Dr. Pranab Gyawali
Dr Pranab Gyawali undertook his medical training at the prestigious Guys and St Thomas’ Medical School in London in 1997. He continued to refine his skills in gastroenterology and achieved his CCT in 2007 after advanced GI training in London.
Between 2008 and 2022, Dr. Gyawali dedicated himself to serving in the National Health Service in Northeast London. There, he provided a full range of GI services, earning recognition from his peers, which was underscored by the award of 3 Clinical Excellence points.
Dr. Gyawali is known for his proactive approach in medical services development. He established a GI Physiology Unit and initiated the very first Inflammatory Bowel Disease multidisciplinary team meetings at his hospital, improving the scope and quality of care for patients.
He has also lent his expertise to the broader medical community through time-limited but valuable roles as a Care Quality Commission Hospital Inspector and as an examiner for the Royal College of Physicians (UK) for the PACES Exam. These roles, though not permanent, allowed him to make a meaningful impact on the standards of healthcare and medical education.
Dr. Gyawali's scholarly contributions include articles in international journals and presentations at national conferences, with a special interest in inflammatory bowel disease and gastrointestinal motility disorders.
As a member of the British Society of Gastroenterology’s Small Bowel and Nutrition Committee and a Fellow at the Royal College of Physicians (UK), Dr. Gyawali brings a wealth of knowledge to his practice. He is fully registered with the UK General Medical Council and holds a DHA License, ensuring he is equipped to provide top-tier gastroenterology care to a broad patient community.
Dr. Pranab Gyawali, Consultant Gastroenterologist
MEDICAL EDUCATION
- United Medical and Dental Schools of Guys and St Thomas’ Hospitals, London
QUALIFICATIONS
- MBBS Honours in Clinical Pharmacology and Therapeutics, University of London
- FRCP (UK)
- CCT in Gastroenterology
- CCT in General Internal Medicine
- University of Leeds Postgraduate Certificate in Patient Safety and Risk Management
KEY SKILLS OFFERED
- Experienced with gastroscopy and colonoscopy at Consultant level for 14 years.
- Experienced with endoscopic management of GI bleeding including varices.
- Expert in conducting 24hr impedance and manometry tests.
- Extensive experience of delivering inpatient and outpatient gastroenterology referral service.
- Experienced with managing General Medical inpatients at Consultant level for 14 years.
- Recognised trainer by the GMC for teaching medical students and junior doctors.
PROFESSIONAL EXPERIENCE
- Department Clinical Governance Lead – 3 years
- Endoscopy Training Lead – 3 years
- Department Inflammatory Bowel Disease Lead – 5 years
- Clinical Lead of Gastroenterology Department – 1 year
- Care Quality Commission UK Inspector – 2 years
- MRCP (UK) Paces Examiner for Royal College of Physicians (London) – 2 years
PROFESSIONAL ASSOCIATIONS
- Fellowship of Royal College of Physicians UK
- Member of the British Society of Gastroenterology
WORK EXPERIENCE IN GASTROENTEROLOGY AND GENERAL INTERNAL MEDICINE
CONSULTANT LEVEL EXPERIENCE:
12 Nov 2007 – 25 Nov 2022
Barking, Havering and Redbridge NHS Trust, London.
Full time Consultant Gastroenterologist and GIM Physician
- Responsible for gastroenterology ward including cover for hepatology and general medical inpatients.
- Two weekly outpatient clinics covering– Inflammatory bowel disease, irritable bowel syndrome, dyspepsia, Upper and lower GI Cancer, liver disease.
- Specialist referral service for acid reflux and oesophageal motility disorders
- Two weekly endoscopy lists covering upper and lower GI endoscopy including polypectomy.
- Participation in GI bleed rota
- Notable achievements:
- Setting up and running the upper GI physiology service to provide 24hr impedance and manometry service to surrounding hospitals for over 12 years.
- Responsible for setting up the IBD MDT which has now been running 13 years.
- Achievement of JAG accreditation for endoscopy Unit while Training lead for Endoscopy 2010.
- Principal Investigator for Queens site in the CONSTRUCT trial which was a multicentre randomised trial of biological treatment in acute ulcerative colitis (2009) and in RAPID which was a trial using rifaximin to prevent Clostridium difficile infection (2016).
- Accredited Clinical Supervisor for junior doctor training.
11 Jul 2007 – 09 Nov 2007
Queen Elizabeth Hospital NHS Trust, Woolwich London
Locum Consultant Gastroenterologist and General Physician
GASTROENTEROLOGY AND GENERAL INTERNAL MEDICINE TRAINING
North East London Specialist Registrar Rotation in Gastroenterology and General Internal Medicine
01 Oct 2001 – 30 Sept 2002
Whipps Cross Hospital NHS Trust, Dr R Greaves, Dr E Alstead
Specialist Registrar Gastroenterology & GIM
Independent with upper GI endoscopy and On call for acute general medicine.
01 Oct 2002 –30 Sept 2003
Newham General Hospital NHS Trust, Dr V Kulhalli, Dr C Ainley
Specialist Registrar Gastroenterology & GIM
Independent with lower GI endoscopy and On call for acute general medicine.
01 Oct 2003 – 03 Oct 2004
University College Hospital NHS Trust (Middlesex Hospital)
Specialist Registrar Pancreatobiliary medicine 9 months
Tertiary referral centre for biliary and pancreatic cancer.
Specialist Registrar in IBD 3 months
Managing patients with complex inflammatory bowel disease at a tertiary centre. Registrar on the weekly Nutrition ward rounds covering all inpatients on TPN. 3 months of high intensity 1:5 general medicine with continuity of care maintained post on call.
04 Oct 2004 – 02 Oct 2005
Whittington Hospital NHS Trust, Dr R Vicary, Dr VS Wong, Dr D Suri
Specialist Registrar Gastroenterology & GIM
Further experience with upper GI endoscopy and colonoscopy activity. Responsible for organising the out of hours gastrointestinal bleeding rota.
03 Oct 2005 – 03 Apr 2006
Royal Free Hospital NHS Trust, Liver Unit, Prof AK Burroughs, Dr D Patch
Specialist Registrar Gastroenterology & GIM
SpR on tertiary referral liver unit including liver transplantation medicine.
Direct post-operative care of patients following liver transplantation including twice-daily ITU ward-rounds with the ITU physicians. Responsible for seeing ward referrals, undertaking endoscopy on ITU patients and advising referrals from other hospitals for management of acute liver failure. Participation in the out of hours gastrointestinal bleeding rota.
04 Apr 2006 –1 Oct 2006
Royal Free Hospital NHS Trust, Professor O Epstein
SpR Gastroenterology & GIM
Tertiary referral centre for IBD and gastroparesis. Familiarity with the use of gastric neurostimulator and biological therapy for IBD. Introduction and practical experience with Virtual Colonoscopy (V3D) and capsule endoscopy. Experience working on a large Medical Admission Unit during acute on call.
02 Oct 2006 –11 Jul 2007
BHR Hospitals NHS Trust, King George site, Dr S L Grainger, Dr G E Bettany
SpR Gastroenterology & GIM
Extensive exposure to upper and lower GI endoscopy- upto 4 lists per week. Weekly capsule endoscopy session and nutrition ward rounds. Participation in the National Inflammatory Bowel disease Audit. Continued involvement in G(I)M as senior most of acute medical team.
JUNIOR DOCTOR APPOINTMENTS
Preregistration year (Internship)
06 Aug 1997- 03 Feb 1998
University Hospital Lewisham NHS Trust
Miss J Linsell / Orthopaedic.
04 Feb 1998- 04 Aug 1998
St Thomas’ Hospital Medical School NHS Trust
Dr RPH Thompson / Prof PJ Ciclitira / Dr M Finbar
Two-year medical Senior House Officer rotation
05 Aug 1998- 03 Aug 1999
Epsom General Hospital NHS Trust
Dr DC Rangedara / Dr AG Lim / Dr SR Gould / Dr OS Odemuyiwa / Dr P Mitchell-Heggs.
05Aug 1999- 01 Aug 2000
St Georges Hospital Medical School NHS Trust
Prof. D Oliviera / Dr J Eastwood / Dr S Nelson / Dr C Streather / Prof. GE Griffin
Dr M Warnsbrough Jones / Dr DC Macallan and Dr D Lewis
Two-year medical Senior House Officer rotation
05 Aug 1998- 03 Aug 1999
Epsom General Hospital NHS Trust
Dr DC Rangedara / Dr AG Lim / Dr SR Gould / Dr OS Odemuyiwa / Dr P Mitchell-Heggs.
05 Aug 1999- 01 Aug 2000
St Georges Hospital Medical School NHS Trust
Prof. D Oliviera / Dr J Eastwood / Dr S Nelson / Dr C Streather / Prof. GE Griffin
Dr M Warnsbrough Jones / Dr DC Macallan and Dr D Lewis
Six months with a US based Mission hospital and Save the Children Fund (UK)
21 Aug 2000 – 19 Jan 2001
Patan Mission Hospital, Kathmandu Nepal
Medical Registrar post.
Stand alone Senior House Officer posts
01 Feb 2001 – 31 Jul 2001
Charing Cross Hospital NHS Trust,
Dr AV Thillainayagam
01 Aug 2001 – 30 Sep 2001
St Georges Hospital Medical School NHS Trust
Prof David Bennett
PRIZES AND AWARDS
- Sir John McNee award, Medical Society of London: Best research project proposal submitted from London Medical Schools. 1996
- Thakrah award for work in occupational health: Society of Occupational Medicine. 1996
- Public Health Medicine Prize: UMDS 1996
- Dr George Michael Morris Prize for research in Third world medicine. 1996
- Rayne Foundation bursary for elective project following recommendation from UMDS. 1996
- Three Clinical Excellence Awards from Barking, Havering Redbridge NHS Trust 2010 -2016
ACADEMIC ACHIEVEMENTS
TEACHING
Associate Clinical Tutor, Royal College of Physicians, Newham General Hospital Oct 2002 –Oct 2003
Responsible for:
- Undergraduate teaching – lecture based and clinical bedside teaching to medical students.
- Postgraduate- House officer and MRCP teaching for other SHO’s
RESEARCH
Papers
- P Gyawali, Awareness of and protection against hepatitis B virus infection among healthcare workers in Nepal. Transactions of the Medical Society of London. 113:91-3,1996-97
- P Gyawali, PS Rice, AJ Tilzey. Exposure to blood borne viruses and the hepatitis B vaccination status among healthcare workers in inner London. Occupational & Environmental Medicine. 1998;55(8): 570-2.
- P Gyawali, DC Rangedara. Iatrogenically revealed myasthenia gravis. International Journal of Clinical Practice 1999; 53(8):645.
- P. Gyawali, CJM Whitty. Investigating eosinophilia in patients returned from the tropics. Hospital Medicine. 2001;62(1):25-8
- P. Gyawali, D. Agranoff, D.C. Macallan. A Mauritian lady with fever, abdominal pain and facial palsy. Postgraduate Medical Journal. 2001;77 (910):531-2, 540-1
- M Ostermann, P Gyawali, S A Snowden, J B Eastwood, C P Streather. A 67 year old kidney transplant patient with a headache of uncertain origin. Nephrology Dialysis Transplantation 2002; 17:508-510
- P. Gyawali, V Kulhalli, Polyps – ‘Ligate and let go’. (Abstract) Gut 2004; 53 (Supplement 3): 184
- P. Gyawali, D. Suri, I. Barrison, J. Smithson, N. Thompson, M. Denyer, S. Hughes, I. Gilmore. British Society of Gastroenterology Survey of Emergency Gastroenterology Workload. Clinical Medicine. 2007;7(6):585-8.
Letters
- P Gyawali. Teaching medical ethics to students. Student BMJ: 1997;12(2):25
- P Gyawali. Is taking a siesta really a health hazard? Archives of Internal Medicine. 2000; 13;160(5):711
NATIONAL PRESENTATIONS
- Medical Society of London – 1997: Comparison of hepatitis B vaccination uptake among healthcare workers in a typical developing country and UK.
- British Society of Gastroenterology –2004: Polyps – ‘Ligate and let go’
- 3rd Annual Dubai International Gastroenterology Congress 2023: Speaker and Moderator. Gut Microbiome – Is it the new frontier?
- 1st Emirates International Colorectal Congress 2023 : Stoma Workshop and Patient Experience Panel