Upper gastrointestinal cancer (UGI)
The upper gastrointestinal/hepato-biliary clinics for patients under the care of the Royal London Hospital and Newham University Hospital are held at the Royal London Hospital on Tuesday mornings.
The clinics at Whipps Cross are held alternate Mondays and Tuesday mornings, e very Tuesday and Thursday afternoons and in some cases on an ad - hoc basis .
The medical oncology clinics are held at St Bartholomew’s Hospital all day Monday and Tuesday afternoon for follow up clinics and Wednesday afternoon for new patients’ clinic.
You will see your specialist doctor in the clinic after the multidisciplinary team has met. Your doctor might talk to you about:
T reatment plan
You can also talk to them about any concerns you may have.
It may be a good idea to take someone with you to your clinic appointment. You may also find it useful to have a list of questions ready to make sure you get the information you need.
Your doctor may need to do a series of tests to find out more about the cancer. You may need to undergo one or more of the following investigations.
Oesophago - gastro- duedenoscopy (OGD) - a gastroscopy is a procedure where a thin, flexible tube called an endoscope is used to look inside the oesophagus (gullet), stomach and first part of the small intestine (duodenum) .
Liver Ultrasound Scan
These scans listed below build up a picture of the inside of your body by taking a series of images.
Blood tests – there may be several blood tests which you may need to assess your general health. The specific blood test for UGI/HPB cancer is called CEA , CA 19-9 (tumour marker).
It may take up a couple of weeks to complete these investigations. Should you have any concerns during this time please contact your clinical nurse specialist (Key worker).
Your treatment options
The u pper gastrointestinal/hepato-biliary cancer team at Barts Health have regular meetings called MDTs (multidisciplinary team meetings). This is where a group of health professionals with expert knowledg e in upper gastrointestinal/hepato-biliary cancer will manage your investigations and treatment.
Y ou do not attend the meeting but a member of the team , usually your specialist nurse , will tell you about the results of the meeting. You may be given a choice of treatment options, which your specialist will discuss with you. If you don't understand what you've been told, let the staff know so they can explain again.
Before you have any treatment, you will need to give permission (consent).
Your cancer team
Referring to our service
Sources of referrals to the UGI/HPB teams are as follows:
The two week wait pathway from a GP
In-patient referrals via the MDT co-ordinator
Tertiary referrals – from other NHS organisations