James McCourtney: Consultant Colorectal Surgeon, Glasgow
Consultant Colorectal Surgeon, Glasgow: James McCourtney
A Consultant Colorectal Surgeon with special interests that include diagnostic and therapeutic colonoscopy; colorectal cancer surgery; the surgical management of complex Crohn’s disease and ulcerative colitis; diverticular disease; and anorectal surgery.
James McCourtney qualified from the University of Glasgow Medical School in 1988 and trained in surgery in Glasgow, the West of Scotland and London. His research was in ileoanal pouch surgery at Glasgow Royal Infirmary and he was awarded the degree of MD in 1998. In 1996 he was awarded the British Journal of Surgery Prize at the Tripartite Colorectal meeting in London for his research work on small bowel pharmacology in ileoanal pouch surgery. Appointed as Resident Surgical Officer at St Mark’s Hospital in London in 1999, he then took up post as Consultant Colorectal Surgeon at the Royal Alexandra Hospital in Paisley in 1999.
In 2007 Mr McCourtney's research group was awarded the Poster and Oral Presentation Prize at the Annual Scientific Meeting of the Association of Coloproctology of Great Britain and Ireland for a novel and inexpensive technique to confirm completion and terminal ileal intubation at colonoscopy. Since December 2007 Mr McCourtney has worked in independent colorectal practice as Scotland’s first full-time private colorectal surgeon.
Diagnostic and therapeutic colonoscopy
Colorectal cancer surgery
Colorectal cancer screening and surveillance in high risk groups
Surgery for Crohn’s disease and ulcerative colitis
Colostomy and ileostomy surgery (problem management, reversal, revision)
Benign anorectal conditions (rectal prolapse, haemorrhoids, fissure, fistula, abscess)
The Scottish Colorectal Institute
Based at BMI Ross Hall Hospital in Glasgow, the Scottish Colorectal Institute (SCI) has been set up to provide a leading edge service for the full range of benign and malignant colorectal disorders. This initiative recognises the need to provide a dedicated consultant-based treatment centre with specialist nursing support for all colorectal conditions. To this effect, the Institute benefits from the supporting services of two colorectal nurse specialists who work with specialist colorectal surgeons, James McCourtney and Ian Finlay.
The SCI treats not only major life-threatening colorectal diseases but also embraces those patients with disorders considered by some to be well down the league table of clinical importance. The Institute is equipped for fast and effective patient care, to provide GPs with the best solution to often distressing but curable colorectal disorders.
The surgeons at the Institute work in close conjunction with the specialist oncology doctors and nurses in Ross Hall Hospital. As well as being dedicated colorectal surgeons their specialists are also fully trained general surgeons with over thirty years combined consultant experience in all aspects of emergency general surgery.
Other conditions treated at the Scottish Colorectal Institute
Conditions involving the small intestine (middle of the gut) are treated by the Institute's colorectal surgeons, including small bowel Crohn’s disease; rarer tumours both benign and malignant; unusual sources of bleeding; and tumour involvement from other abdominal and pelvic malignancies. Patients undergoing chemotherapy who develop abdominal problems are frequently assessed and operated on when indicated. Pilonidal sinus, anal warts, anal incontinence along with rarer conditions such as anal intraepithelial neoplasia (AIN) and anal Paget’s disease are all assessed and treated at the Institute.
Painless diagnostic and therapeutic telescopic assessment of the colon and rectum (colonoscopy) is performed under Propofol intravenous anaesthesia, usually as a day-case procedure. With completion rates in excess of 95% and a polyp (adenoma) detection rate of 16%, the Institute offers reliable and thorough colonoscopic assessment of the colorectal patient.
Read more about this procedure's success with patients at the Institute, as featured in the Scottish Primary Care journal.
HALO procedure success story (Click to open article)
First hospital in Scotland to use innovative HALO procedure
In 2007 Ross Hall Hospital became the first hospital in Scotland to offer the HALO procedure, which uses a miniature Doppler ultrasound device to locate all the arteries in the distal rectum which supply the haemorrhoids (piles). The device has a small window which enables a suture to be placed around the artery to interrupt the blood supply. All of the arterial branches are ligated and over the next few weeks the haemorrhoid shrinks with symptom resolution.
The procedure is virtually painless and can be performed under sedation as a day-case or under general anaesthesia. Most patients return to work in 24-48 hours and many require no postoperative analgesia. The HALO procedure has been performed in Europe for several years with excellent results. It is ideal for painful, bleeding haemorrhoids and a modification of the technique (haemorrhoidal artery ligation and rectoanal repair, HALRAR), can now be used to treat some cases of prolapsing haemorrhoids successfully. The HALO procedure represents an important advance in haemorrhoidal surgery.
Typical fees for treatment
Mr. James McCourtney is an accredited consultant for the UK's leading private healthcare providers and private hospitals, including BMI Hospitals
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