Mr Giuseppe De Santis

Consultant General and Laparoscopic Surgeon

I see patients from Cheshire, Wales and its adjoining areas.

The NHS side of my practice is based at Leighton Hospital and whereas my private practice in The Nuffield Grosvenor Hospital in Chester and The Spire Regency Hospital in Macclesfield . I see patients from adjoining parts of Cheshire and Wales.

I am accredited with all major private health insurance companies including BUPA, AxaPPP, Aviva and WPA. Once an appointment has been made, pre-authorisation will often be provided by your insurers for the initial appointment. .

Biography

I have an interest in laparoscopic and other ‘minimally invasive’ surgical treatments for a wide range of disorders involving the gastrointestinal tract, gallbladder diseases, inguinal hernia and umbilical hernia. These procedures are performed open or laparoscopically.

I also specialise in UGI tract pathologies as Hiatus Hernia, Dysphagia and conservative/operative management of reflux disease.

Since 2019 I have been a Consultant Surgeon based at Mid Cheshire NHS Foundation Trust, specialised in Laparoscopic general and UGI Surgery. I have performed over 2,000 operations including laparoscopic cholecystectomy, hernia surgery and anti-reflux.

As faculty member of Royal College of Surgeons of London, I was a trainer to the Royal College of Surgeons Core Skills Laparoscopic Surgery and the Surgical First Assistance Operative Procedure

He serves as a consultant at the highly regarded Cheshire Gut Clinic

Conditions treated

A hiatal hernia happens when the upper part of the stomach bulges through the large muscle that separates the abdomen and the chest. The muscle is called the diaphragm.

The diaphragm has a small opening called a hiatus. The tube used for swallowing food, called the esophagus, passes through the hiatus before connecting to the stomach. In a hiatal hernia, the stomach pushes up through that opening and into the chest.

A small hiatal hernia usually doesn’t cause problems. You may never know you have one unless your healthcare team discovers it when checking for another condition.

But a large hiatal hernia can allow food and acid to back up into your esophagus. This can cause heartburn. Self-care measures or medicines can usually relieve these symptoms. A large hiatal hernia might need surgery.

Cholecystitis  is inflammation of the gallbladder. The gallbladder is a small, pear-shaped organ on the right side of the belly (abdomen), beneath the liver. The gallbladder holds a digestive fluid (bile) that’s released into the small intestine.

In most cases, gallstones blocking the tube leading out of the gallbladder cause cholecystitis. This results in a bile buildup that can cause inflammation. Other causes of cholecystitis include bile duct problems, tumors, serious illness and certain infections.

If left untreated, cholecystitis can lead to severe, sometimes life-threatening complications, such as a gallbladder rupture. Treatment for cholecystitis often involves surgery to remove the gallbladder.

A hernia occurs when tissue from one body cavity bulges through an opening in your muscle wall into another. Inguinal hernias are the most common type of hernia. They happen when abdominal tissue, such as belly fat or a loop of intestines, bulges through an opening in your lower abdominal wall . This is the wall that separates your abdomen from your groin.

Inguinal hernias occur in the inguinal canal, which is a passageway that runs down either side of your pelvis into your sex organs. They’re also called groin hernias. (“Inguinal” means “in the groin.”) They’re the most common type of groin hernia, though not the only type. (Less common are femoral hernias, which happen in the smaller femoral canal that runs underneath the inguinal canal.)

An umbilical hernia is an unusual bulge you can often see or feel over your belly button (umbilicus). It develops when part of your small intestine, together with fat or fluid, forms a sac. The sac pushes through an opening or weakness in your abdominal wall muscle.

Umbilical hernias are most common in newborns, babies and young children. But adults can get them, too. In adults, untreated umbilical hernias can lead to complications. If your provider has concerns about an umbilical hernia, they may recommend surgery to put the tissue back into place.

A ventral hernia is a hernia that forms in the abdominal wall, along the midline, due to a weakness in the muscles that creates a gap. Typically, with a ventral hernia, abdominal tissues or a portion of the intestines protrude into the gap. Ventral hernias can occur at any age.

The type of ventral hernia diagnosed is defined based on where the hernia forms: 

  • Incisional hernia: A ventral hernia that develops at a previous incision site.

  • Epigastric hernia: A ventral hernia that develops within the abdominal area between the bottom of the breast bone and the belly button.

  • Umbilical hernia : A ventral hernia that develops in the area surrounding the navel or belly button.

Procedures

Appointment

Referrals are made to us by your GP or by self referrals. The vast majority of GPs are familiar with us already and may direct you to our unit. However, if they are not familiar with the Cheshire Gut Clinic, you can suggest they consider us, should you wish to be referred to a specialist unit such as ours. Once your NHS or Private GP believes there may be a possibility of a stomach, bowel or liver problem, they may consider that it is more appropriate that you are seen by a gastroenterologist, and this is when the Cheshire Gut Clinic might be considered. 

To arrange an appointment at The Nuffield Grosvenor in Chester please call 01244 680444 or click here: Appointment at Nuffield Chester Grosvenor

To arrange an appointment at The Spire Regency in Macclesfield please call or 01625 505412 click here: Appointment at Spire Regency Macclesfield

Explore more

Don't miss Cholecystitis

Hiatus hernia

This website provides some information on conditions that I see in my clinics and the treatment available. Self diagnosis over the internet can be fraught with difficulties. This website is not intended to give an exhaustive list of either conditions or treatments. Whilst the internet provides a valuable resource, there is no substitute for a consultation with a consultant with the knowledge and skills covering a wide range of conditions and treatments.