ERCP A long camera inserted via the mouth to investigate the bile ducts. ERCP stands for endoscopic retrograde cholangiopancreatography! It is carried out for the investigation of patients with jaundice or suspicion of bile duct disease. Intravenous sedation and X-Rays are also used during the test. Sometimes biopsies are taken and sometimes treatment can be [...]
Gastroscopy Gastroscopy refers to a long thin camera entering the mouth and examining the gullet, stomach and duodenum. If patients have upper abdominal pains, heartburn or difficulty eating or swallowing then their doctor may recommend a gastroscopy (sometimes called endoscopy). This is a long camera that is inserted down the gullet or oesophagus to look [...]
Colonoscopy and Sigmoidoscopy Colonoscopy and sigmoidoscopy are used to investigate the colon and rectum (large bowel) and to remove polyps. Patients with bowel symptoms such as bleeding, change in bowel habit or abdominal pain may be recommended for sigmoidoscopy or colonoscopy. Sigmoidoscopy is the baby brother to colonoscopy and is a camera test that looks [...]
Bowel or Colorectal Cancer Information about bowel cancer and the new keyhole operations available for selected patients. Bowel cancer is common, especially in the Western World. It is the third most common cancer in the UK. It is also called colon cancer or rectal cancer. The prognosis has been very poor for bowel cancer patients [...]
Colorectal Cancer Follow Up Guidelines Here are the current follow up guidelines for patients in Mr Moore's clinic who have had previous colorectal cancer treatment with curative intent CEA (Carcinoembryonic antigen) tumour marker blood testing Ideally check CEA every 6 months for 3 years and then annually after that until the patient is not [...]
Colon Polyp Follow Up Guidelines Guidelines for post-polypectomy surveillance First ask if the baseline colonoscopy achieved caecal intubation with adequate bowel prep and clearance of all premalignant polyps. Consider site-check for 10-19mm non-pedunculated colorectal polyps without histological confirmation of complete excision. Large (>20mm) non-pedunculated colorectal polyps With histological R0 en bloc excision - One-off surveillance [...]
Anal Cancer Fortunately anal cancer is rare but it can give the exactly same symptoms as piles. Anal cancer is rare, much less common than bowel cancer. The symptoms of anal cancer can be exactly the same as haemorrhoids, often giving bleeding and irritation. If a person has new anal or bowel symptoms that do [...]
Diverticular Disease This common benign condition can cause abdominal pain, change in bowel habit and bleeding out of the anus. Diverticular disease is a very common condition in mature people especially in the Western World. It is thought that people develop diverticular disease because there is not enough bulky moist fibre in their diets. This [...]
Patient experience of diverticular disease One of my patients has kindly written about her experience with complicated diverticular disease for the benefit of others Living with Diverticular Disease - a patient perspective. Five years ago, at the age of 45, it was a shock to be told that I had the bowel of a 70 [...]
Haemorrhoids or Piles Common bulges at the anus that can irritate and bleed. The first and most important thing to say about haemorrhoids is that you should make sure that a qualified doctor has confirmed that this is the correct diagnosis. This is because other much more serious conditions such as anal or rectal cancer [...]
Sussex Surgery is an on-line medical educational resource originally created in 2006 by Mr Etienne Moore, a specialist consultant general surgeon, working in Brighton and Sussex in the South East of England
Mr Etienne Moore Private Secretary
Medserv, Ground Floor, Rockwood House
9-17 Perrymount Road
Haywards Heath, RH16 3DU
01273 929 897
mrmoore@theclinic.co.uk
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