Sebastian Zeki

Gastroenterology consultant
Guy's and St Thomas' NHS Trust

Biography

Dr Sebastian Zeki is a consultant gastroenterologist at St Thomas' Hospital in London. His research interests include upper gastrointestinal physiology, upper gastrointestinal cancer, natural language programming and quality metrics in endoscopy. He co-leads the Gastroenterology data sciences Institute in London.

Research & Clinical Interests

Education & Qualifications

PhD - Genomics of Barrett's related malignancyUniversity of London, 2013
Member of the Royal College of Physician2006
MSc Health InformaticsCity University, 2003
MBBS MBChir MedicineUniversity College London, 2001
MA in experimental psychologyCambridge University, 1998

Experience

Honorary Senior Clinical Lecturer Oct 2019 – Present
King's College
Research and teaching in gastroenterology data sciences.
Co-head of the Gastroenterology Data Sciences Institute Jan 2017 – Present
Guy's & St Thomas' NHS Trust
Leading the Gastroenterology Data Sciences Institute.
Honorary Senior Clinical Lecturer Jan 2017 – Present
Bart's Cancer Institute
Consultant Gastroenterologist Apr 2015 – Present
Guy's & St Thomas' NHS Trust
Clinical Lecturer Jun 2013 – Apr 2015
Cambridge University: MRC Hutchison
PhD Student Jan 2010 – Jun 2013
Queen Mary University of London
Gastroenterology Registrar Jun 2006 – Jan 2016
North West Thames Training Rotation
Postgraduate Internal Medicine Training Jun 2001 – Jun 2006
London

Grants & Funding

Can clinical decision making in Barrett's oesophagus surveillance be automated? A study using natural language processing gastrointestinal endoscopy reports Sep 2021 – Sep 2024
King's College London
Grant
Use of Machine Learning to automate decision making in Barrett's oesophagus surveillance Sep 2021 – Sep 2022
London and South East Postgraduate Medical and Dental Education
Award
Improving lesion recognition using routinely collected endoscopic and pathology data Oct 2019 – Feb 2021
Health Foundation
Grant
Clonal competition and genetic evolution of Barrett’s Oesophagus Aug 2010 – Aug 2013
British Society of Gastroenterology
Grant

Publications

G Skrupskelyte, JE Rojo Arias, H Ajith, Y Dang, D Rossetti, S Han et al.
Springer Science and Business Media LLC. 2026
Effectiveness and safety of a haemostatic gel in the treatment of intraprocedural bleeding and prevention of delayed bleeding after advanced endoscopic resection of large and complex gastrointestinal neoplasia: a multicentre prospective observational PuraStat study
Htet, Hein Myat Thu, Subramaniam, Sharmila, Parra-Blanco, Adolfo, Saunders, Brian, Suzuki, Noriko, Haji, Amyn et al.
Frontline Gastroenterology. 2026
216 Feasibility of Routine Symptom Monitoring in Oesophago-Gastric Cancer Patients: Looking Toward Routine Postoperative Monitoring
Collum, Kerri-Louise, O’Brien, Catherine, Raj, Kathryn Fiona, Okten, Elif Ilayda, Taylor, Joanna, Evans, Orla et al.
British Journal of Surgery. 2025
ARGENT: Automatic Reference-free Evaluation for Open-Ended Text Generation without Source Inputs
Zhang, Xinyue, Zecevic, Agathe, Zeki, Sebastian, Roberts, Angus
Proceedings of the Fourth Workshop on Generation, Evaluation and Metrics (GEM$^2$). 2025
Development of a symptom response to treatment questionnaire for patients in follow-up after oesophago-gastrectomy for cancer
Chevallay, Mickael, Barman, Sowrav, Moss, Charlotte, Van Hemelrijck, Mieke, Evans, Orla, Taylor, Joanna et al.
Diseases of the Esophagus. 2025
Impact of endoscopic pyloric dilatation on symptom relief in delayed gastric emptying after esophageal resection—use of a novel symptom response questionnaire
Chevallay, Mickael, Barman, Sowrav, Moss, Charlotte, Van Hemelrijck, Mieke, Evans, Orla, Taylor, Joanna et al.
Diseases of the Esophagus. 2025
Improving Barrett’s Oesophagus Surveillance Scheduling with Large Language Models: A Structured Extraction Approach
Zhang, Xinyue, Zecevic, Agathe, Zeki, Sebastian, Roberts, Angus
Proceedings of the 24th Workshop on Biomedical Language Processing. 2025
Oesophageal Physiology Clinical Practice: A Case Study and Literature Review
Miah, Ismail, Wong, Terry, Zeki, Sebastian, Jafari, Jafar
Cureus. 2025
P100 Clinical validation of a novel automated algorithm to detect patients eligible for hepatocellular carcinoma surveillance from clinical letters
Zecevic, Agathe, Manaois, Erycar, Wong, Terry, Wang, Bo, Zeki, Sebastian
. 2025
Prehabilitation of Patients With Oesophageal Malignancy Undergoing Peri-Operative Treatment (Pre-EMPT): Outcomes From a Prospective Controlled Trial
Bott, R, Zylstra, J, Knight, W, Whyte, GP, Lane, AM, Moss, C et al.
Journal of Surgical Oncology. 2025
Validating Impedance/pH Sensors for Measuring Oesophageal Transit: A Study Based on Dysphagia and Barium Swallow
Miah, Ismail, Wong, Terry, Zeki, Sebastian, Jafari, Jafar
Sensors. 2025
Visaggi P, Del Corso G, Baiano Svizzero F, Ghisa M, Bardelli S, Venturini A et al.
The Journal of Allergy and Clinical Immunology: In Practice, 12(4):1008-1016.e1. 2024
Zecevic A, Jackson L, Zhang X, Pavlidis P, Dunn J, Trudgill N et al.
npj Digital Medicine, 7(1). 2024
Visaggi P, Savarino E, Del Corso G, Herlihy N, Ghisa M, Dunn JM et al.
American Journal of Gastroenterology, 120(2):469-472. 2024
Generation and Evaluation of Synthetic Endoscopy Free-Text Reports with Differential Privacy
Zecevic, A., Zhang, X., Zeki, S., Roberts, A.
BioNLP 2024 - 23rd Meeting of the ACL Special Interest Group on Biomedical Natural Language Processing, Proceedings of the Workshop and Shared Tasks
REsolution of Symptoms afTer Oesophago-gastric cancer REsection delphi (RESTOREd)—standardizing the definition, investigation and management of gastrointestinal symptoms and conditions after surgery
Byrne, Ben E, Siaw-Acheampong, Kwabena, Evans, Orla, Taylor, Joanna, Huddy, Fiona, Nilsson, Magnus et al.
British Journal of Surgery. 2024
The Multichannel Intraoesophageal Impedance Transit Concept
Miah, Ismail, Wong, Terry, Zeki, Sebastian, Jafari, Jafar
Cureus. 2024
The optimal duration of pH monitoring: testing the validity of Lyon 2.0 recommendations for wireless pH measurement
Rusu, Radu I, Fox, Mark R, Sweis, Rami, Zeki, Sebastian, Dunn, Jason M, Anggiansah, Angela et al.
Clinical Gastroenterology and Hepatology. 2024
Visaggi P, Del Corso G, Gyawali CP, Ghisa M, Baiano Svizzero F, Stefani Donati D et al.
American Journal of Gastroenterology, 118(5):794-801. 2023
Withey SJ, Owczarczyk K, Grzeda MT, Yip C, Deere H, Green M et al.
European Journal of Surgical Oncology, 49(10):106934. 2023
Zeki SS, Miah I, Visaggi P, Wolak A, deSilva M, Dunn JM et al.
Journal of Neurogastroenterology and Motility, 29(3):335-342. 2023
Meade S, Routledge E, Sharma E, Honap S, Zeki S, Ray S et al.
Frontline Gastroenterology, 14(4):312-318. 2023
Joint Entity and Relation Extraction in Medical Text
Zhang, L.X., Roberts, A., Zeki, S.
CEUR Workshop Proceedings. 2023
Moore JL, Subesinghe M, Santaolalla A, Green M, Deere H, Van Hemelrijck M et al.
European Radiology, 33(5):3647-3659. 2023
Reyhani A, Gimson E, Baker C, Kelly M, Maisey N, Meenan J et al.
Diseases of the Esophagus, 36(10). 2023
Moore JL, Green M, Santaolalla A, Deere H, Evans RP, Elshafie M et al.
Journal of Clinical Oncology, 41(28):4522-4534. 2023
O'Toole S, Moazzez R, Wojewodka G, Zeki S, Jafari J, Hope K et al.
BMJ Open, 13(8):e076661. 2023
Visaggi P, Savarino E, Del Corso G, Hunter H, Baiano Svizzero F, Till SJ et al.
American Journal of Gastroenterology, 118(11):1957-1962. 2023
Zeki S
. 2022
Meade S, Patel KV, Luber RP, O'Hanlon D, Caracostea A, Pavlidis P et al.
Alimentary Pharmacology & Therapeutics, 56(4):646-663. 2022
Moore JL, Davies AR, Santaolalla A, Van Hemelrijck M, Maisey N, Lagergren J et al.
Annals of Surgical Oncology, 29(6):3911-3920. 2022
Moore JL, Kumar S, Santaolalla A, Patel PH, Kapiris M, Van Hemelrijck M et al.
European Journal of Cancer, 163:180-188. 2022
Abujudeh S, Zeki SS, van Lanschot MC, Pusung M, Weaver JM, Li X et al.
BMC Genomics, 23(1). 2022
Pucher PH, Coombes A, Evans O, Taylor J, Moore JL, White A et al.
Supportive Care in Cancer, 30(6):5269-5275. 2022
Luber RP, Petri B, Meade S, Honap S, Zeki S, Gecse KB et al.
Frontline Gastroenterology, 14(1):52-58. 2022
Lim S, Tritto G, Zeki S, DeMartino S
Frontline Gastroenterology, 13(6):509-516. 2022
Dunn JM, Reyhani A, Santaolalla A, Zylstra J, Gimson E, Pennington M et al.
Diseases of the Esophagus, 35(3). 2022
Lim S, Haboubi HN, Anderson SHC, Dawson P, Machado AP, Mangsat E et al.
Frontline Gastroenterology, 13(e1):e65-e71. 2022
Knight WRC, Baker CR, Griffin N, Wulaningsih W, Kelly M, Davies AR et al.
British Journal of Cancer, 124(10):1653-1660. 2021
Sharkey AR, Sah B, Withey SJ, Bhuva S, Neji R, Jeljeli S et al.
European Journal of Hybrid Imaging, 5(1). 2021
O32 Defining normal ranges for 96-hour wireless PH monitoring using healthy controls
Sebastian Zeki
. 2021
OFR-3 Extended wireless pH monitoring increases GERD diagnoses in patients with a normal pH impedance study
Sebastian Zeki
. 2021
P-OGC21 Patient perspectives on symptoms of importance and preferences for follow-up after major upper gastro-intestinal cancer surgery
Sebastian Zeki
British Journal of Surgery. 2021
P126 Phenotypic characterisation of suspected small bowel Crohn�s disease with natural language processing of MRE reports
Sebastian Zeki
. 2021
P229 A novel approach to radiotherapy targeting for oesophageal squamous-cell cancer using lugol�s-solution guided endoclip marking
Sebastian Zeki
. 2021
P230 Prevalence of cervical inlet patch in patients with and without globus
Sebastian Zeki
. 2021
P231 An evaluation of the endoscopic, pathologic and radiologic features of 225 patients with eosinophilic oesophagitis
Sebastian Zeki
. 2021
P237 Accuracy of the PPI test for reflux disease diagnosis: comparison with wireless ph study data
Sebastian Zeki
. 2021
P44 Regular individual feedback on key performance indicators improves polyp and adenoma detection in colonoscopy
Sebastian Zeki
. 2021
PMO-26 Intestinal ultrasound instead of endoscopy: large potential role and cost savings
Sebastian Zeki
. 2021
PTH-35 Out-of-hours dedicated trans-nasal endoscopy service--a model for endoscopy recovery during COVID pandemic
Sebastian Zeki
. 2021
PTH-67 Low rate of post-fundoplication dysphagia in patients with pre-operative oesophageal aperistalsis
Sebastian Zeki
. 2021
PTH-68 Schatzki rings are commonly misdiagnosed in patients with eosinophilic oesophagitis
Sebastian Zeki
. 2021
PTH-69 Short segment non dysplastic Barrett’s is often surveyed too early by non-experts
Sebastian Zeki
. 2021
PTH-76 Use of orodispersible budesonide in the treatment of eosinophilic oesophagitis: a single-centre audit
Sebastian Zeki
. 2021
PTU-4 Prospective validation of the edinburgh dysphagia score in South-east London
Sebastian Zeki
. 2021
Rusu R, Fox MR, Tucker E, Zeki S, Dunn JM, Jafari J et al.
Gut, 70(12):2230-2237. 2021
Bott, R.K., Beckmann, K., Zylstra, J., Wilkinson, M.J., Knight, W.R.C., Baker, C.R. et al.
British Journal of Surgery. 2020
Rahman SA, Walker RC, Lloyd MA, Grace BL, van Boxel GI, Kingma BF et al.
British Journal of Surgery, 107(8):1042-1052. 2020
The effects of COVID-19 on IBD prescribing and service provision in a UK tertiary centre
Sebastian Zeki
GastroHep. 2020
Duits LC, Lao-Sirieix P, Wolf WA, O’Donovan M, Galeano-Dalmau N, Meijer SL et al.
Diseases of the Esophagus, 32(1). 2019
O26 QUALITY OF LIFE FOR ACHALASIA PATIENTS IS THE SAME AFTER PER-ORAL ENDOSCOPIC MYOTOMY (POEM) AND HELLER MYOTOMY
Sebastian Zeki
Diseases of the Esophagus. 2019
OTH-07 Identification of IBD cohorts from linked endoscopy and histology reports using natural language processing
Sebastian Zeki
Gut. 2019
P27 PERORAL ENDOSCOPIC MYOTOMY (POEM) FOR TREATMENT OF ACHALASIA. CLINICAL OUTCOMES OF A SINGLE-CENTER INSTITUTE IN UK
Sebastian Zeki
Diseases of the Esophagus. 2019
Knight WRC, Yip C, Wulaningsih W, Jacques A, Griffin N, Zylstra J et al.
BJS Open, 3(6):767-776. 2019
PTU-047 POEM compares favorably with laparoscopic hellers myotomy as treatment for achalasia
Sebastian Zeki
. 2019
PTU-105 Automated, algorithm based extraction of Barrett�s surveillance metrics from natural language text is reliable
Sebastian Zeki
Gut. 2019
Su1136--Can Peroral Endoscopic Myotomy (POEM) Become the Treatment of Choice for Achalasia? Results of a Singlecenter Institute in UK
Sebastian Zeki
Gastroenterology. 2019
Transcriptomic profiling reveals three molecular phenotypes of adenocarcinoma at the gastroesophageal junction
Sebastian Zeki
International journal of cancer. 2019
S Zeki S
Journal of Open Source Software, 3(24):701. 2018
Noorani A, Goddard M, Crawte J, Alexandrov LB, Secrier M, Eldridge MD et al.
SSRN Electronic Journal. 2018
Zeki S, Bergman J, Dunn J
Best Practice & Research Clinical Gastroenterology, 36-37:27-36. 2018
Davies AR, Myoteri D, Zylstra J, Baker CR, Wulaningsih W, Van Hemelrijck M et al.
British Journal of Surgery, 105(12):1639-1649. 2018
Hunter H, Pupinyte K, Wong T, Zeki S, Dunn JM, Toner E et al.
Clinical & Experimental Allergy, 48(12):1752-1756. 2018
OTU-013 Outcomes of 360 HALO express radio-frequency ablation for barrett�s oesophagus related neoplasia
Sebastian Zeki
. 2018
OWE-031 Oesophageal aperistalsis is under investigated in those without achalasia or reflux
Sebastian Zeki
. 2018
PTH-024 Risk factors for bleeding during endoscopic resection for visible lesions in barrett�s oeosphagus
Sebastian Zeki
. 2018
PTH-128 Bravo wireless PH monitoring can save time when investigating patients with eosinophilic oesophagitis
Sebastian Zeki
. 2018
PTU-144 Removal of normal and negative phrases from endoscopic semi-structured text for accurate automated endoscopic audit
Sebastian Zeki
. 2018
Tu1124-Risk Factors for Bleeding During Endoscopic Resection for Visible Lesions in Barrett's Esophagus
Sebastian Zeki
Gastroenterology. 2018
A comparative analysis of whole genome sequencing of esophageal adenocarcinoma pre-and post-chemotherapy
Sebastian Zeki
Genome research. 2017
Experienced endoscopists improve Barrett's surveillance outcomes independently of time allocation Reply
Sebastian Zeki
ENDOSCOPY. 2017
Zeki S, Ooi J, Wilson P, Walker G, Blaker P, DeMartino S et al.
Endoscopy, 49(11):1115-1115. 2017
Digby-Bell J, Zeki S
BMJ Case Reports, 2017:bcr-2017-221959
Pusung M, Zeki S, Fitzgerald R
Advances in Experimental Medicine and Biology. 2016
54 evaluation of a minimally-invasive cytosponge esophageal cell collection system in patients with Barrett's esophagus
Sebastian Zeki
Gastroenterology. 2015
Zeki S, Fitzgerald RC
Best Practice & Research Clinical Gastroenterology, 29(1):113-124. 2015
Weaver JMJ, Ross-Innes CS, Shannon N, Lynch AG, Forshew T, Barbera M et al.
Nature Genetics, 46(8):837-843. 2014
Zeki SS
World Journal of Gastroenterology, 20(15):4453. 2014
Zeki S, Fitzgerald RC
Clinical Medicine, 14(6):s78-s83. 2014
Lavery DL, Nicholson AM, Poulsom R, Jeffery R, Hussain A, Gay LJ et al.
Gut, 63(12):1854-1863. 2014
Clonal Interactions in Barrett�s Carcinogenesis.
Sebastian Zeki
. 2013
Zeki SS, Haidry R, Graham TA, Rodriguez-Justo M, Novelli M, Hoare J et al.
American Journal of Gastroenterology, 108(10):1584-1592. 2013
Khan S, McDonald SA, Wright NA, Graham TA, Odze RD, Rodriguez‐Justo M et al.
The Journal of Pathology, 231(1):98-104. 2013
Mo1859 Senescent Barrett's Epithelium Causes Proliferation of Neighbouring Non Senescent Epithelium by Paracrine Signalling
Sebastian Zeki
Gastroenterology. 2013
Mo1623 Barretts Related Adenocarcinomas Arise as a Monoclonal Outgrowth From Polyclonal Dysplasia
Sebastian Zeki
Gastroenterology. 2012
Zeki S, Nightingale JM
Clinical Nutrition, 31(3):430. 2012
Tu1116 Recurrence After Radiofrequency Ablation for Barretts Related High Grade Dysplasia is Due to Persistence of Epithelial Mutations
Sebastian Zeki
Gastroenterology. 2012
Zeki S, Graham TA, McDonald SAC
Methods in Molecular Biology. 2012
Field cancerization in Barrett's esophagus.
Zeki, S.S., McDonald, S.A., Graham, T.A.
Discovery medicine. 2011
Zeki S, Culkin A, Gabe SM, Nightingale JM
Clinical Nutrition, 30(3):365-368. 2011
Zeki SS, Graham TA, Wright NA
Nature Reviews Gastroenterology & Hepatology, 8(2):90-100. 2011
A deceptive magnetic resonance cholangiopancreatogram?
Sebastian Zeki
Grand Rounds. 2010
T1322 Colectomy Rates for Patients Treated for CMV Disease in the Context of Ulcerative Colitis do Not Differ From Those Who are Not Treated for CMV Disease
Sebastian Zeki
Gastroenterology. 2010
Zeki S, Catnach S, King A, Hallan R
World Journal of Gastroenterology, 15(7):877. 2009
Williams HRT, Cox IJ, Walker DG, North BV, Patel VM, Marshall SE et al.
The American Journal of Gastroenterology, 104(6):1435-1444. 2009
Williams HRT, Cox IJ, Walker DG, North BV, Patel VM, Marshall SE et al.
The American Journal of Gastroenterology, 104(7):1894-1894. 2009
Phillips A, Bassett P, Zeki S, Newman S, Pasvol G
Clinical Infectious Diseases, 48(7):871-878. 2009
S1180 Crohn's Disease Is Associated with a Specific Urinary Metabolic Profile
Sebastian Zeki
Gastroenterology. 2008

Talks & Presentations

IBS for general practice- how to approach, how to help and how to treat Jun 2030
Natural language processing of endoscopic and pathological text Jun 2030

Educational RoleI contribute across the KCL–GSTT academic pathway: undergraduate, postgraduate, and faculty development.

## Undergraduate (KCL MBBS).

  • Gastroenterology Small-Group Teaching Block (2016 to present),
  • Delivering teaching bedside and through lectures ~25 students annually.
  • Supervisor for scholarly project module 2025/6 Shan Lee “Is severe ineffective oesophageal motility at high resolution manometry related to gastro oesophageal reflux disease on impedance testing” Pierfrancesco Visaggi (June 2018 67(Suppl 1):A210.1-A210 DOI:10.1136/gutjnl-2018-BSGAbstracts.419 : “Oesophageal aperistalsis is under investigated in those without achalasia or reflux“ - oral presentation at British Society of Gastroenterology

## Postgraduate:

  • Created innovative single subject per page online learning materials (www.gastroenteroloybook.com) with interactive multiple choice questions to improve Specialty Certificate Examination performance.
  • Publication of MRCP book (Zeki S. The Illustrated MRCP PACES Primer. Abingdon: Radcliffe Publishing; 2009. doi:10.1201/9780429091254) to help OSCE preparation for exams
  • Development of gastroenterology data science online teaching materials including full code examples to help manipulate large data sets using R (https://sebastiz.github.io/gastrodatascience//index.html)
  • Endoscopy trainer
  • Educational Supervisor Guy’s and St Thomas’ NHS Trust.

## Supervision & mentoring.

  • Primary/secondary supervisor for 2 PhD candidates (topics: NLP for endoscopy):
  • One PhD completion to date: Zhang X. Automating Surveillance Timing for Barrett’s Oesophagus: An Information Extraction Approach Using Natural Language Processing [Doctoral thesis]. London: King’s College London; 2026.
  • Current primary PhD Supervisor for a second PhD : PhD supervision via the DRIVE Health programme (Agathe Zecevic “Development and deployment of a single unified natural language model for the supervised and automated prediction of follow up for precancerous GI conditions.”) (DRIVE- Health Programme)- Topol Digital Fellow

## Educational innovation.

  • Designed an “Introduction to Clinical NLP for Gastroenterologists” workshop (hands-on notebooks using de-identified endoscopy text) now adopted by <N> deanery study days; satisfaction 4.<x>/5.
  • Website for NLP in gastroenterology

## Training & standards.

  • JAG trainer and DOPS assessor;
  • Performance optimisation done with EndoMineR.
  • Contribution to Nocgca submission as national audit.
  • Development of automated adenoma detection rates for colonoscopy with demonstration (Regular feedback to individual endoscopists is associated with improved adenoma detection rate and other key performance indicators for colonoscopy.Lim S, Tritto G, Zeki S, DeMartino S.Frontline Gastroenterol. 2022 May 6;13(6):509-516. doi: 10.1136/flgastro-2022-102091. eCollection 2022)