Experienced with complex tertiary practice – good decision maker and colleague
The ‘gullet’ – lies within the neck and the chest
The ‘gullet’ – lies within the neck and the chest
The storage, mixing and initial digestive site of the upper gastrointestinal tract – lies within the abdomen
The intestine that is the site of digestion of fats, carbohydrates and protein. Runs from the stomach down to the large bowel.
Uppermost part of the small bowel ie the bowel that the stomach empties into.
The continuation of the small bowel beyond the duodenum.
The lowermost part of the small bowel that links the jejunum to the large bowel.
The large bowel.
The first part of the large bowel.
Rudimentary small structure arising from the caecum.
The colon that typically lies on the right of the abdomen
The colon that runs across the uppermost part of the abdomen.
The colon that descends from the transverse colon down to become the sigmoid colon.
‘S’ shaped part of the colon that links the descending colon to the rectum.
The lowermost part of the large bowel, used to store bowel content before defaecation.
The aperture at the lower end of the large bowel, contains specialised nerves to help control bowel emptying.
Two muscles that encircle the anal canal. These muscles provide bowel control.
The skin and structures near the anal canal and the genitals.
Meaning in relation to the liver.
Meaning in relation to the lungs.
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.
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.
A protrusion of the lining of the intestine. Several types exist. Some can go onto form bowel cancer.
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.
An area of spread of a cancer. The more common sites for a metastasis can include lymph glands, the liver or the lungs.
The jejunum is brought out onto the abdominal wall skin as an artificial opening (‘stoma’). For support you can visit IA Support
The ileum is brought out onto the abdominal wall skin as an artificial opening (‘stoma’). You can find extra support at IA Support
The colon is brought out onto the abdominal wall skin as an artificial opening (‘stoma’).
Stomas can be either temporary or permanent.
Patient is fully asleep.
Patient is a awake but numb from the waist down following an injection into the back.
An indwelling line placed into the back to aid intra-operative and post-operative pain relief.
A type of pain relieving injection placed at the lowermost end of the spine (sometimes usedto relieve pain after anal canal surgery).
A patient controlled syringe that delivers small doses of intra-venous morphine on demand.
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.
‘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
Conventional abdominal surgery performed through either a vertical or a horizontal wound.
Surgery to the anal canal and rectum. A ‘proctologist’ is the term for a colorectal surgeon performing such surgery.
Specialised microsurgery performed though the anal canal to remove large rectal polyps or small rectal cancers.
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.
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
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.
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.
Experienced with complex tertiary practice – good decision maker and colleague
A great colleague all round
He’s very decisive when on call and responds to the needs of his patients at all times. He is supportive of all trainees/juniors.
Patients consistently comment on how well he has communicated with and looked after them
Mr Botterill is an outstanding mentor and surgeon. He is a great trainer and highly regarded by all trainees.
Ian is an outstanding doctor and surgeon
He is an advocate of robust audit reflective practice. He was a great manager.
He is hard working, diligent and sets high standards
He is a colleague to whom you take a difficult case and get very sage advice or if appropriate Ian takes the case on himself
Ian is an outstanding colleague
Ian is an excellent colleague who has the respect of all his medical GI colleagues
Ian is an excellent colleague
An excellent clinician and trainer
Ian is a great colleague. I am always pleased when I am on inpatient duties and he is on-call, as I know he is an excellent opinion and won’t shy away from making difficult decisions.