The oesophogastric surgical service is located at The Royal Infirmary Edinburgh. The service offers a full range of general elective and emergency surgery with particular specialty expertise in relation to oesophagogastric cancer and laparoscopic upper gastrointestinal surgery (including antireflux and biliary surgery). The unit also takes tertiary referrals for complex revisional hiatal hernia surgery, oesphagogastric emergencies, bariatric surgery and the treatment of complex abdominal hernias.

There is a combined South East Scotland Oesophogastric Cancer Multidisciplinary Team for the management of oesophagogastric cancer. This involves clinicians from the Royal Infirmary, Western General Hospital, St. John's Hospital, Victoria Infirmary in Kirkcaldy, Borders General Hospital and Dumfries and Galloway Royal Infirmary. All oesophagogastric resections are carried out by: Graeme Couper, Anna Paisley, Peter Lamb, Chris Deans and Richard Skipworth. Approximately 90 oesophagogastric resections are carried out each year for malignant and complex benign conditions. Interventional radiological and endoscopic facilities for the management of benign and malignant upper gastrointestinal (oesophagogastroduodenal) disorders are available in Edinburgh, with care shared between the Western General Hospital and the Royal Infirmary.


Departmental meetings

  • Weekly oesophogastric cancer MDT

  • Monthly bariatric surgery MDT

  • Weekly unit meetings; morbidity and mortality meeting and radiology meeting


Educational meetings and courses

Educational meetings

  • Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS)


  • EAES Laparoscopic Upper GI Surgery Course

  • JAG Endoscopy Training System Basic Skills in Upper GI Endoscopy

  • Laparoscopic Suturing Course