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Upper GI

Welcome to Upper GI at Mid Essex Hospital Services


We are the Essex and Suffolk county centre for gastric cancer and the National centre for gastric patients for all of the UK. We are one of the first Upper GI centres to have 3D laparoscopic surgery and we are always looking at new intuitive ways of developing our resources to better our patients treatment.

We are Number 1 in the UK for Gastric pacing and the First UK accredited Upper GI robotic centres, where we now use robots to aid procedures such as Robotic gastric pacing and Robotic Heller's myotomy.


Procedures and services:


Robotic Gastric Pacing


Gastric Pacing is used to treat Gastroparesis which is a chronic gastric motility disorder that affect mostly young and middle-aged women who have symptoms of nausea, abdominal pain, early satiety, vomiting and bloating


Robotic Heller's Myotomy 


Robotic Heller's Myotomy offers achalasia patients several potential benefits over traditional open and laparoscopic surgery, including: Lower risk of esophageal tears, Fewer complications, Safer and more precise.

 

Capsular Endoscopy

This procedure involves ingesting a small M2A Capsule (the size of a large vitamin pill) which will pass naturally through your digestive system while taking pictures of the intestine. The Capsule is disposable and will normally be excreted naturally in your bowel movement. The images taken are transmitted to a walkman-like Data Recorder, which saves all the images. The Data Recorder is attached to a special belt worn around your waist. After 8 hours, you will remove the belt and return it to your physician for processing.


Oesophageal function tests - Manometry and PH Study

The Manometry test is used to check that the nerves and muscles of the oesophagus are functioning correctly. The test also checks to see whether the valve located at the the top of your stomach has the normal amount of pressure on it to open and close correctly.

The PH study allows us to test the amount of acidic stomach contents that may be leaking from the stomach into the oesophegus. These measurements are taken over a 24hour period.


Gastric Function - Gastric PH Study


Complex Laparoscopic Surgery -

Anti-reflux surgery and Giant Para-esophageal hernias.

Anti reflux surgery (also known as fundoplication) is the standard surgical method of treating gastro-oesophageal reflux disease.

Reflux disease is the result of acid refluxing from the stomach back up into the oesophagus. This causes inflammation and pain (heartburn).

 

Anti-reflux surgery is only needed if:

  • Failure to fully control reflux symptoms with adequate doses of medication

  • Side effects of medication (itchy skin, joint pains, diarrhoea and bloating)

  • Desire to be free of long term medication


People with giant paraesophageal hernias can experience several debilitating symptoms:

  • Chest pain
  • Heartburn
  • Pain in the upper middle section of the abdomen (epigastric pain)
  • Difficulty swallowing (dysphagia)
  • Vomiting
  • Low red blood cell count (anemia)

 

 

YOUR TEAM

Whilst you are attending Mid Essex Hospitals a team of Cancer specialists, including doctors and nurses will look after you. Other members of the team you may see during your treatment include dieticians, social workers, research nurses, and palliative care nurses, district nurses, speech and occupational therapists


The Team at Mid Essex Hospitals includes the following:


Consultant Surgeons


Mr Bruno Lorenzi

Mr Sritharan Kadirkamanathan

Mr Naga Venkatesh Jayanthi

Mr Cheuk Bong Tang

Mr Alex Charalampopoulos

 

Consultant Gastroenterologists


Dr Rafal Radzioch

Dr Seth Saverymuttu

Dr Sherif Safwat



Specialist Gastroenterologist


Dr Rakesh Shah

Dr Chirag Oza



Consultant Radiologist

Dr Geoff Pratt

Dr Mahammed Hanif

Dr Nick Railton

Dr Peng Lee



Consultant Oncologists

Professor Saad Tahir

Dr Gopalakrishnan Srinivasan

Dr Abbey Cyriac



Chemotherapy Unit

Matt Riddleston - Lead Cancer nurse

Alison Willliams – Lead Nurse for Surgery

Lisa Villiers- Macmillan Oncology CNS 


Specialist upper GI Dietician


Lisa Oakey


Upper GI Clinical Nurse Specialists


Jennifer Clark

Karen Lloyd-Jones

Irene Mulvihill



Senior Ward Sister


Wendy Kendall

Alison Willliams – Lead Nurse for Surgery



If you have any concerns at anytime please contact a suitable member

of the team.


Contact Details

Consultant SurgeonSecretaries –

01245 514447/ 01245 516621

Upper GI Clinical Nurse Specialists –

01245 515010 / 01245 516856

Ward: A303 Heybridge Ward 

01245 513314 and 01245 513316,

 

YOUR OPERATION

The medical & nursing staff will explain your diagnosis and the care that you will receive.

 

FOLLOW UP ARRANGEMENTS

After your initial treatment you will be seen on a regular basis. At the review clinic your symptoms will be discussed. You will receive an examination and have certain tests. Direct access to the Upper GI nurse between appointments continues as before.

 

SUPPORT & USER GROUPS

Experience has shown that cancer patients and their carers like to meet with other people living with cancer to share their experience and concerns. The diagnosis of cancer brings with it a challenging time for patients, carers, family members and friends. Often it helps to be with others who truly know what you are experiencing. Support and User groups are of benefit to not only to you but also to other cancer patients. Patients run these groups. For Upper GI Cancer Patients, the Essex Oesophago-Gastric Cancer Support Group has been set up to support patients at any stage of their treatment. They meet on a monthly basis and provide support over the telephone. Please contact Robert on 07595202407 for further information.

User group meetings have been established and are held every two months at Broomfield Hospital. For more information on either of these groups please contact:

Lead Cancer Nurse on 01245 514575