Tests & Specialist Treatments I Coordinate
Body scans and Gastrointestinal tests undertaken by my expert colleagues at The Clementine Churchill or St Mark’s Hospitals:
- Ultrasound scan, including endo-anal ultrasound
- Barium meal and follow through
- CT scan, including virtual colonoscopy
- MRI scan and MRCP
- PET CT scan (Mount Vernon Hospital)
- Bone density scan
- Percutaneous biopsy including liver biopsy, often as day case
- PTC and biliary drainage (inpatients only)
- 24 hour oesophageal pH monitoring and oesophageal manometry
- Ano-rectal physiology
- Breath tests –lactose intolerance, bacterial overgrowth, Helicobacter pylori
- Biofeedback therapy for resistant or laxative-dependent constipation
Complex surgery undertaken by my expert colleagues at The Clementine Churchill or St Mark’s Hospitals:
- Peri-anal fistula
- Colectomy
- Construction of ileo-anal pouch following colectomy
- Laparoscopic cholecystectomy and bile duct exploration
- Hiatus hernia surgery including laparoscopic (Nissen’s) fundoplication
- Laparoscopic (Heller’s) myotomy
- Laparoscopic colorectal surgery including treatment of polyps and cancer
Complementary treatments undertaken by my specialist colleagues at The Clementine Churchill or St Mark’s Hospitals:
- Hypnotherapy
- Cognitive behavioural therapy (CBT)
- Clinical Psychology
- Psychotherapy also available at The Tavistock Clinic
Multidisciplinary Team Discussion at St Mark’s Hospital, when required:
Cancer - all cases are discussed with a team of experts from West London Cancer Network, including chemotherapy/radiotherapy specialists (oncologists), surgeons, xray specialists (radiologists), histopathologists, and MacMillan specialist nurses to decide on the best evidence-based treatment tailored to the patient’s own circumstances. Dr Pitcher will introduce your case.
Complex inflammatory bowel disease - all cases are discussed with a team of Gastroenterologists, surgeons, xray specialists and specialist IBD nurses at St Mark’s to decide on the best evidence-based treatment tailored to the patient’s own circumstances. This may include decision-making with reference to the use of biological drugs, Infliximab (Remicade) and Adalimumab (Humira). Dr Pitcher will introduce your case.
Review of scans and xrays performed elsewhere - cases are presented in joint medical and surgical departmental meetings at St Mark’s and can be very helpful in giving a second opinion for difficult cases. Dr Pitcher will introduce your case.