Colorectal services

Colorectal services are involved in the assessment, diagnosis and treatment of disorders of the bowel; the colon, rectum and anus. We have a multidisciplinary team approach enabling us to provide patients with the expert care they need.

Lincoln County Hospital

We diagnose and treat patients with a variety of bowel disorders including cancer of the colon, rectum and anus, inflammatory bowel diseases (Crohns and ulcerative colitis), diverticular disease and people who suffer with faecal incontinence or a prolapse. We also provide services for the diagnosis and treatment of haemorrhoids (piles), fissures and fistulas.

The colorectal team is made up of the following professionals:

  • Colorectal surgeons
  • Gastroenterologists
  • Oncologists – for patient who have bowel cancer
  • Radiologists
  • Histopathologists
  • Specialist nurses – e.g. bowel screening nurses, nurse endoscopists, colorectal and stoma nurses, inflammatory bowel nurses and Macmillan nurses
  • Research staff
  • Cancer tracking staff and administration support staff.

Many diagnostic tests and some treatments are carried out on an outpatient basis or as a day case. More complex treatments require an inpatient stay and may also involve a period of time in our intensive care (ICU) or high dependency unit (HDU).

We have an established enhanced recovery programme for our elective patients undergoing major bowel resection surgery.

A number of services are available across the Trust sites with the oncology unit being based at Lincoln County Hospital.

We want our patients to be healthy and be able to maintain and achieve the highest quality of life possible. Minimally invasive surgical treatments, quality diagnostic equipment and a dedicated team approach help provide high-quality, cost-effective medical care with dignity and compassion.

Consultant surgeons

  • Mr. A. Barlow
  • Mr. N. Khan
  • Mr. S. Pillai
  • Mr. A. Shukla – multidisciplinary team lead
  • Mr S Thomas – who also operates at Grantham and District Hospital

Contacting the colorectal surgeons

You can contact the consultant surgeons via their secretaries through the hospital switchboard (01522 512 512) and ask the operator to put you through to the relevant consultant’s secretary.

Colorectal and stoma nurse specialist team

  • Jocelyn Fitzgerald, lead colorectal clinical nurse specialist
  • Helen Walker, colorectal clinical nurse specialist
  • Emma Taylor, colorectal nurse (part time)
  • Alison Smith, colorectal nurse (part time)
  • Myfanwy Green, colorectal nurse (part time)
  • Janice McNamara, admin support (part time)

Our nursing team offer support and care for patients undergoing bowel surgery. For patients who have a diagnosis of bowel cancer we act as the key worker, a point of contact and information source. When you have been told of a possible cancer diagnosis you may need to undergo several tests and investigations, if you have any queries or want to clarify information about what is happening you can contact the colorectal nursing team on the number below. If we do not know the answer to your query we will contact the necessary people and get back to you with the information you require.

Many of our patients may need to have a stoma (colostomy , ileostomy or urostomy for example) formed as part of their treatment. We teach people, and their carers if needed, how to look after the stoma and also offer support services after discharge from the hospital.

Contacting the colorectal / stoma nursing team

We work Monday to Friday, 8am to 5pm and can be contacted on 01522 573776. If we are not in the office there is an answering message facility and we pick messages up throughout the day in between seeing our patients. We are based in clinic 6.

Outpatients department

We also offer limited cover on Saturdays and Sundays on the wards mainly teaching people how to care for their stoma (8am – 3.30pm) and can be contacted via the hospital switch board on 01522 512512 and ask the switchboard operator to bleep the colorectal/stoma nurse. You can also contact us via email stomacare.nurses@ulh.nhs.uk.

Local ileostomy support group

The Ileostomy Association (IA) is a local patient support group for patients with an ileostomy.
Contact: Paul Pyrah (secretary)
Tel : 01522 820154
Email: paulpyrah@lincolnshireia.com

Pilgrim Hospital, Boston

The colorectal surgery department at Boston offers minimally invasive surgery for bowel cancer and other benign conditions affecting the bowel. It also offers the most up to date treatments for proctology conditions like haemorrhoids and fistulas, apart from general surgery conditions like hernias and gallstones.

The colorectal team consists of four laparoscopic surgeons Mr Milind Rao, Mr Munir Rathore, Mr Zakir K Mohamed and Mr Athula Tennakoon, offering minimally invasive surgery for bowel cancer. The team also has a specialist interest in managing inflammatory bowel disease, pelvic floor dysfunctions like incontinence and constipation and offer state of the art single port surgery and laparo-endoscopic surgery for selected patients. Pilgrim was the first hospital in the East Midlands to offer single port bowel surgery.

Proctology conditions like haemorrhoids and fissures are dealt with using the latest technology including doppler guided surgery and botox injection respectively. The team also deal with routine general surgical conditions like gallstones and hernia, offering laparoscopic surgery routinely.

Mr Rao leads the colorectal cancer multi-disciplinary team and bowel cancer screening is offered and led by Mr Grzegorz Ortonowski.

The consultants work closely with the colorectal/stoma specialist nurses Mrs Sally Nightingale, Mrs Debra Pycock, Mrs Sarah Hill and Mrs Michelle Allbrook. They offer support to all patients and their families requiring colorectal surgery. Nurse-led cancer follow-ups and stoma review clinics are held regularly at Pilgrim Hospital and monthly at Skegness or Spalding. Appointments are required at all clinics.

Consultants