Source · Prevention of Future Deaths

Glen Jay

Ref: 2026-0325 Date: 10 May 2026 Coroner: Jyoti Gill Area: Essex 1 response identified · 1 indexed addressee View PDF

AI-generated concerns summaryThe coroner notes that other clinics may offer Preoperative Progressive Pneumoperitoneum (PPP) to patients with a history of adhesional small bowel obstruction (ASBO), a practice a Trust now contraindicates due to the risk of inducing obstruction.

Date 10 May 2026
56-day deadline 25 May 2026 stated in the report
Responses identified 1 of 1

Coroner's concerns

AI summary
The coroner notes that other clinics may offer Preoperative Progressive Pneumoperitoneum (PPP) to patients with a history of adhesional small bowel obstruction (ASBO), a practice a Trust now contraindicates due to the risk of inducing obstruction.
View full coroner's concerns
There are other clinics nationally who may be offering patients Preoperative Progressive Pneumoperitoneum (PPP) to patients who have a history of  adhesional small bowel obstruction (ASBO). Mid & South Essex NHS  Foundation Trust have updated their protocol to include a prior history of  recurrent ASBO, as a contraindication to PPP. This is because it can induce ASBO due to stretching of any intra-abdominal or hernia sac adhesions and consequent obstruction of involved loops of small bowel.

Responses

1 respondent

NHS England

NHS / Health Body
PDF
AI-classified response stance Action Planned
AI-generated response summary

NHS England has developed a series of warnings and recommendations for Preoperative Progressive Pneumoperitoneum (PPP) in England, which it plans to disseminate nationally with the British Hernia Society. These include developing formal policies, mandatory MDT discussions for all PPP patients, and specific safety considerations for local protocols.

Report sections

Investigation and inquest
On 14 March 2025 an investigation into the death of Glen Edward Robert Jay  commenced. The investigation concluded at the end of the inquest on 27 February  2026. The conclusion of the inquest was a narrative conclusion which stated that Glen Edward Robert Jay died of complications arising from a necessary surgical procedure.
Circumstances of the death
Glen Edward Robert Jay was admitted to Broomfield Hospital on 10 February 2025 as  part of planned preoperative preparation for abdominal wall reconstruction. Mr Jay had a history of adhesional small bowel obstruction. During this admission an emergency  laparotomy was performed to address a small bowel obstruction with suspected  associated ischaemia and a further resection of the bowel followed by an anastomosis  and an abdominal wall closure. Mr Jay was admitted to the intensive care unit on 24  February 2026. Following surgery on 26 February 2026 Mr Jay did not regain  consciousness and his condition deteriorated following severe  sepsis. Sadly, Mr Jay died at Broomfield Hospital (Heybridge Ward) on 8 March 2025.

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Report details

Reference
2026-0325
Date of report
10 May 2026
Coroner
Jyoti Gill
Coroner area
Essex

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 25 May 2026 (stated in the report).

Sent to

NHS England

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