"Inferior out of date colorectal services."

Hi Catherine - thanks for your comments. We cannot respond on individual cases in a public forum (but of course if you are dissatisfied with your treatment you are welcome to make a formal complaint by emailing complaints@ngh.nhs.uk) However we thought it would be useful to state our position on ESD: Endoscopic Submucosal Dissection is a specialist technique that is only available in a very few centres in the UK. Patients that have polyps confined to the bowel wall are offered a very similar technique called Endoscopic Mucosal Resection here in Northampton General Hospital. Two of our consultants have undergone specialised training in this procedure. In addition, some early rectal cancers can be removed by a technique called Transanal Endoscopic Microsurgery. Whilst we are able to perform this here at Northampton General, it is not currently funded and suitable patients are therefore referred to Leicester or Oxford. Patients that are not suitable for these techniques are offered laparoscopic (keyhole) surgery where applicable.