Intestinal Failure Service 

The Intestinal Failure (IF) Service at UCH is a multidisciplinary service managing the complex needs of patients with gastrointestinal fistulas. The team includes consultant surgeons, anaesthetists, radiologists and nutritional gastroenterologists, as well as specialist nurses with expertise in this area. At UCH we aim to assess patients referred to us quickly and plan every aspect of their care effectively.

Conditions treated

  • Enterocutaneous fistulas (ECFs) 
  • Intra-abdominal fistulas
  • Abdominal wall defects and massive hernias

Service performance

The Intestinal Failure Service carries out an average of 40 operative repairs a year, as well as seeing many more patients in nutrition and surgical clinics.

Patient support services

Once a patient has been referred to us from their home hospital and accepted for assessment, they are transferred to UCH for a short period of assessment, usually taking 5 days according to clinical need. During the assessment the patient is assessed for whether they are suitable for surgery, and their nutritional needs are looked at to see if any changes can be made to ensure the patient is fit for surgery. At the end of the assessment period, each patient is discussed in detail at our multi-disciplinary team (MDT) meeting and a plan decided upon. We do not operate within 6 months of a patient’s last operation to allow time for scar-tissue to heal, and so sometimes it is necessary to transfer a patient back to their referring hospital until it is safe to operate.

Patient aftercare

The length of time the patient will need to stay in hospital after their operation depends on the exact operation performed, but generally recovery can take approximately 2 weeks. During this time the patient will be seen daily by the surgical and nutrition team.

Dr David Walker
Consultant

Dr Farooq Rahman

Dr Farooq Rahman
Consultant

Mr Alastair Windsor

Mr Alastair Windsor
Consultant

Dr Simona Di Caro
Consultant

Prof Stuart Taylor Intestinal Failure Service, Radiology (imaging)
Dr Farooq Rahman Colorectal service, Endoscopy Unit, Intestinal Failure Service, Gastrointestinal services
Mr Alastair Windsor Colorectal service, Intestinal Failure Service, Gastrointestinal services
Mr Jonathan McCullough Intestinal Failure Service
Dr Shameer J. Mehta Colorectal service, Endoscopy Unit, Intestinal Failure Service, Gastrointestinal services
Dr Simona Di Caro Colorectal service, Intestinal Failure Service

 Contact details

Intestinal Failure Service
University College Hospital
Gastrointestinal Services Division
Ground Floor West
250 Euston Road
London, NW1 2PG

General enquiries
Telephone: 020 3447 5490/5879
Fax: 020 3447 9217
Email: colorectalsurgery@uclh.nhs.uk

GP enquiries
Telephone: 020 3447 5490/5879
Fax: 020 3447 9217
Email: colorectalsurgery@uclh.nhs.uk

Service manager - Will McIntyre
Email: william.mcintyre@nhs.net

 Useful links


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