Summary
Overview
Work history
Education
Skills
Career Highlights
Languages
References
Leadership Roles
Research
Teaching
Course Organisation
Presentations
Quality Improvement & Clinical Audit
Service Development
Selected Professional Development
Timeline
Generic
Arthur Emanuel Cotton

Arthur Emanuel Cotton

Evesham

Summary

Senior Upper GI and Bariatric Surgery Registrar with international fellowship experience in advanced bariatric surgery and a proven track record in clinical leadership, education, research and service improvement. Experienced in complex upper gastrointestinal surgery, multidisciplinary working and surgical training, with publications in high-impact journals and a strong commitment to delivering safe, evidence-based, patient-centred care. Seeking to contribute as a consultant surgeon through clinical excellence, innovation, education and collaborative research.

Overview

12
12
years of professional experience
6
6
years of post-secondary education

Work history

ST8 - Oesophagogastric Surgery

Bristol Royal Infirmary
Bristol, Bristol
2025.10 - Current

Senior registrar within a regional tertiary oesophagogastric centre specialising in the management of upper gastrointestinal malignancy and complex benign Upper GI pathology. Extensive experience in multidisciplinary cancer care, advanced minimally invasive surgery, peri-operative optimisation and the management of high-risk surgical patients. Active role in registrar education, departmental leadership, research and quality improvement in preparation for consultant practice.

ST7 - Upper GI Surgery

North Bristol NHS Trust
Bristol, Bristol
2024.10 - 2025.10

Working within a high-volume bariatric centre and trauma becoming proficient in managing bariatric disease, complications as well as gaining experience in trauma surgery

ST6 - Colorectal & Upper GI Surgery

Gloucestershire Hospitals NHS Foundation Trust
Gloucester, Gloucestershire
2023.11 - 2024.10

OOPE Fellowship - Bariatric & General Surgery

Hôpital Riviera Chablais
Rennaz, Switzerland, Vaud
2022.11 - 2023.11

Completed a high-volume international fellowship in advanced bariatric and minimally invasive upper gastrointestinal surgery under the supervision of internationally recognised bariatric surgeons. Gained extensive experience in sleeve gastrectomy, Roux-en-Y gastric bypass. Developed greater operative independence while working within a different healthcare system, language and multidisciplinary team.

ST5 - Upper GI & Colorectal Surgery

North Bristol NHS Trust
Bristol, Bristol
2021.10 - 2022.10

ST4

Great Western Hospital
Swindon, Wiltshire
2020.10 - 2021.10

Emergency General Surgery (COVID-19)

Gloucestershire Hospitals NHS Foundation Trust
Gloucester, Gloucestershire
2020.04 - 2020.10

ST4 - Vascular Surgery

Gloucestershire Hospitals NHS Foundation Trust
Gloucester, Gloucestershire
2019.10 - 2020.04

ST3 - Breast Surgery

North Bristol NHS Trust
Bristol, Bristol
2019.04 - 2019.10

ST3 - Colorectal Surgery

Gloucestershire Hospitals NHS Foundation Trust
Cheltenham, Gloucestershire
2018.10 - 2019.04

Foundation Programme

Guy's & St Thomas' NHS Foundation Trust
London
2014.08 - 2016.08

General Surgery, Acute Medicine, General Practice, Trauma & Orthopaedics and Breast Surgery.

Core Surgical Training

Gloucestershire Hospitals NHS Foundation Trust
Cheltenham & Gloucester, Gloucestershire
2016.08 - 2018.08

Colorectal, Upper GI Surgery, Vascular & Urology

Education

Fellow of the Royal College of Surgeons -

Royal College of Surgeons of England
London
2026.02 -

Member of the Royal College of Surgeons -

Royal College of Surgeons of England
London
2018.01 -

Bachelor of Medicine, Bachelor of Surgery -

Brighton & Sussex Medical School
Brighton
2008.09 - 2014.06

Bachelor of Science - Anatomy, Developmental & Human Biology with Biomedical Sciences

King's College London
London

Skills

  • Oesophagogastric Cancer surgery
  • Benign Upper GI Surgery (including laparoscopic hiatal surgery)
  • Sleeve Gastrectomy/Roux-en-Y gastric bypass/ OAGB
  • Elective & Emergency Cholecystectomy (including Robotic DaVinci Xi)
  • Trans-cystic CBD Clearance
  • Emergency General Surgery
  • Upper GI Endoscopy

Career Highlights

International Bariatric Fellowship (Switzerland)

✓ Senior Upper GI Registrar in tertiary centres (Southmead & BRI)

✓ 11 peer-reviewed publications

✓ Publications in The Lancet, Gut & Journal of Clinical Oncology

✓ Organiser of national surgical education courses

✓ 10 quality improvement projects

✓ Extensive undergraduate & postgraduate teaching

✓ Leadership roles including rota management and service development

Languages

French
Advanced (C1)
Ndebele
Upper intermediate (B2)

References

References available upon request.

Leadership Roles

Rota Manager

Hospital GIRFT Lead

Surgical Outreach Programme Lead

Research

Original Research Conference Abstracts

11 peer-reviewed publications

5 international collaborative studies

Publications in The Lancet, Gut, Journal of Clinical Oncology, BJS, Colorectal Disease and Endoscopy

Illustration Editor, Primary Surgery (Second Edition) with > 1 million copies distributed

Cotton AE , [co-authors]. EUS-guided modification of surgical anatomy (from Roux-en-Y gastrectomy to Billroth II-like anatomy) for endoscopic treatment of malignant biliary stenosis. Endoscopic E-Videos. 2023. (Second author)

COVIDPan Collaborative. SARS-CoV-2 infection in acute pancreatitis increases disease severity and 30-day mortality. Gut. 2021. (Collaborator)

COVIDSurg Collaborative. Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: an international multicentre comparative cohort study. Journal of Clinical Oncology. 2020. (Collaborator)

COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. The Lancet. 2020. (Collaborator)

West Midlands Research Collaborative. Appendicitis risk prediction models in children presenting with right iliac fossa pain (RIFT study): a prospective multicentre validation study. The Lancet Child & Adolescent Health. 2020. (Collaborator)

West Midlands Research Collaborative. Evaluation of appendicitis risk prediction models in adults with suspected appendicitis. British Journal of Surgery. 2019. (Collaborator)

EuroSurg Collaborative. Body mass index and complications following major gastrointestinal surgery: a prospective international cohort study and systematic review. Colorectal Disease. 2018. (Collaborator)

ASiT/BOTA Lost Tribe Collaborative. Early years postgraduate surgical training programmes in the UK are failing to meet national quality standards: an analysis from the ASiT/BOTA Lost Tribe prospective cohort study of 2,569 surgical trainees. International Journal of Surgery. 2017. (Collaborator)

Cotton AE , [co-author]. The case of the ruptured kidney: a rare presentation of retroperitoneal fibrosis. International Journal of Surgery. 2017. (Conference abstract)

Books

Cotton AE. Illustration Editor. Primary Surgery – Volume One: Non-Trauma (Second Edition). Global HELP Organisation; 2016. ISBN 978-1-60189-162-4.

Teaching

Undergraduate

- Bedside Teaching

- Simulation

- Clinical Skills

Postgraduate

- Foundation Teaching Programme

- Core Surgical Training Interviews

- ST3 Interview Course

- ST3 Boot Camp

- Regional Teaching

Educational Leadership

- Organised national surgical courses

- Surgical Outreach for Schools

Course Organisation

National Course focussing on Core Skills in Urology

14 delegates

7 faculty

Presentations

International Regional

Surgical Outreach for Schools
Poster Presentation – Association of Surgeons in Training International Surgical Conference, Birmingham, UK (2020)

The Case of the Ruptured Kidney: A Rare Presentation of Retroperitoneal Fibrosis
Poster Presentation – Association of Surgeons in Training International Surgical Conference, Bournemouth, UK (2017)

Surgery in the "Second World" – Third World Pathology, First World Healthcare
Poster Presentation – Multidisciplinary Extreme Affordability: Innovative Solutions for Surgical Care, Salt Lake City, Utah, USA (2013)

Post Standard EVAR Surveillance Protocol
Oral Presentation – Regional Vascular Meeting (2020)

Why Choose Surgery?
Invited Oral Presentation – Regional Teaching Event, Health Education England (2016)

Quality Improvement & Clinical Audit

  • 10 quality improvement and clinical audit projects
  • 7 led as principal investigator/project lead
  • 7 completed closed-loop
  • Trust-wide, regional and national projects

Areas including patient safety, VTE prevention, imaging governance and antimicrobial stewardship

Service Development

Surgical Site Infection Audit

Educational Programmes

Surgical school Outreach

Selected Professional Development

Upper GI / Bariatric Surgery Surgical Education Resuscitation / Trauma

Leadership & Management

  • Leadership & Management (New/Aspiring Consultants), First Thought Training (2022)
  • Consultant Interview Skills, First Thought Training (2022)
  • Making a Business Case, First Thought Training (2022)
  • Advanced Laparoscopic, bariatric & Hernia Course (Davos, Switzerland)
  • Emergency Abdominal Surgery Course (RCSI)
  • Endoscopic Non-Technical Skills (JAG)
  • Care of the Critically Ill Surgical Patient (CCrISP)
  • Training the Trainers (Royal College of Surgeons of England)
  • European Trauma Course
  • Advanced Trauma Life Support (ATLS)
  • Advanced Life Support (ALS)

Timeline

Fellow of the Royal College of Surgeons -

Royal College of Surgeons of England
2026.02 -

ST8 - Oesophagogastric Surgery

Bristol Royal Infirmary
2025.10 - Current

ST7 - Upper GI Surgery

North Bristol NHS Trust
2024.10 - 2025.10

ST6 - Colorectal & Upper GI Surgery

Gloucestershire Hospitals NHS Foundation Trust
2023.11 - 2024.10

OOPE Fellowship - Bariatric & General Surgery

Hôpital Riviera Chablais
2022.11 - 2023.11

ST5 - Upper GI & Colorectal Surgery

North Bristol NHS Trust
2021.10 - 2022.10

ST4

Great Western Hospital
2020.10 - 2021.10

Emergency General Surgery (COVID-19)

Gloucestershire Hospitals NHS Foundation Trust
2020.04 - 2020.10

ST4 - Vascular Surgery

Gloucestershire Hospitals NHS Foundation Trust
2019.10 - 2020.04

ST3 - Breast Surgery

North Bristol NHS Trust
2019.04 - 2019.10

ST3 - Colorectal Surgery

Gloucestershire Hospitals NHS Foundation Trust
2018.10 - 2019.04

Member of the Royal College of Surgeons -

Royal College of Surgeons of England
2018.01 -

Core Surgical Training

Gloucestershire Hospitals NHS Foundation Trust
2016.08 - 2018.08

Foundation Programme

Guy's & St Thomas' NHS Foundation Trust
2014.08 - 2016.08

Bachelor of Medicine, Bachelor of Surgery -

Brighton & Sussex Medical School
2008.09 - 2014.06

Bachelor of Science - Anatomy, Developmental & Human Biology with Biomedical Sciences

King's College London
Arthur Emanuel Cotton