Upper Gastro-Intestinal (GI) Surgery
Our Upper Gastro-Intestinal (UGI) Surgery Service cares for patients who need specialist Oesophageal and Gastric (stomach) Surgery.
As a regional service we support patients from across a wide area and receive referrals from other hospitals.
We routinely treat a wide range of conditions including Oesophageal and Gastric Cancers, Gastro-Oesophageal eflux conditions, Gastro-Intestinal Stromal Tumours (GIST), hiatus hernias, achalasia and Barrett’s oesophagus.
We work closely with our colleagues in the Oesophago-Gastric Cancer multi-disciplinary team which includes consultant surgeons, oncologists, pathologists, gastroenterologists and radiologists, as well as nurse specialists, dieticians, endoscopists and many others.
We are the second largest Oesophago-Gastric Cancer centre in the country and we are heavily involved in teaching, research, and innovation.
What we treat
We treat a wide range of conditions, including:
Upper GI sub-speciality
- Gastro-Oesophageal Reflux Surgery – 'Nissen'
- Symptomatic Hiatus Hernia
- Pharyngeal or Oesophageal Diverticulae/pouch
- Achalasia – Laparoscopic or Endoscopic Treatment ('Heller’s'; 'POEM')
- Ruptured Oesophagus
- Cancer of the Oesophagus (gullet) and stomach
- Complications of gastric or duodenal ulcers
- Gallstone Disease – 'laparoscopic cholecystectomy'
- Bowel problems (small and large bowel)
- Feeding tubes
- Hernias – groin and abdominal wall
Winifred 2 is a 22-bed general surgical ward and the base ward for all the upper GI surgeons. It is home to all patients who need surgery for an oesophago-gastric cancer and the skilled nursing staff on the ward are able to look after patients following major surgery, including those who need feeding via their veins (TPN) and those with a tracheostomy.
Visiting times are 2.30pm to 8.30pm every day and visits outside these hours should be agreed in advance with the nurse in charge. There is a limit of two visitors per patient at any one time to ensure staff can support patients safely.
We do not allow fresh flowers on the ward as these can trigger hayfever and asthma in some patients and encourage bacterial growth.
Ward sister: Kate Bellfield
Deputy ward sisters: Mel Roche, Rejohn Semillano and Lily Acquah
Tel: 0115 969 1169
If you are calling to check when a patient is likely to be discharged, it is best to call after 9.30am when the ward rounds have been completed.
We use patient information leaflets from EIDO (a company specialising in information for informed consent), which are regularly updated and written in clear English.
When you are advised to have an operation you will be given specific, high quality patient information including diagrams, details of the risks and benefits, alternatives to the operation and post-operative expectations to help you decide whether to go ahead with surgery or not.
The examples below are short versions, but you will be given the full document appropriate for you when you see us.
- Open inguinal hernia (male)
- Paraumbilical and umbilical hernia
- Femoral hernia
- Open incisional hernia
- Epigastric hernia
- Open inguinal hernia (female)
- Laparoscopic inguinal hernia
Upper GI surgery
We welcome referrals from senior doctors at other hospitals for patients with upper GI problems, for an opinion or treatment.
We provide an upper GI emergency service for problems such as:
- Proven perforated oesophagus (either on CT, contrast swallow or endoscopy)
- Anastomosis leak after oesophagectomy
- Strangulated hiatus hernia.
Please call the switchboard at City Hospital (0115 969 1169), which holds the on-call UGI consultant rota.