Dr Rami Sweis
Dr Rami Sweis consults privately at The London Gastroenterology Centre on Welbeck Street. He is also Consultant Gastroenterologist and the Upper GI Physiology Lead at University College London Hospital (UCLH). He specialises in a wide range of upper and lower gastrointestinal disorders, with a particular emphasis on managing benign and pre-malignant Upper GI disorders of the oesophagus and stomach for which he has an international reputation.
Dr Sweis is the President of the Association of GI Physiologists (AGIP), a member of the Neurogastroenterology & Motility (NGM) and of the Oesophageal section of the British Society of Gastroenterology (BSG).
Dr Sweis has extensive expertise working with a spectrum of conditions including: swallowing problems, heartburn, regurgitation, chest pain, reflux disorders, achalasia, oesophageal spasm, vomiting, abdominal pain, constipation, diarrhoea and IBS.
After obtaining his Bachelors in Biology and Psychology in 1994 from the University of Illinois at Chicago, Dr Sweis went on to complete his primary medical qualification at the University of Edinburgh in 1999. He also became a member of the Royal College of Physicians of Edinburg (RCPE).
Dr Sweis undertook his specialist training in Gastroenterology in South East Thames during which time he also completed his PhD in Upper GI Physiology at Kings College Hospital and Guys & St Thomas’ Hospital in 2012. He was appointed as a Consultant Gastroenterologist at UCLH in 2014 and became a Fellow of the Royal College of Physicians (FRCP) in 2019.
Dr Sweis was awarded the Fellowship of the Higher Education Academy (FHEA) in 2018 and he holds an Honorary Associate Professor position at University College London (UCL).
- During my training in Gastroenterology in SE Thames, I spent 4 years at St Thomas Hospital to complete a PhD in upper GI Physiology. I gained extensive experience in Oesophageal Physiology techniques including High Resolution Manometry (HRM) and ambulatory pH monitoring (catheter-based ph, Impedance-pH and wireless (Bravo) pH monitoring). My research has led to a number of publications which have had an impact on the international classification of oesophageal motor disorders and methods by which we investigate reflux disease. I continue to be an active member of the international HRM Working Group. I am also a member of the BSG Neurogastroenterology& Motility Committee and the Clinical Representative of the AGIP Committee. As a locum Consultant in East Kent I led the lower GI EMR service while I also trained at UCH in upper GI endoscopic techniques. I secured a position as Consultant in Upper GI Medicine at UCLH in March 2014. I am also upper GI Physiology lead at UCLH.
Being both an experienced upper GI physiologist and an advanced endoscopist, I find myself in the unique position. As the majority of upper GI conditions can have a variety of causes and treatments, I like to allow patients to take the lead in proposing how they would like me to proceed. In functional disorders in particular, I can treat many conditions medically as well as with behavioural modification therapy. I like to take my time and provide all the information possible (having undergone the physiology tests myself in the name of research!). Where endoscopic investigation/treatments are requested (or required), I take the patient through all the risks and benefits for every procedure so that ultimately the patient is in control every step of the way.
Dr Sweis is actively involved in research investigating the utility of novel technology and methodology in oesophageal function testing including catheter and wireless pH-monitoring for reflux disease and High Resolution Manometry for swallowing disorders. He is also interested in defining how such tools can help in treating patients with complex-benign disorders such as achalasia.
Being highly experienced in Upper GI Physiology and an Advanced Endoscopist, Dr Sweis is in the unique position to offer patients an alternative approach to manage many GI conditions, from behavioural modification therapy to complex endoscopic treatment. Combining both his experience and his patient-centred approach, Dr Sweis will offer a comprehensive ‘holistic’ assessment such that you are fully informed of all the risks, benefits and merits of any treatments before they are given, with the aim of arriving to the best decision for managing your condition together in a calm, unhurried manner.
Where appropriate, Dr Sweis also offers a ‘One-Stop-Shop’ whereby the clinical assessment, endoscopy and treatment can be undertaken in the same afternoon, thus minimising anxiety and avoiding frequent travels.
Dr Sweis sees patients for a wide range of conditions including:
- Swallowing disorders
- Reflux symptoms/indigestion/Regurgitation/heartburn
- Barrett’s oesophagus
- General GI conditions
- Chest and abdominal pain
- Irritable bowel syndrome
Specialist endoscopic and other treatments that Dr Sweis can offer:
- Dilatation of the oesophagus and stomach
- Botox of the oesophagus and stomach
- Wireless pH Monitoring
- Endoscopic Mucosal Resection
- POEM (Per-oral Endoscopic Myotomy)
- TIF (Trans-oral Incisionless Fundoplication)
- Radio-Frequency ablation
- Barrett’s, Stomach surveillance
- Colon screening and polyp removal/EMR
- Diaphragmatic breathing/behavioural modification therapy
Dr Sweis continues to publish and collaborate with fellow experts and oesophageal units in the UK and abroad, and is frequently invited to speak at national and international conferences. He also organises and runs his own hands-on physiology courses and symposiums.
Access to publications can be found on:
Rami Sweis &NataschaCieplik. Practical implementation tips: GORD in adults. Guidelines in Practice. 2015; 18 (11): 48–52.
Roberto Penagini, Rami Sweis, Aurelio Mauro, Gerson Domingues, Daniel Sifrim. Inconsistency in the diagnosis of functional heartburn: usefulness of prolonged wireless pH monitoring in patients with PPI refractory gastroesophageal reflux disease. J NeurogastroenterolMotil. 2015 Mar 30;21(2):265-72
Yu Tien Wang, Ling Fung Tai, EtsuroYazaki, JafarJafari, Rami Sweis, Emily Tucker, Kevin Knowles, Jeff Wright, Katharine Hamlett, Mark Fox, Daniel Sifrim. Investigation of dysphagia and reflux symptoms after antireflux surgery by high resolution manometry: impact of multiple water swallows and a solid test meal on diagnosis, management and clinical outcome. ClinGastroenterolHepatol. 2015 Sep;13(9):1575-83
Rehan Haidry, Gideon Lipman, Matthew Banks, Adil Butt, Vinay Sehgal, David Graham, Jason Dunn, Gupta A, Rami Sweis et al. Comparing outcome of radiofrequency ablation in Barrett’s with high grade dysplasia and intramucosal carcinoma: a prospective multicenter UK registry.. Endoscopy 2015 (pending publication)
Rehan Haidry, Matthew Banks, Adil Butt, Vinay Sehgal, David Graham, Jason Dunn, A Gupta A, Rami Sweis et al. Improvement over time in outcomes for patients undergoing endoscopic therapy for Barrett’s oesophagus-related neoplasia: 6-year experience from the first 500 patients treated in the UK patient registry. Gut 2015 ;64:1192-1199
Mark Fox, John Pandolfino, Rami Sweis, Elad Kaufman, JafarJafari, Dieter Menne. Inter-observer agreement for diagnostic classification of esophageal motility disorders defined in high-resolution manometry. Dis Esophagus. 2014 Sep 3. doi: 10.1111/dote.12278
Mayur Kumar, Rami Sweis, Terry Wong. Eosinophilic oesophagitis: investigations and management. Postgraduate medical journal. 2014;90(1063):273-81.
Rami Sweis, Angela Anggiansah, Terry Wong, Gareth Brady, Mark Fox. Assessment of esophageal dysfunction and symptoms during and after a standardized test meal: development and clinical validation of a new methodology utilizing high-resolution manometry. NeurogastroenterolMotil 2014;26(2):215-28
Rami Sweis, Emily Tucker, Angela Anggiansah, Terry Wong, EmmanouilTelakis, Kevin Knowles, Jeff Wright, Mark Fox. Measurement of esophago-gastric junction cross-sectional area and distensibility by an endolumenal functional lumen imaging probe for the diagnosis of GERD. NeurogastroenterolMotil 2013;25(11):904-10.
Rami Sweis, Elad Kaufman, Angela Anggiansah, Terry Wong, Peter Dettmar, Michael Fried, Werner Schwizer, Ravi Kant Avvari, Anupam Pal, Mark Fox. Post-prandial reflux suppression by a raft-forming alginate (Gaviscon Advance) compared to a simple antacid: documented by magnetic resonance imaging and pH-impedance monitoring: mechanistic assessment and clinical randomized, controlled, double-blind study. Aliment PharmacolTher 2013;37(11):1093-102.
Rami Sweis, Roy Anggiansah, Angela Anggiansah, Terry Wong, Derek Cooper, Mark Fox. The effects of obesity on oesophageal function, acid exposure and the symptoms of gastro-oesophageal reflux disease. Aliment PharmacolTher 2013;37(5):555-63.
Rukiya Vardar, Rami Sweis, Angela Anggiansah, Terry Wong, MR Fox. Upper esophageal sphincter and esophageal motility in patients with chronic cough and reflux: assessment by high-resolution manometry. Dis Esophagus 2012;26(3):219-25.
Mark Fox, Rami Sweis. Future Directions in Esophageal Motility and Function – New Technology and Methodology. NeurogastroenterolMotil 2012;24 Suppl 1:48-56.
Rami Sweis, Mark Fox, Angela Anggiansah, Terry Wong. Prolonged, wireless pH-studies have a high diagnostic yield in patients with reflux symptoms and negative 24-h catheter-based pH-studies. NeurogastroenterolMotil 2011;23(5):419-26
Rami Sweis, Angela Anggiansah, Terry Wong, Elad Kaufman, Sabina Obrecht, Mark Fox. Normative values and inter-observer agreement for liquid and solid bolus swallows in upright and supine positions as assessed by esophageal high-resolution manometry. NeurogastroenterolMotil 2011;23(6):509-e198
ConstanzeDaum, Rami Sweis, Elad Kaufman, et al. Failure to respond to physiologic challenge characterizes esophageal motility in erosive gastro-esophageal reflux disease. NeurogastroenterolMotil 2011;23(6):517-e200.
Rami Sweis, Mark Fox, Angela Anggiansah R, et al. Patient acceptance and clinical impact of Bravo monitoring in patients with previous failed catheter-based studies. Aliment PharmacolTher 2009;29(6):669-76.
Rami Sweis Angela Anggiansah, Terry Wong. Efficacy of Esophageal Impedance/Ph Monitoring in Patients With Refractory Gastroesophageal Reflux Disease, on and off Therapy. ClinGastroenterolHepatol 2009;8(3):313
Mark Fox, Rami Sweis, Terry Wong, Angela Anggiansah. Sildenafil relieves symptoms and normalizes motility in patients with oesophageal spasm: a report of two cases. NeurogastroenterolMotil 2007;19(10):798-803
Rami Sweis, Leon Pee, Gray Smith-Laing. Discrepancies between histology and serology for the diagnosis of coeliac disease in a district general hospital: is this an unrecognised problem in other hospitals? Clinical Medicine 2009;9(4):346–8
Deborah Hoshizaki, Thomas Blackburn, Catherine Price, Mita Ghosh M, Kathy Miles, Mark Ragucci, Rami Sweis. Embryonic Fat-Cell Lineage in Drosophila melanogaster. Development 1994;120(9):2489-99
Rami Sweis, Terry Wong, Angela Anggianah, Roy Anggiansah, Guiping Sui, Andres Valdes, Mark Fox. The Chicago Classification 2012; present and future. NewWave; e-Newsletter of the BSG. (Jan 2013) http://bsg.org.uk/sections/agip-news-newwave/index.html
Rami Sweis, Angela Anggiansah, Ian Forgacs, Terry Wong, Mark Fox. Laying on of the Healing Hands. British Society of Gastroenterology online interactive module. (2010)
JULY 2009 AND 2011
Philip Mairs& Rami Sweis. Alcohol withdrawal: a guide to management. BMJ Learning; (July 2009 and 2011) http://learning.bmj.com/learning/search-result.html?moduleId=10012160
Rami Swes. A High Resolution Solution. British Society of Gastroenterology online interactive module. (2008) http://moodle.bsg.org.uk/
Video abstracts DDW 2011:
- English https://www.youtube.com/watch?v=QZNw8PdqAyM
- Arabic https://www.youtube.com/watch?v=ombuQZ9Xgio
Mark Fox, Rami Sweis. Future Directions in Esophageal Motility and Function – New Technology and Methodology (2012) http://www.bsg.org.uk/sections/agip-articles/index.html
Mark Fox, Rami Sweis. Chapter 4: Spastic Esophageal Disorders (DES, Nutcracker, Jackhammer), In: Handbook of GI Motility and Functional Disorders. (SLACK Inc). 2015
Rami Sweis. Oesophagus; Chapter 1. In: Diet and Nutrition for Gastrointestinal Disease (Wiley Blackwell), 2014
Rami Sweis, Mark Fox. Free drinking and Solid Swallows using HRM. In: Manual of High Resolution Esophageal manometry (Uni-Med Science), 2013
Rami Sweis, Abraham Botha. Pathophysiology and investigation of gastro-oesophageal reflux disease. In: Griffin SM, Raimes SA, eds. Oesophagogastric Surgery. 4th ed: WB Saunders (Elsevier), 2009: 229-250.
Initial consultation: £255
Follow-up consultation: £210
Rami Sweis is a member of the following professional associations and organisations:
RCP of Edinburgh
RCP of London
Rami Sweis is an accredited consultant for the following hospitals:
Princess Grace Hospital
The London Clinic
King Edward VII Hospital