At Home Christian Jessen 2014 - 101

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MEET ThE ExpERT

Mr Anthony Antoniou is a consultant colorectal surgeon

Consultant colorectal
surgeon, Mr Anthony
Antoniou (pictured, left)
is also a joint cancer lead at
St Mark's Hospital in Harrow, London. He
is an honorary senior lecturer at Imperial
College, London and trained in medicine
at Cambridge University. Mr Antoniou
was previously a senior clinical lecturer at

'ColoreCtal
CanCer is the
third most
Common Cause of
CanCer deaths in
the uk. Can it be
prevented? the
answer is yes'
bowel cancer screening programme will make
heavy inroads into improving the survival rates
of this disease. Everyone already knows
that early detection improves the outcome, and
screening strategies are both cost-effective
and achievable. The cardinal signs of bowel
problems can be seen in Warning Signs For
Bowel Disease (right).

Quick recovery

So, what can be done if you have been
diagnosed with colon cancer? The majority of
patients successfully undergo surgery to remove
the affected piece of bowel. The two ends
of the bowel are then joined together. 'Every
single patient I see has an overriding fear that
colorectal cancer means having a "bag". This
is entirely untrue,' says Mr Antoniou. 'I was
involved in a study confirming a national

reduction in the need for a "bag" in surgery.
We have the techniques to reduce this.
Technology has also advanced to the point
where the majority of bowel surgery is performed
laparoscopically (keyhole) resulting in a shorter
stay in hospital and a quicker post-operative
recovery. We have embarked on a drive to
improve survival from bowel cancer and this
will be achieved. I am pleased to be at the
forefront of these crucial advances.'
In clinic, Mr Antoniou is often asked 'So, if I
don't have the big "C", why am I bleeding?'
There are a number of conditions related to the
bowels that can produce dramatic symptoms
and signs that make people fear for the worst.
The majority of outpatient consultations deal
with benign (non cancerous) pathologies. These
are the ones that are often accompanied by
much ridicule and embarrassment!
Rectal bleeding is often caused by haemorrhoids
(piles) or an anal fissure (a tear at the exit of the
bowel). Both of these conditions can be treated
without surgery. If they are resistant to medical
management, then a minor surgical procedure
can be carried out to rectify the problem. Gone
are the days where surgery almost always
resulted in prolonged agony and the fear of
incontinence. In skilled hands, surgery for both
of these conditions is a day case procedure.

Technology and techniques

Diarrhoea, with or without blood, is often
attributed to an inflammatory process of the
bowel. Inflammatory bowel disease can crudely
be divided into Ulcerative Colitis and Crohn's.
Both of these conditions lie at each end of
the spectrum of inflammatory bowel disease
with various indeterminate states in between.
The main stay of treatment is to induce remission
of the inflammation. This is achieved with
medical therapy. Very rarely do people with
inflammatory bowel disease need surgery. If
this is the case, then a normal life can be lead
without the affected segment of bowel.
Surgical techniques to tackle bowel disease
have evolved hand-in-hand with technology.
The advent of laparoscopic surgery has
revolutionised bowel disease treatment. 'This
allows a surgeon, like myself, to carry out the
majority of surgeries minimally invasively to the

The Institute of Cancer Research with an
honorary consultancy at The Royal Marsden,
and Chelsea and Westminster Hospitals.
Mr Antoniou is a specialist in laparoscopic
colorectal and recurrent cancer surgery.
He also has a particular interest in benign
disease. Conducting over 1,000 operations
a year, Mr Antoniou treats local, national
and international patients.

Warning signs
for boWel disease
Seek advice if you have:

* Persistent rectal bleeding
* Change in bowel habit
* Anaemia
* Unexplained weight loss
* Loss of appetite
ultimate benefit of the patient,' says Mr
Antoniou. 'The images that I see on the screen
when performing key-hole surgery can be
compared to watching a high definition movie.
The quality of the picture increases surgical
accuracy, which is translated to beneficial
outcomes for all of my patients.
'With these advances being implemented
and the translation of theory to bedside, I do
believe that one day we will achieve a future
free from the fear of bowel disease. With the
work I'm involved in, this is realistic.'

Looking to the future

Greater awareness and encouragement for
patients to come forward with bowel problems
will lead to a quicker and earlier diagnosis.
The majority of problems do have a rational
explanation and can be dealt with quickly and
easily. 'Bowel surgery no longer carries the
stigma that it used to,' says Mr Antoniou.
'I can now show that outcomes are definitely
improving in expert hands. I'm now realising
that I'm making a difference to the management
of bowel disease. The gratitude of patients
whom I have successfully treated is worth all
my time and effort. For me, this is one of the
most rewarding areas in medicine - improving
people's quality of life.'
So, go on, open up about your bowel issues
and put your fears firmly behind you...

FOR MORE INFORMATION
Call 020 7034 8754.
Email a.antoniou78@btinternet.com
Website www.londongastroclinic.com
Twitter @DrAAntoniou


http://www.londongastroclinic.com

Table of Contents for the Digital Edition of At Home Christian Jessen 2014

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