Imperial College London

MrDuncanSpalding

Faculty of MedicineDepartment of Surgery & Cancer

Clinical Senior Lecturer in Hepato-Biliary Surgery
 
 
 
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Contact

 

+44 (0)20 3313 3941d.spalding

 
 
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Location

 

Hammersmith HospitalHammersmith Campus

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Summary

 

Publications

Publication Type
Year
to

126 results found

Wadsworth CA, Dixon PH, Zabron AA, Wong JH, Chapman MH, McKay SC, Spalding DR, Pereira SP, Wasan HS, Thomas HC, Taylor-Robinson SD, Whittaker JC, Williamson C, Khan SAet al., 2011, COMMON GENETIC VARIATION IN NATURAL KILLER CELL RECEPTOR PROTEIN G2D DOES NOT MODIFY SUSCEPTIBILITY TO SPORADIC CHOLANGIOCARCINOMA, 46th Annual Meeting of the European-Association-for-the-Study-of-the-Liver (EASL), Publisher: ELSEVIER, Pages: S108-S109, ISSN: 0168-8278

Conference paper

Wadsworth CA, Dixon PH, Zabron AA, Wong JH, Chapman MH, McKay SC, Sharif AW, Spalding DR, Pereira SP, Wasan HS, Thomas HC, Taylor-Robinson SD, Whittaker JC, Williamson C, Khan SAet al., 2011, GENETIC VARIATION IN BILIARY TRANSPORTERS AS A SUSCEPTIBILITY FACTOR FOR CHOLANGIOCARCINOMA, 46th Annual Meeting of the European-Association-for-the-Study-of-the-Liver (EASL), Publisher: ELSEVIER, Pages: S109-S109, ISSN: 0168-8278

Conference paper

Bong JJ, Wang J, Spalding DR, 2011, Pancreatobiliary and pancreatoduodenal fistulae in intraductal papillary mucinous neoplasm of the pancreas: Report of a case, SURGERY TODAY, Vol: 41, Pages: 281-284, ISSN: 0941-1291

Journal article

Bong JJ, Kumar R, Spalding D, 2011, A Novel Technique of Partial Splenectomy Using Radiofrequency Ablation, JOURNAL OF GASTROINTESTINAL SURGERY, Vol: 15, Pages: 371-372, ISSN: 1091-255X

Journal article

Wadsworth CA, Dixon PH, Wong JH, Chapman MH, McKay SC, Sharif A, Spalding DR, Pereira SP, Thomas HC, Taylor-Robinson SD, Whittaker J, Williamson C, Khan SAet al., 2011, Genetic Factors in the Pathogenesis of Cholangiocarcinoma, DIGESTIVE DISEASES, Vol: 29, Pages: 93-97, ISSN: 0257-2753

Journal article

Carroll RW, Martin JL, Tan T, Goldstone AP, Spalding D, Al-Nahhas A, Todd JF, Meeran K, Frilling Aet al., 2011, Primary Lymph Node Gastrinoma: A Genuine Entity? Two Case Reports and a Review of the Literature, 8th Annual ENETS Conference for the Diagnosis and Treatment of Neuroendocine Tumor Disease, Publisher: KARGER, Pages: 18-19, ISSN: 0028-3835

Conference paper

Sotiropoulos G, Li J, Al-Nahhas A, Spalding D, Tedeschi M, Carroll RW, Bockisch Aet al., 2011, The Impact of 68Ga-DOTATOC PET/CT on the Multimodal Management of Patients with Neuroendocrine Tumors, 8th Annual ENETS Conference for the Diagnosis and Treatment of Neuroendocine Tumor Disease, Publisher: KARGER, Pages: 45-45, ISSN: 0028-3835

Conference paper

McKay S, Unger K, Sriraksa R, Zeller C, Pericleous S, Limpaiboon T, Hutchins R, Spalding D, Brown B, Thomas Get al., 2010, Differing copy number alteration profiles identified by array CGH in Thai IntrahepaticCholangiocarcinoma related to prognosis, The 61st Annual Meeting of the American Association for the Study of Liver Diseases: The Liver Meeting 2010

Purpose: The worldwide incidence of intrahepatic cholangiocarcinomahas vastly increased over the past three decades,and now represents the second most common primary liver cancer.Despite this increase in incidence mortality figures forcholangiocarcinoma remain dismal. We employed array comparativegenomic hybridization to identify copy number alterationsin cholangiocarcinoma with prognostic significance.Methods: DNA was extracted from 24 Thai cases of intrahepaticcholangiocarcinoma (ICC), and labelled using randomprimer labelling (Enzo Life Sciences CGH Labeling Kit). TumourDNA was labelled with Cy3 and sex-mismatched referenceDNA (pooled normal DNA, Promega) with Cy5 fluorescencedye and hybridised to 180K Agilent Oligonucleotide arrayCGH slides for 24 hours. Microarray slides were scanned at 3micron (Agilent), fluorescence intensities extracted using theFeature Extraction Software (Agilent) and subsequentlyanalysed within the statistical environment R using the CBSalgorithm for segmenation of profiles and the CGHcall packagefor calling of copy number gains and losses. Results: Analysisof the data revealed three distinct groups of copy number (CN)alterations related to overall survival. Groups were separatedinto poor (>4 weeks and <13 weeks, n=9), moderate (>14weeks and <57 weeks, n=7) and good (>58 weeks, n=8) survival.The good survival group demonstrated very few CN alterations.Gains at 1q and 11q, and losses at 1p and 2q werespecific to poor survival. Gains at 1p, 7p and 13p/q, andlosses at 11p, 12q and 15p were specific for moderate survival.Several CN alterations were demonstrated in the poorand moderate group, and not found in the good group, includinggain at 2q, and losses at 3p, 4p/q, 5q, 6q, 8p and18p/q. The two most charateristic alterations were gain at1q21.1-24.2 in poor suvivors (p value < 0.04 FDR < 0.11) andgain at 8q24.3 in good survivors (p value < 0.001 and FDR=0.024). Conclusion: Intrahepatic cholangiocarcinoma remainsa clin

Conference paper

Pericleous S, Biswas A, McKay S, Mathieson W, Thomas G, Hutchins R, Spalding Det al., 2010, Chemotherapy for cholangiocarcinoma; the effect of dual versus monotherapy on multiple cell lines, The Association for Cancer Surgery Scientific Conference, Publisher: Elsevier, ISSN: 0748-7983

Conference paper

McKay S, Unger K, Sriraksa R, Zeller C, Pericleous S, Spalding D, Thomas Get al., 2010, Differing copy number alteration profiles identified by array CGH in Thai Intrahepatic Cholangiocarcinoma related to prognosis., London 4th Surgical Symposium

Conference paper

Gogalniceanu P, Purkayastha S, Spalding D, Zacharakis Eet al., 2010, Chyle leak following laparoscopic cholecystectomy: a rare complication., Ann R Coll Surg Engl, Vol: 92, Pages: W12-W14

Gallstone disease is a highly prevalent condition which is commonly and safely treated by laparoscopic cholecystectomy. We present the third reported case of chyle leakage following laparoscopic cholecystectomy in the setting of acute cholecystitis. The report reviews current literature on the prevalence, diagnosis and management of this condition.

Journal article

Comninos AN, Badman M, Troke R, Adjene A, Spalding D, Meeran K, Todd JFet al., 2010, An insulinoma in a patient with tuberous sclerosis: Association or coincidence?, 18th International Symposium on Regulatory Peptides, Publisher: ELSEVIER SCIENCE BV, Pages: 14-14, ISSN: 0167-0115

Conference paper

Adjene A, Comninos A, Troke R, Badman MK, Hensman D, Spalding D, Williamson C, Todd JF, Meeran K, Tan Tet al., 2010, The difficulties of managing an insulinoma in pregnancy, 18th International Symposium on Regulatory Peptides, Publisher: ELSEVIER SCIENCE BV, Pages: 13-13, ISSN: 0167-0115

Conference paper

McKay S, Unger K, Pericleous S, Spalding D, Hutchins R, Thomas Get al., 2010, Array comparative genomic hybridization identifies novel potential therapeutic targets for cholangiocarcinoma., 9th World Congress of the International Hepato-Pancreato-Biliary Association, Pages: 1-468

Conference paper

McKay S, Pericleous S, Kent-Bramer J, Jiao L, Habib N, Spalding Det al., 2010, Surgical Management of Cholangiocarcinoma, 9th World Congress of the International Hepato-Pancreato-Biliary Association, Pages: 1-468

Conference paper

Pericleous S, McKay S, Mezes P, Habib N, Hutchins R, Spalding Det al., 2010, Surgery for metastases to the pancreas., 9th World Congress of the International Hepato-Pancreato-Biliary Association, Pages: 1-468

Conference paper

Pericleous S, McKay SC, Mathieson W, Unger K, Spalding DR, Hutchins RR, Thomas G, Stamp Get al., 2010, Array Comparative Hybridisation to Cholangiocarcinoma Cell Lines HuCC-T1 and SkChA-1., The Pathological Society Scientific Meeting

Conference paper

Bong JJ, Spalding D, 2010, Duodenal Duplication Cyst (DDC) Communicating with the Pancreatobiliary Duct-A Rare Cause of Recurrent Acute Pancreatitis in Adults, JOURNAL OF GASTROINTESTINAL SURGERY, Vol: 14, Pages: 199-202, ISSN: 1091-255X

Journal article

Mckay S, Unger K, Spalding D, Hutchins R, Thomas G, Stamp Get al., 2009, Novel potential therapeutic targets for cholangiocarcinoma identified by array comparative hybridization, Annual Meeting of the EORTC/NCI/ASCO on Molecular Markers in Cancer, Publisher: PERGAMON-ELSEVIER SCIENCE LTD, Pages: 24-24, ISSN: 1359-6349

Conference paper

Spalding DRC, Behranwala KA, Straker P, Thompson JN, Williamson RCNet al., 2009, Non-occlusive small bowel necrosis in association with feeding jejunostomy after elective upper gastrointestinal surgery, ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND, Vol: 91, Pages: 477-482, ISSN: 0035-8843

Journal article

Narasimhaiah R, James E, Siegmueller C, Spalding D, Patel Pet al., 2009, PRE-OPERATIVE C-REACTIVE PROTEIN (CRP) AS A PROGNOSTIC INDICATOR OF ONE YEAR MORTALITY FOLLOWING CURATIVE PANCREATECTOMY, 22nd Annual Congress of the European-Society-of-Intensive-Care-Medicine, Publisher: SPRINGER, Pages: 275-275, ISSN: 0342-4642

Conference paper

Gatenby P, Flook M, Spalding D, Tait Pet al., 2009, Percutaneous transhepatic cholecystoduodenal stent for empyema of the gallbladder., Br J Radiol, Vol: 82, Pages: e108-e110

Acute cholecystitis is treated by antibiotics and cholecystectomy. When the gallbladder neck is obstructed in the presence of infection, preventing pus from draining via the cystic duct, an empyema of the gallbladder develops. Under these circumstances, treatment may be either cholecystectomy or, in the presence of significant comorbidity, by drainage via percutaneous cholecystostomy, followed at a later date by cholecystectomy. We present the case of a patient who presented acutely with an attack of cholecystitis and refused to undergo a cholecystectomy owing to previous respiratory arrest following general anaesthesia. She settled with intravenous antibiotic treatment and was discharged. However, she presented shortly afterwards with a further attack of cholecystitis that was refractory to intravenous antibiotics and so was treated initially with percutaneous drainage. This was subsequently replaced with interno-external drainage of the gallbladder (transpapillary cholecystoduodenal stent) with the use of a J-J ureteric stent, which was then fully internalised. She remained well following this procedure and was discharged home. The long-term patency of the stent is not known and we hope that no further intervention will be required, but if necessary the stent could be exchanged endoscopically, by a percutaneous route, or via a combined approach.

Journal article

Pai M, Jiao LR, Khorsandi S, Canelo R, Spalding DRC, Habib NAet al., 2008, Liver resection with bipolar radiofrequency device: Habib™ 4X, HPB, Vol: 10, Pages: 256-260, ISSN: 1365-182X

Journal article

Spalding, D R C, Williamson, R C Net al., 2008, Peritonitis, British Journal of Hospital Medicine

Journal article

El-Gendi AM, Khorsandi SE, Pai M, Zacharoulis D, Nicholls JP, Spalding DRC, Jiao LR, Habib NAet al., 2008, Repeat hepatic resection using a radiofrequency-assisted technique, DIGESTIVE SURGERY, Vol: 25, Pages: 293-299, ISSN: 0253-4886

Journal article

Ayav A, Navarra G, Basaglia E, Tierris J, Healey A, Spalding D, Canelo R, Habib NA, Jiao LRet al., 2007, Results of major hepatectomy without vascular clamping using radiofrequency-assisted technique compared with total vascular exclusion, HEPATO-GASTROENTEROLOGY, Vol: 54, Pages: 806-809, ISSN: 0172-6390

Journal article

Spalding, D R C, Isla A M, Thompson J N, Williamson, R C Net al., 2007, Pancreas-sparing distal duodenectomy (PSDD) for infrapapillary neoplasms, Annals of The Royal College of Surgeons of England, Vol: 89, Pages: 130-135, ISSN: 0035-8843

Journal article

Spalding, D R C, 2006, Pancreatic and periampullary cancers: treatment and outcome, British Journal of Hospital Medicine, Vol: 67, Pages: 14-20, ISSN: 1462-3935

Journal article

Spalding, D R C, Williamson, R C Net al., 2004, The Spleen, Clinical Surgery, Editors: Henry, Thompson, Publisher: Saunders

Book chapter

Behranwala K A, Spalding D R, Wotherspoon A, Fisher C, Thompson J Net al., 2004, Small bowel gastrointestinal stromal tumours and ampullary cancer in Type 1 neurofibromatosis, World Journal of Surgical Oncology, Vol: 2, Pages: 1-4, ISSN: 1477-7819

Journal article

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