General Surgery and Gastroenterology



Director: Mr Gary Crosthwaite


Ser​vices


The General Surgery and Gastroenterology Clinical Institute focuses on surgical treatment of the abdominal organs, such as the intestines and including the oesophagus, stomach, colon, liver, pancreas, gallbladder and bile ducts, as well as the thyroid gland and hernias. In Australia, general surgeons are also responsible for breast care, including the surgical treatment of breast cancer. Epworth specialist breast surgeons provide quality breast care, including the surgical treatment of breast cancer and a complete service is available.


High level tertiary services are accessible including world class laparoscopic intervention as well as robotic surgery in colorectal procedures and gastric and oesophageal surgery.


A full range of Bariatric procedures are available.


The Institute also offers high level gastroenterology services including hepatology, inflammatory bowel disease as well as general gastroenterology services.  A full range of endoscopic services is available including gastroscopy, colonoscopy, ERCP, endoscopic ultrasound and endoscopic intervention such as stenting.  Per Oral Endoscopic Myotomy or POEM is performed at Epworth.


Epworth HealthCare,in conjunction with the Cleveland Clinic Foundation, Ohio, USA, have established a two year fellowship programme in colon and rectal surgery. The first year of the fellowship programme is at Epworth HealthCare in Melbourne and incorporates undertaking research for a master of surgery degree, the second year is a full fellowship in colon and rectal surgery at the Cleveland Clinic.



Activity


​       FY 2014 ​        F​Y 2015          FY 2016​

Services Admissions
Bed
days
Admissions Bed
days
Admissions Bed
d​ays

Gastroenterology ​8,078 ​11,302 9,523 13,327 10,665​ 14,266
​General Surgery 9,054 ​24,841 9,191 24,129 9,384​ 24,170​
Colorectal surgery
5,544
10,523
5,963
11,270
​5,981 ​10,904
 

Conditions treated


  • Bowel cancer
  • Gastric CancerOesophageal cancer
  • Benign and malignant breast conditions
  • Gastro oesophageal reflux disease (GORD)
  • Hiatus hernia
  • Achalasia
  • Gallstones
  • Hernia Surgery
  • Crohn's disease
  • Diverticular disease
  • Irritable bowel syndrome
  • Pancreatitis
  • Rectal prolapse
  • Thyroid gland
  • Ulcerative colitis



Highlights

 
  • POEM (Per-Oral Endoscopic Myotomy) is a procedure to treat oesophageal achalasia, totally performed by endoscopy, without cutting the surface of the body.
  • Robotic surgery is performed for colorectal and oesophagogastric conditions.
  • Laparoscopic colorectal surgery
  • Bariatric surgery


 

Our performance

 
Australian Council on Health Standards – Clinical indicators

Area Indicator Epworth Performance Benchmark or average national performance Result comment
2.3 Post polypectomy haemorrhage 0.05 0.08 Performance better than benchmark
5.1 Post procedure aspiration 0.00 0.05 Performance better than benchmark
 
 

Epworth is committed to providing a high quality service with audit. WebQI is an audit system being implemented in 2016 to provide the latest information on quality. 

 

Endoscopic services are also audited using the recently implemented Endobase system which also provides high quality reports.


Queries

If you have any queries regarding the data on this page, please email ClinicalProfile@epworth.org.au



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