Colorectal

Colorectal services are well established at George Eliot Hospital and provide a full range of services in the management of all colorectal problems . Colorectal cancer management is multi disciplinary and well supported by nurse specialists, radiologists, oncologists, histopathologists, hepatobiliary surgeons, gastroenterologists, dieticians and palliative care specialists.

We provide two week wait access cancer referrals for suspected lower GI cancers and these patients are investigated efficiently and rapidly with support services such as endoscopy and radiology. Patients diagnosed with colorectal cancers have a 24/7 access to colorectal services through our dedicated colorectal nurse specialists.

All four consultant surgeons are accredited for laparoscopic surgery and patients follow an enhanced recovery pathway following surgery.

In addition to this, there is a comprehensive anorectal physiology and endoanal ultrasound service provided by the department. Transanal endoscopic surgery (TEMS) is also performed for suitable cases. Diagnostic endoscopic services are well established and we provide therapeutic services such as advanced polypectomies and endoscopic mucosal resections (EMR), colorectal stent insertions and balloon dilatation for strictures. The endoscopy unit is accredited for screening and colonoscopic screening is routinely performed.

Management of Inflammatory Bowel Disease is also multidisciplinary and combined clinics with gastroenterologists are run on a regular basis.

The unit has a good academic background, participates in national audits and multicentre trials and presents routinely in national and international meetings. The Joint Advisory Group for Endoscopy has awarded the Endoscopy team full accreditation.

Colorectal multidisciplinary team (MDT)

• Includes colorectal clinicians, histopathologists, radiologists, oncologists, gastroenterologist, specialist nurses, hepatobiliary team (via videoconference from University Hospital Coventry) and an MDT coordinator
• All newly diagnosed cancers discussed at weekly MDT meetings
• All of these patients were staged by CT and/or MRI
• Established pathways promote fast and effective diagnosis and treatment

Family Screening Clinic

We offer a clinic for people who are concerned about a family history of colorectal (bowel) cancer.  If you are concerned about your family history then please speak to your GP who can make a referral to us.

It is important to stress that it is rare for colorectal cancers to have a genetic/family link.   At the clinic a specialist nurse will look at your family history of cancer, specifically colorectal cancer.  The age of any affected family members and their relationship to you.  You will be given information on what if any further investigations are required and if necessary we will make on onward referral to the specialist genetic team at Birmingham. It is important that you complete the forms sent to you and bring them to your appointment or send them to the following e-mail address - colorectal@geh.nhs.uk  If the forms are not completed/received we will be unable to complete your appointment.

DO NOT send the forms to Birmingham as they do not accept referrals from non-health professionals.

Further information can be found at

https://www.bowelcanceruk.org.uk/about-bowel-cancer/risk-factors/family-history/ 

https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/inherited-cancer-genes-and-increased-cancer-risk/genetic-testing-for-cancer-risk

• Ano-rectal physiology A pelvic floor disorder treatment
• Colon transit studies A pelvic floor disorder treatment
• Defecation protogram A pelvic floor disorder treatment
• Endo anal ultrasound scans (3D) A pelvic floor disorder treatment
• Enhanced recovery programme - colorectal This is used to promote recovery following laparascopic surgery. Staged recovery is implemented to promote early discharge.
• Ileo-anal pouch surgery - colorecta lIleo-anal pouch surgery is available at the hospital; this is usually only offered in major centres.
• Laparascopic surgery - colorectal Offered to all patients requiring colonic resection (benign and malignant) within the approved guidelines.
• Pelvic floor disorders A range of treatments available.
• PTFE implant A pelvic floor disorder treatment.

Consultants

Mr Bala Piramanayagam Consultant Colorectal & General Surgeon & Clinical Director          

Mr Kalimuthu Marimuthu (Cancer lead)

Other Consultants:

Mr Marimuthu

Mr Bala Piramanayagam

Medical Secretaries

Alison Richards         

Telephone: 02476865365  

Secretary to:

• Mr B Piramanayagam Consultant Colorectal & General Surgeon & Clinical Director
• Mr Marimuthu, Consultant Colorectal & General Surgeon

Nicky Greenway  

Telephone: 02476865111                       

Secretary to:       

• Mr Jadhav Consultant Colorectal & General Surgeon
• Mr Narayanan Consultant Colorectal & General Surgeon

Linda Jebson

Telephone Number: 02476865103             

Secretary to:

• Mr Selvam, Consultant General Surgeon & Clinical Lead

Colorectal Nurse Specialists

Louise Roberts

Jenny Sullivan

Helen McNally

Tel: 02476 153126 / 07717 727572    

Stoma care nurse: Velna Gale

02476865110