IBD and Ileoanal Pouch Surgery Centre

Our Inflammatory Bowel Disease (IBD) and Ileoanal Pouch Surgery Centre centre has florid research and education activity, hosting national courses and leading on NIHR and multi-centre studies. The information on this page is for healthcare practitioners interested in the educational and research opportunities—if you are a patient interested in the service provision and clinical offer of the IBD and ileoanal pouch surgery centre, please see the service page for the IBD and ileoanal pouch surgery service.

Our IBD centre provides all patients with a multidisciplinary approach, comprising IBD surgeons, gastroenterologists, radiologists, dietitians, and specialised nurses with high-level expertise in treatment of Crohn’s disease and ulcerative colitis. 

Our Trust is a tertiary referral centre for Crohn’s disease and ileoanal pouch surgery and boasts of a high-volume service in minimally invasive surgery for primary and recurrent Crohn’s disease, Kono-S anastomosis technique, fistulating and perianal Crohn’s disease. We have a high-volume practice in ileoanal “J-Pouch” surgery, performing primary and revisional ileoanal pouch surgery, and pouch excision. 

Our team approach

Our IBD team takes pride in providing our patients with dedicated specialists, collaborating to deliver the best care and outcomes. Our team comprises:

  • Colorectal surgeons
  • Paediatric and endometriosis surgeons
  • Gastroenterologists
  • Gastrointestinal pathologists
  • Gastrointestinal radiologists
  • Research fellows
  • Specialists in Inflammatory Bowel Disease
  • Stoma nurses, nurse practitioners and physician assistants

Nutritional support, psychological support, pain management and physical therapy are integrated in the patient’s pathway.

Educational offer

1. IBD surgery colorectal service

  • High volume practice in Complex IBD surgery in a tertiary referral practice
  • Weekly operating lists for complex Crohn’s and pouch surgery
  • Weekly endoscopy lists for IBD and colorectal patients
  • First UK “one-stop” ileoanal pouch clinic and Young Adults Transition MDT 
  • Multidisciplinary (MDT) care:
    • Weekly IBD MDT meeting
    • Weekly Oncology Colorectal MDT meeting
    • Monthly Northwest London Pouch MDT meeting
  • Complex surgery for colorectal cancer, abdominal wall reconstruction.

2. Audit and Quality Improvement 

  • Surgical Outcomes 
  • MDT activity audit 
  • PROMs 
  • Patient pathway

3. Research portfolio

    • NIHR portfolio studies 
    • National/international studies 
    • Publications

    4. Training courses  

    • Pouch Study Day course, annually held at Chelsea and Westminster Hospital
    • Anastomosis in IBD course, annually held at Karl Storz Centre in Slough and at Chelsea and Westminster Hospital, London
    • Proctoring programme
    • Teaching and Leadership courses
    • Collaboration with international fellows, observers, and medical students
    • Webinars

    Upcoming study days:

    • Ileoanal Pouch Surgery Study Days (3rd Edition)—28–29 Nov 2024, Chelsea and Westminster Hospital: Primary and revisional ileoanal pouch surgery. Endoscopic surveillance in ulcerative colitis. MDT management. Robotics in IBD. Alternatives to ileoanal pouch. Download the course flyer. Registration and enquiries: chelwest.ibdsurgerycentre@nhs.net.
    • Anastomotic techniques in IBD surgery (3rd Edition)—7–8 Feb 2025: Hands-on training in IBD surgery, lectures, live surgery. Registration and enquiries: chelwest.ibdsurgerycentre@nhs.net.
    • Case discussion in complex IBD surgery: Free 1 hour online webinar. Multiple dates (Wednesdays 4:30pm GMT+1) on 8 May 2024, 17 Jul 2024, 18 Sep 2024, 20 Nov 2024, 5 Feb 2025, 7 May 2025. Register online. Enquiries: chelwest.ibdsurgerycentre@nhs.net.
    • Honorary clinical placement and observership: We offer an honorary clinical attachment and observership—please download and complete the form and email it to .

    Previous courses:

    • Anastomotic techniques in IBD surgery (2nd Edition)—14–15 Mar 2024: Hands-on training in IBD surgery, lectures, live surgery. Download the course flyer. 
    • Anastomotic techniques in IBD surgery—11 May 2023: This course included lectures and hands-on sessions on the surgical treatment of ileocolonic Crohn’s disease, Kono-S anastomosis, Mesentrery-based surgery, Strictureplasties and ileoanal pouch surgery.
    • Ileoanal pouch surgery study day (2nd edition)—23 Jun 2023: This course included lectures and operating on primary and revision ileoanal pouch surgery, perioperative and follow-up pathways and information about our young adolescent transition MDT.

    5. Paediatric Colorectal Surgery Collaboration

    Our department of paediatric and neonatal surgery provides specialist surgical services to the North West London sector and serves a population of 2 million people. The department comprises 11 surgeons, two of whom are specialist paediatric colorectal surgeons supported by a senior paediatric colorectal fellow, a continence nurse specialist, and a neonatal surgical nurse specialist.

    Opportunities for visiting fellows include:

    • Twice-weekly paediatric colorectal outpatient clinics
    • Weekly paediatric colorectal MDT meeting (including colorectal transition MDT)
    • Weekly paediatric surgical radiology MDT
    • Weekly neonatal surgery MDT
    • Weekly paediatric surgery teaching sessions
    • Several paediatric surgery operating lists per week with exposure to complex pelvic and colorectal reconstruction, including surgery for congenital anorectal malformations and Hirschprung’s disease
    • Weekly paediatric gastroenterology endoscpy lists for young onset IBD
    • Opportunity to participate in clinical research and qualify improvement projects
    Contributors
    sanabr amyco George Vasilopoulos