Experienced with complex tertiary practice – good decision maker and colleague
The ‘gullet’ – lies within the neck and the chest
Anatomy related
Stomach
The storage, mixing and initial digestive site of the upper gastrointestinal tract – lies within the abdomen
Small Bowel
The intestine that is the site of digestion of fats, carbohydrates and protein. Runs from the stomach down to the large bowel.
Duodenum
Uppermost part of the small bowel ie the bowel that the stomach empties into.
Jejunum
The continuation of the small bowel beyond the duodenum.
Ileum
The lowermost part of the small bowel that links the jejunum to the large bowel.
Colon
The large bowel.
Caecum
The first part of the large bowel.
Appendix
Rudimentary small structure arising from the caecum.
Ascending Colon
The colon that typically lies on the right of the abdomen
Transverse Colon
The colon that runs across the uppermost part of the abdomen.
Descending Colon
The colon that descends from the transverse colon down to become the sigmoid colon.
Sigmoid Colon
‘S’ shaped part of the colon that links the descending colon to the rectum.
Rectum
The lowermost part of the large bowel, used to store bowel content before defaecation.
Anus
The aperture at the lower end of the large bowel, contains specialised nerves to help control bowel emptying.
Anal Sphincters
Two muscles that encircle the anal canal. These muscles provide bowel control.
Perineum
The skin and structures near the anal canal and the genitals.
Hepatic
Meaning in relation to the liver.
Pulmonary
Meaning in relation to the lungs.
Pelvic Floor
Term used to refer to the muscular floor of the pelvis and how the urogenital organs and lowermost part of the bowel penetrate this muscular floor.
Pathology
Bowel Cancer
A malignant growth of the large intestine that can spread. You can find extra information and support from any of these sites Beating Bowel Cancer, Cancer Research UK, Macmillan Cancer Support.
Bowel Polyp
A protrusion of the lining of the intestine. Several types exist. Some can go onto form bowel cancer.
Dysplasia
term given to describe how abnormal a polyp is becoming. Low grade dysplasia means that cancer is not imminent. High grade dysplasia means that a polyp might soon become a cancer.
Metastasis
An area of spread of a cancer. The more common sites for a metastasis can include lymph glands, the liver or the lungs.
Stomacare
Jejunostomy
The jejunum is brought out onto the abdominal wall skin as an artificial opening (‘stoma’). For support you can visit IA Support
Ileostomy
The ileum is brought out onto the abdominal wall skin as an artificial opening (‘stoma’). You can find extra support at IA Support
Colostomy
The colon is brought out onto the abdominal wall skin as an artificial opening (‘stoma’).
Stomas can be either temporary or permanent.
Anaesthesia
General Anaesthetic
Patient is fully asleep.
Spinal Anaesthetic
Patient is a awake but numb from the waist down following an injection into the back.
Epidural
An indwelling line placed into the back to aid intra-operative and post-operative pain relief.
Caudal
A type of pain relieving injection placed at the lowermost end of the spine (sometimes usedto relieve pain after anal canal surgery).
‘PCAS’
A patient controlled syringe that delivers small doses of intra-venous morphine on demand.
‘TAP’ Block
Injections of local anaesthetic into both flanks to aid with post-operative pain relief. Sometimes used if an epidural or spinal cannot be sited or is contra-indicated.
Surgery
Laparoscopic
‘keyhole surgery’. Abdominal surgery performed through small cuts and therefore
generally associated with reduced post-operative pain when compared to conventional open
surgery. Surgical Innovations, ALS GBI
Open Surgery
Conventional abdominal surgery performed through either a vertical or a horizontal wound.
Proctology
Surgery to the anal canal and rectum. A ‘proctologist’ is the term for a colorectal surgeon performing such surgery.
Trans-Anal Endoscopic Operating ‘TEO’
Specialised microsurgery performed though the anal canal to remove large rectal polyps or small rectal cancers.
Multi-Disciplinary Team Meetings
Colorectal Cancer MDT Meeting
This weekly meeting involves multiple specialist professionals (colorectal surgeons, radiologists, pathologists, nurse specialists, oncologists, and administrative support staff) who discuss and ultimately agree on the optimal care of a patient with bowel cancer. Leeds has one of the biggest and most all-encompassing cancer MDT meetings in the UK. If you are in need of extra information or support you can go to Beating Bowel Cancer, Cancer Research UK or MacMillan Cancer support.
Inflammatory Bowel Disease MDT Meeting
This weekly meeting involves multiple specialist professionals (colorectal surgeons, gastroenterologists, radiologists, pathologists, nurse specialists, dietitians and administrative support staff) who discuss and ultimately agree on the optimal care of a patient with inflammatory bowel disease. Leeds has a very large and varied case-mix of patients with complex IBD needs. For extra support go to Crohn’s and Colitis UK
Pelvic floor MDT Meeting
This monthly meeting involves multiple specialist professionals (colorectal surgeons, gynaecologists, urologists, radiologists, nurse specialists, and administrative support staff) who discuss and ultimately agree on the optimal care of a patient with complex pelvic floor disorders such as prolapse, incontinence or defaecatory difficulties. Leeds led the development of pelvic floor MDTs.
Liver Resection MDT Meeting
This weekly meeting involves multiple specialist professionals (liver surgeons, radiologists, pathologists, nurse specialists, oncologists, and administrative support staff) who discuss and ultimately agree on the optimal care of a patient with bowel cancer that has
unfortunately spread to the liver. The Leeds’ Liver MDT deals with a very large casemix of relatively straightforward liver resections and much more complex cases turned down by other units. Leeds has the highest resection rate for cases of colorectal liver metastases in the country.
Colleague Appraisal Feedback
Book Your Consultation Today
Ian Botterill holds practices as both Leeds Teaching Hospitals and Spire Healthcare. To book a consultation, please contact his secretary.