surgery from 2005 to 2011

  • President of the Surgical Section of the Manchester Medical Society 2006/2007

  • Member of the North West Advisory Committee for Clinical Excellence Awards Subcommittee from 2008-2010

  • President of Lancashire branch of the Ileostomy Association from 1991 to 2010

  • North West Regional Specialty Advisor for General Surgery by the Royal College of Surgeons of England, from 2009 to2010

  • Member of the Invited Review Mechanism Panel of the Royal College of Surgeons of England, since 2009

  • Clinical Director for General Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, 2007 to 2010

  • Member of the Clinical Reference Group for UGI Surgery from 2012 to 2014

  • Member of the Council of Association Upper GI Surgeons until 2017

  • Pathway Director of the Oesophagogastric Cancer Tumour Board for London Cancer, 2011 to 2018

  • MDT Improvement Lead at the UCLH Cancer Academy 2017-2019

  • Joint Chief Medical Officer, UCLH Cancer Collaborative 2019-2020

Achievements & Awards

  • Establishing an Upper GI Unit at Chorley & Preston in 1999, which in 2009 became established as the oesophago-gastric cancer centre for Lancashire and South Cumbria Cancer Network

  • Turning round the osephago-gastric surgical unit at UCLH on being appointed Head of Upper GI Services in 2011 and building it into a high-performing centre

  • Successfully leading the reconfiguration of oesophago-gastric cancer services in the North Central London and North East London Cancer Alliances 2012-2016

  • Setting up the regional SpR teaching programme in the North West and ensuring a high level of training of SpRs in the oesophago-gastric centres at Preston (1991-2010) and UCLH (2011-2017). Eleven SpRs trained in the centres have gone on to become Upper GI Consultants in the last 15 years

  • Thrice short listed for the Silver Scalpel Award for training in surgery

  • Distinguished Individual Award for services to the Association of Surgeons in Training, 2006

  • 'Living the Values' UCLH Excellence Award 2013/14

  • Holder of the NHS 'Gold' Clinical Excellence Award from 2009 until relinquishing it in 2012

Memberships and Societies

  • Royal College of Surgeons of England

  • Association of Surgeons of Great Britain and Ireland

  • Association of Upper GISurgeons

  • British Medical Association



Extra-curricular activities

  • Long-distance running. Has run 20 marathons for charity.


  1. MUGHAL M, BANCEWICZ J, IRVING M. “Laparostomy”: a technique for the management of intractable intra-abdominal sepsis.  Brit J Surg 1986; 73: 253-259​

  2. MUGHAL MM, IRVING MH. Home Parenteral Nutrition in the United Kingdom and Ireland. Lancet 1986; ii: 383-386

  3. MUGHAL MM, MARPLES M, BANCEWICZ J. Scintigraphic assessment of oesophageal motility.  What does it show and how reliable is it? Gut 1986; 27: 946-953

  4. MUGHAL MM, TURNER M, SHAFFER JL, IRVING M. Nutritional management of pregnancy in Home Parenteral Nutrition patients. Brit J Obstet Gynaecol 1987; 94: 44-49

  5. MUGHAL MM, BANCEWICZ J, IRVING MH. The surgical management of pancreatic abscess. Ann Roy Coll Surg Engl 1987; 69: 64-70

  6. BANCEWICZ J, MUGHAL M, MARPLES M. The lower oesophageal sphincter after floppy Nissen fundoplication. Brit J Surg 1987; 74: 162-164

  7. ALMOND DJ, STOKES MA, PETTIT SH, MUGHAL MM, TURNER M, SHAFFER JL, IRVING MH. Home parenteral nutrition: a review of 100 patients years of treatment in 76 consecutive cases. Brit J Surg 1988; 75: 481-483

  8. MUGHAL MM, IRVING MH. Treatment of end stage chronic intestinal pseudo-obstruction by sub-total enterectomy and Home Parenteral Nutrition.  Gut 1988; 29: 1613-1617

  9. MUGHAL MM. Complications of intravenous feeding catheters. Brit J Surg 1989; 76: 15-21

  10. MUGHAL MM, BANCEWICZ J, MARPLES M. Oesophageal manometry and pH recording does not predict the bad results of Nissen fundoplication.  Brit J Surg 1990; 77: 43-45

  11. LEINHARDT DJ, MUGHAL M, BOWLES B, GLEW R, KISHEN R, MacBEATH J and IRVING M. Appraisal of percutaneous tracheostomy. Brit J Surg 1992; 79: 255-58

  12. MUGHAL M. A cheap laparoscopic surgery trainer. Ann Roy Coll Surg Engl 1992; 74:256-7

  13. PURSNANI KG, SATALOFF DM, ZAYAS FR, MUGHAL MM, CASTELL DO. Evaluation of the antireflux mechanism following Laparoscopic Nissen fundoplication. Br J Surg 1997; 84:706

  14. PURSNANI KG, MOHIUDDIN MA, GIDEON RM, CASTELL JA, KATZKA DA, MUGHAL MM, CASTELL DO. What is the aetiology of Globus sensation? Br J Surg 1997;84(2):98

  15. PURSNANI KG, BAZZA Y, CALLEJA M, MUGHAL M. Laparoscopic cholecystectomy under epidural anesthesia in patients with chronic respiratory disease. Surg Endoscopy Ultrasound Interv 1998;12/8:1082-4

  16. DATE R, DeCADT B, PURSNANI K, WARD J, MUGHAL M. Training of Registrars in oesophago-gastric cancer resection does not compromise outcome. Br J Surg 2007;94(S2):120

  17. MUGHAL M & ANONYMOUS. Shadow Consultants. BMJ Careers, 6 May 2009

  18. SHETTY VD, MUGHAL MM, WARD JB, PURSNANI KG. Training for oesophageal resection – another case for centralisation of cancer services. Brit J Surg 2010; 97 (S2):51

  19. BYARS J-PD, PURSNANI K, MUGHAL M. Quality of life and symptomatology before and after Nissen fundoplication. Gastroenterology Research 2010;3(4):163-166

  20. THRUMURTHY SG, MUGHAL MM. A discrete-choice experiment to elicit patient preferences for the surgical management of oesophagogastric cancer. Brit J Surg 2010;97(S6):49

  21. THRUMURTHY SG, MORRIS JJA, MUGHAL MM, WARD JB. Discrete-choice preference comparison between patients and doctors for the surgical management of oesophagogastric cancer. Brit J Surg 2011;98:1124-1131

  22. ALKHAFFAF B, TURNER P, DATE R, MUGHAL M, WARD J, PURSNANI K. Factors predicting extended length of stay following laparoscopic Nissen fundoplication: a move towards day case surgery. Gut 2012, 61 (S2): A362

  23. ALKHAFFAF B, TURNER P, DATE R, MUGHAL M, WARD J, PURSNANI K. Routine post-operative contrast swallows following anti-reflux surgery and hiatus hernia repair: selective use is preferred. Gut 2012, 61 (S2): A323

  24. THRUMURTHY SG, DATE RS, MUGHAL M. Is surgery a magic bullet against diabetes. BMJ 2012;345:e4552. doi: 10.1136/bmj.e4552

  25. GOH Y, TOUMI Z, MUGHAL M, TURNER P. Oesophageal obstruction and tracheo-oesophageal fistula secondary to complicated surgical treatment of Boerhaave syndrome. Brit J Surg 2014; 101 (Suppl 6) p169

  26. GRENADER T, PLOTKIN Y, MOHAMMADI B, DAWAS K, HASHEMI M, MUGHAL M, BRIDGEWATER J. Predictive Value of the Neutrophil/Lymphocyte Ratio in Peritoneal and/or Metastatic Disease at Staging Laparoscopy for Gastric and Esophageal Adenocarcinoma. J Gastrointest Cancer DOI 10.1007/s12029-015-9727-y

  27. CHONG D, HAMILTON H, CONSTANTINOU J, DAVIS M, MUGHAL M, IVANCEV KRASNODAR. Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula. J Vasc Surg Cases 2015: Sept;197-200

  28. QURESHI YA, DAWAS KI, MUGHAL M, MOHAMMADI B. Minimally invasive and robotic esophagectomy: Evolution and evidence. J Surg Oncol 2016; 114(6):731-735.

  29. FULOP NJ, RAMSAY AI, VINDROLA-PADROS C, AITCHISON M, BOADEN RJ, BRINTON V, CLARKE CS, HINES J, HUNTER RM, LEVERMORE C, MADDINENI SB, MELNYCHUK M, MOORE CM, MUGHAL MM, PERRY C, PRITCHARD-JONES K, SHACKLEY DC, VICKERS J, MORRIS S. Reorganising specialist cancer surgery for the twenty-first century: a mixed methods evaluation (RESPECT-21). Implement Sci 2016; 11(1):155

  30. NEWTON NJ, SHARROCK A, RICKARD R, MUGHAL M. Systematic review of the use of endo-luminal topical negative pressure in oesophageal leaks and perforations. Dis Esophagus 2016;Sep 15. doi: 10.1111/dote.12531

  31. GURUSAMY KS, PALLARI E, MIDYA S, MUGHAL M. Laparoscopic versus open transhiatal oesophagectomy for oesophageal cancer. Cochrane Database Syst Rev. 2016 Mar 31;3:CD011390. doi: 10.1002/14651858. CD011390.pub2. Review

  32. BEST LM, MUGHAL M, GURUSAMY KS. Laparoscopic versus open gastrectomy for gastric cancer. Cochrane Database Syst Rev. 2016 Mar 31;3:CD011389. doi: 10.1002/14651858. CD011389.pub2. Review

  33. BEST LM, MUGHAL M, GURUSAMY KS. Non-surgical versus surgical treatment for oesophageal cancer. Cochrane Database Syst Rev. 2016 Mar 29;3:CD011498. 10.1002/14651858. CD011498.pub2. Review

  34. MARKAR SR, MACKENZIE H, MIKHAIL S, MUGHAL M, PRESTON SR, MAYNARD ND, FAIZ O, HANNA GB. Surgical resection of hepatic metastases from gastric cancer: outcomes from national series in England. Gastric Cancer 2016 Mar 3

  35. MELNCHUK M, VINDROLA-PADROS C, AITCHISON M et al. Centralising specialist cancer surgery services in England: survey of factors that matter to patients and carers and health professionals. BMC Cancer (2018) 18:226

  36. MARCHESE S, QURESHI YA, HAFIZ SP et al. Intraoperative pyloric interventions during oesophagectomy: a multicentre study. J Gastrointest Surg DOI 10.1007/s11605-018-3759-0

  37. MARKAR SR, WIGGINS T, ANTONOWICZ S et al. Assessment of Noninvasive Exhaled Breath Test for the diagnosis of Oesophagogastric Cancer. JAMA Oncology DOI:10.1001/jamaoncol.2018.0991

  38. QURESHI YA, MUGHAL MM, FRAGKOS KC et al. Acquired Adult Aerodigestive Fistula: Classification and Management. J Gastrointest Surg DOI.ORG/10.1007/s1605-018-3811-0

  39. QURESHI YA, MUGHAL M, MARKAR SR et al. The surgical management of non-malignant aerodigestive fistula. J Cardiothoracic Surgery 2018; 13 (113)


A Positive Approach to Nutrition as Treatment. King’s Fund, Jan 1992. Member of working party chaired by Professor JE Lennard-Jones.

MDT Improvement Report. UCLH Cancer Collaborative, April 2017

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