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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45993
Experience:  Board Certified Physician
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where can i find a nhs hospital (preferably in London) that

Resolved Question:

where can i find a nhs hospital (preferably in London) that specialises in chronic mesenteric ischemia surgery
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is is Dr. David

Dr. David :

I am sorry you have chronic ischemia in your mesentery.

Dr. David :

it sounds like you need to see a general surgeon and have the part of your bowels which are ischemic cut out.

Dr. David :

this would be a general surgeon.

Dr. David :

there are no hospitals which specialize in this condition

Dr. David :

but there are good general surgeons out there who do surgery in the abdomen and bowels

Dr. David :

who could cut out the part of your bowels which is ischemic

Dr. David :

a gastroenterologist can not do bowel surgery.

Dr. David :

your GI doctor can refer you to a general bowel surgeon

Dr. David :

why hasn't your GI doctor done this?

Customer:

The narrowing of the artery is in the stomach (not the bowel) its the blood flow which helps the food to digest, does this still need a general surgeon to operate or a surgeon who specialises in this particular field?

Dr. David :

general surgeon also does surgery on the stomach.

Dr. David :

the question is if you need a vascular surgeon to help improve blood flow to the stomach.

Dr. David :

the stomach takes its blood from the celiac axis which comes from the descending aorta and it turns into the gastric artery.

Dr. David :

there are ways to help improve blood flow through angioplasty methods without surgery.

Dr. David :

here is an article about it

Dr. David :

http://www.invasivecardiology.com/article/3843

Customer:

So can you suggest a hospital that would specialise in this procedure, so that I can tell my GP and get a referral letter.

Dr. David :

http://www.ncbi.nlm.nih.gov/books/NBK27423/

Dr. David :

Departments of 1Radiology, 2Vascular Surgery and 3Vascular Laboratory, King's College Hospital, DenXXXXX XXXXX, London SE5 9RS, UK

Dr. David :

http://www.birpublications.org/doi/abs/10.1259/bjr/54749779?journalCode=bjr

Dr. David :

Address: Kings College Hospital, DenXXXXX XXXXX, London SE5 9RS, United Kingdom Phone: +44 20 3299 9000

Dr. David :

best of luck to you

Dr. David :

I hope this helps.

Dr. David :

let me know if you have other questions.

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Customer:

Many thanks for your help.

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