Heather simpson wendy shearsmith upper gi cns l d hospital
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Heather Simpson & Wendy Shearsmith Upper GI CNS, L & D Hospital. The Luton and Dunstable Hospital UPPER GI (OESOPHAGOGASTRIC) MDT CARE PATHWAY. GP REFERRAL/ ATTENDANCE AT A & E OPEN ACCESSGASTRO-UPPER GI GASTROSCOPYENTEROLOGIST SURGEON ENDOSCOPY

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Heather Simpson & Wendy Shearsmith Upper GI CNS, L & D Hospital

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Heather simpson wendy shearsmith upper gi cns l d hospital

Heather Simpson &

Wendy Shearsmith

Upper GI CNS, L & D Hospital


The luton and dunstable hospital upper gi oesophagogastric mdt care pathway

The Luton and Dunstable HospitalUPPER GI (OESOPHAGOGASTRIC) MDT CARE PATHWAY

GP REFERRAL/ ATTENDANCE AT A & E

OPEN ACCESSGASTRO-UPPER GI

GASTROSCOPYENTEROLOGIST SURGEON

ENDOSCOPY

CLINICAL NURSE SPECIALIST

DIAGNOSIS OF UPPER GI CANCER CONFIRMED

FOLLOWING INVESTIGATIONS (OGD/ CT scan)

IF INPT ‘Yellow Board’ TO

GP NOTIFICATION PROFORMA MR P JAMBULINGAM

(Lead Clinician)

DISCUSSION AT LOCAL MDT MEETING

Monday lunchtime 12 – 12:30pm


Heather simpson wendy shearsmith upper gi cns l d hospital

DIETICIAN

SEEN IN PJ ONCOLOGY CLINIC (Alternate Mondays PM)

TREATMENT OPTIONS

RADICAL PALLIATIVE (See Radical Pathway) (See Palliative Pathway)

MEDICAL AND NURSING SUPPORT

&

OUTPATIENT FOLLOW-UP IN ONCOLOGY CLINIC

& DISCUSSION AT LOCAL MDT AS NECESSARY


Radical pathway

RADICAL PATHWAY

FURTHER STAGING:

PET +/ - EUS +/- STAGING LAPAROSCOPY

(Mt Vernon) (Hammersmith) (L & D)

DISCUSSION AT SMDT MEETING

Monday 12:30 – 13:00pm

SEEN IN PJ ONCOLOGY CLINIC (Alternate Mondays PM)

PALLIATIVE EMR SM CLINIC

(See Palliative Pathway) (Endoscopic Mucosal (Every Wednesday AM)

Resection) NEOADJUVANT

At Watford or Hammersmith CHEMOTHERAPY


Heather simpson wendy shearsmith upper gi cns l d hospital

RADICAL CHEMORADIOTHERAPY SURGERY RESTAGE -

SM CLINIC (Every Wednesday AM) PET CT

(TREATMENT TAKES PLACE AT Mt VERNON) (following

Neoadjuvant chemotherapy)

DISCUSSION AT SMDT

ADVANCED DISEASE SEEN IN PJ ONCOLOGY CLINIC

(See Palliative Pathway) & DATED FOR SURGERY

&

PATHWAY FACILITATOR COMPLETES PAPERWORK

(See MVCN Specialist Upper GI Surgery Referral Pathway)

SURGERY

AT WATFORD HOSPITAL


Palliative pathway

PALLIATIVE PATHWAY

TREATMENT OPTIONS

ENDOSCOPIC CHEMOTHERAPY RADIOTHERAPY MANAGEMENT At Mt Vernon/ L&D At Mt Vernon

LASER Dr S MAWDSLEY is the

At Watford UPPER GI CANCER CONSULTANT

ONCOLOGIST and has a CLINIC on

WEDNESDAY AM at the L & D

PDT

(PhotoDynamic Therapy)

At Hammersmith/ UCLH

STENTING

Therapeutic Oesophageal List

Alternate Wednesday mornings

At The L & D

(See Insertion of an Oesophageal Stent Pathway)

SUPPORTIVE CARE


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