graham-williamsProfessional title: Consultant Colorectal Surgeon

Year of primary qualifications: 1981 (MB BCh), 1985 (FRCS), 1989 (MCh)

Current institution: Royal Wolverhampton NHS Trust, UK

Title of presentation: The malignant rectal polyp: big operation or no operation (Symposium: Intestinal polyposis)

Learning objectives: The treatment algorithm for early rectal cancer is complex as there are a number of options available. This presentation will focus on issues involved including staging tumours by endoscopy, radiology, ultrasound and clinical features. In addition, patient factors that are important in guiding the optimum management in each individual patient will be discussed. Management of these lesions requires access to a variety treatments and staging modalities and is a true multidisciplinary activity. At the end of the presentation delegates will have considered these issues in more detail and understand how decisions are made in early rectal cancer management.

Clinical/research background

Graham Williams is a Consultant Colorectal Surgeon at the Royal Wolverhampton Hospitals Trust. He trained in colorectal surgery in Minneapolis and St Paul, Minnesota and Birmingham UK. He is Co-editor of Contemporary Coloproctology and an Associate Editor of Diseases of the Colon and Rectum. He is Past President of the Association of Coloproctology of Great Britain and Ireland. His clinical interests within colorectal surgery include colorectal cancer, anal sepsis and rectal prolapse. His research interests include anal sepsis and fistula, endoanal ultrasound and colonoscopy. He was lead author on th 2013 ACPGBI position statement on the management of malignant colonic polyps.

Relevant peer-reviewed publications

  1. Williams J.G., Farrands P.A., Williams A.B., Taylor B.A., Lunniss P.J., Sagar P.M., Varma J.S., George B.D. The treatment of anal fistula: ACPGBI position statement. Colorectal Diseases. 2007. 9 (supple 4): 18-50
  2. Ravikumar R., Williams J.G. The operative management of gallstone ileus. Annals of the Royal College of Surgeons of England. 2010 May;92(4):279-81
  3. Williams J.G. Rectal prolapse: to fix or not to fix. Diseases of the Colon and Rectum. 2011 Jan;54(1):3-5
  4. Gavin D.R., Valori R.M., Anderson J T., Donnelly M.T., Williams J. G., Swarbrick E.T. The national colonoscopy audit: a nationwide assessment of the quality and safety of colonoscopy in the UK. Gut. 2013; 63: 242-249
  5. Thompson C., Williams J.G. Who should be operating on rectal cancer in 2013. Br.J.Hosp.Med.2013, 74: 372-376
  6. Williams J.G., Pullan R.D., Hill J., Horgan P G., Salmo E., Buchanan G., Rasheed S., McGee S.G., Haboubi N. Management of the malignant colorectal polyp: ACPGBI position statement. Colorectal Disease 2013. 15: Suppl 2. 1-38
  7. Battersby NJ, Coupland A, Bouliotis G, Mirza N, Williams JG. Metachronous colorectal cancer: A competing risks analysis with consideration for a stratified approach to surveillance colonoscopy. J Surg Oncol. 2013 Nov 25. doi: 10.1002/jso.23504. [Epub ahead of print]
  8. Al-Shaakarchi, J, Williams J.G. Systematic review of open techniques for parastomal hernia repair. Tech. Coloproctol 2014 18: 427-32

Information submitted for ESCP Barcelona 2014

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