Dr Nisha Patel is a consultant Gastroenterologist at Imperial College Healthcare NHS Trust. 

She is the Clinical Director of the West London Bowel Cancer Screening Centre and an interventional endoscopist with a specialist interest in novel technology, medical and surgical robotics and endoscopic imaging. 

What attracted you to a career in gastroenterology?

I was attracted to gastroenterology because it offers a unique blend of diagnostic challenges, procedural skills, and long-term patient management. The field encompasses a wide range of conditions, from common disorders like GERD and IBS to complex diseases such as IBD and hepatobiliary disorders.

I enjoy the balance of performing hands-on procedures like colonoscopy while also developing long-term relationships with patients to manage chronic diseases. Additionally, advancements in endoscopic techniques and therapeutic interventions make gastroenterology an exciting and evolving specialty!

What advancement in gastroenterology are you most excited about and why?

One of the most exciting advancements in gastroenterology is the development of AI in endoscopy. AI-assisted colonoscopy, particularly for polyp detection and characterization, is improving adenoma detection rates, which can significantly reduce the risk of colorectal cancer.

Additionally, advancements in biologic and targeted therapies for inflammatory bowel disease (IBD) are allowing for more personalized treatment approaches, leading to better disease control and fewer side effects.

Minimally invasive endoscopic procedures, such as endoscopic submucosal dissection (ESD) and endoscopic ultrasound (EUS)-guided interventions, are also transforming the field by reducing the need for surgery in conditions like early-stage GI cancers and pancreatic cysts.

These innovations are making gastroenterology more precise, less invasive, and ultimately improving patient outcomes, which is why I find them so exciting.

What do you enjoy most about your work?

As a lower GI interventional endoscopist, I enjoy the ability to prevent and treat serious conditions using minimally invasive techniques. One of the most rewarding aspects is performing advanced polypectomies, EMR and ESD to remove large or complex polyps, which helps prevent colorectal cancer without the need for surgery.

I also appreciate the precision and problem-solving involved in managing strictures, GI bleeding, and complex colonic lesions. The ability to use advanced tools like full-thickness resection devices (FTRD), endoscopic clips, and suturing techniques to avoid more invasive procedures is both challenging and fulfilling.

Beyond procedures, I value the long-term impact of my work—whether it’s improving surveillance strategies for high-risk patients, managing inflammatory bowel disease (IBD) complications, or contributing to colorectal cancer prevention. The constant evolution of techniques in lower GI endoscopy keeps me engaged and continuously learning, which is another aspect I truly enjoy.

What is the one thing you would change?

One thing I would change about being a gastroenterologist is the increasing burden of administrative tasks, which can take time away from direct patient care! Perhaps AI can help us there!

If I could improve one aspect, it would be streamlining these processes through better integration of technology, AI-assisted documentation, and improved healthcare pathways that prioritize patient access to timely care. This would allow gastroenterologists to focus more on patient interactions, procedural innovations, and advancing the field rather than navigating administrative hurdles.

What’s the best advice you’ve been given in your career?

One of the best pieces of advice I’ve received in my career is:

“Treat the patient, not just the disease.”

In gastroenterology, it’s easy to focus on diagnostic findings—polyp size, endoscopic images, pit pattern—but behind every case is a patient whose quality of life is impacted. This advice has reminded me to look beyond the pathology and consider the individual’s concerns, lifestyle, and goals when making treatment decisions.

Another valuable lesson I’ve learned is:

“Never stop learning.”

Gastroenterology is a rapidly evolving field, with constant advancements in endoscopic techniques, biologic therapies, and AI-driven diagnostics. Staying curious and adaptable has been key to growing as a physician and providing the best care possible.

What does being a BSG member mean to you?

Being a BSG member means being part of a leading community dedicated to advancing gastroenterology through education, research, and clinical excellence.

It offers a platform to collaborate with peers, share knowledge, and contribute to shaping the future of gastroenterology in the UK. Whether through attending BSG conferences, engaging in training programs, or participating in guideline development, being a member reinforces my commitment to continuous learning and improving outcomes for patients with GI disorders.