Upper Gastrointestinal / UGI Cancers

The Trust has facilities to investigate and diagnose Upper Gastrointestinal (UGI) cancers which relate to cancers of oesophagus and stomach – Oesophagagastric (OG) – and cancers of the pancreas, liver and biliary system – Hepatopancreatobiliary (HPB).

The service includes:

  • Radiology, which includes ultrasound scanning, multi slice CT scanners, MRI and facilities for interventional radiology.
  • A full pathology service, which includes chemical pathology, microbiology, histopathology and associated pathology services.
  • Daily endoscopy sessions are held at East Surrey Hospital and Crawley Hospital. There is also access to radiological scanning equipment within the endoscopy suite, which is available for procedures including endoscopic retrograde cholangiopancreatography (ERCPs) and stenting.

 

All new patients with proven and/or suspected UGI malignancy are discussed at the weekly UGI multidisciplinary team meeting, along with patients undergoing specialist investigations and patients whose condition has altered which may results in changes in management. Dr Jonathan Stenner is the Clinical Lead for the UGI MDT.

All patients requiring complex investigations or surgery for OG and HPB cancer are referred to the specialist teams at Royal Surrey County Hospital (RSCH).

  • OG cancers are referred to the specialist team, led by Mr Preston
  • HPB cancers are referred to the specialist team, led by Professor Karanjia

All patients requiring chemotherapy and/or radiotherapy are treated at the St Luke’s Cancer Centre at East Surrey Hospital or at Royal Surrey County Hospital in Guildford, by Dr Cummins.

Follow-up

Follow-up arrangements will depend on the individual patient’s clinical need and circumstances. Clinic attendances will usually alternate between St. Luke’s Cancer Centre and outpatient clinics at Royal Surrey County Hospital, but where possible appointments will be arrange locally at East Surrey or Crawley Hospital.

UGI Macmillan Clinical Nurse Specialists

Shelley Gravatt and Tina Dela Cruz are available Monday to Friday, 8am – 4pm, on 01737 768511 Ext. 6686.  If they are not in the office, please leave a message and they will call you back as soon as possible.

Referrals

All GP Referral Letters, except those referred though the Choose & Book System or Two Week Rule method, should be sent direct to:

Outpatient Booking Office
East Surrey Hospital
Canada Avenue
Redhill, Surrey RH1 5RH

Please do not send these direct to a consultant, medical secretary or any other department. You can of course make the actual outpatient referral letter out to a specific consultant. The Outpatient Booking Office is responsible for processing ALL referrals for outpatient appointments which then initiates the patient’s 18 week RTT status.

Outpatient Referrals made under the Two Week Rule method should be faxed immediately to 01737 231733.