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- Accredited endoscopist
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Last updated: 22 Apr 2020
- Lower GI surgery
- Accredited endoscopist
Mr Goede qualified from the University of Pretoria in South Africa in 1996, and came to the UK in 1998. He first worked as a Basic Surgical Trainee in Hampshire and Warwickshire for four years. Two years of research followed at the Royal Free Hospital and he was awarded an MS from the University of London.
In 2004 Mr Goede gained a training position on the Oxford Higher Surgical Training Scheme. He attended specialist training courses and has had clinical exposure to laparoscopic surgery and complex colorectal surgery from early on in his training, and took a special interest in this field and pelvic floor surgery. He completed his training with a six month Advanced Laparoscopic Colorectal and Pelvic Floor Surgery Fellowship in Bristol. Further laparoscopic fellowship work in Berkshire followed before he took up a position as consultant in Buckinghamshire in 2011, where he has lived since 2001.
He now works as a Laparoscopic General and Colorectal Surgeon at Stoke Mandeville Hospital, Wycombe Hospital and at the BMI Chiltern. He practices as a specialist colorectal surgeon, and consults patients with general abdominal, colorectal and pelvic floor complaints. He performs weekly laparoscopic bowel resections and general surgery and colorectal surgery day-case procedures; and weekly gastroscopy and colonoscopy diagnostic and therapeutic procedures to diagnose or exclude, and treat a variety of colorectal, gastroenterological and general surgical diseases.
At Stoke Mandeville Hospital he has in addition developed a specialist interest in General Surgery and Colorectal Surgery for Spinal Cord Injury patients, and Complex Abdominal Wall Reconstruction alongside the Plastic Surgery unit.
Currently, he is the Director of the Department of General Surgery, Director of Medical Education for the St George's School of Medicine students based at Buckinghamshire Healthcare, Enhanced Recovery Programme Lead, Nutrition Lead for Surgery and Educational Supervisor to several Higher Surgical Trainees attending from Oxford.
Arnold has published extensively, in particular during the final years of his training and as a fellow. Interests include his research subject, carcinoid tumours, and more lately minimally invasive haemorrhoidal surgery, laparoscopic colorectal surgery, pelvic floor surgery and single port laparoscopic surgery for colorectal disease.
Arnold lives in Buckinghamshire with his wife and two children.
Areas of interest
Colorectal surgery (lower GI); Colonoscopy; Bowel Cancer; Cholecystectomy (Gallbladder, Gallstones);
Hernias, including inguinal hernia;
Incontinence (urine / faeces); Prolapse surgery; Abdominal pain;
Endoscopy - lower GI; Colitis; Haemorrhoids ("piles"); Pelvic floor surgery; Laparoscopic procedures ('keyhole surgery'); Colonic polyps; Fissures / fistulas; Pelvic prolapse; Endoscopy - therapeutic; Interventional endoscopy; Colon cancer; Endoscopy - upper GI; Anal fistula; Gastro-intestinal endoscopy; Rectal cancer; Inflammatory bowel disease (IBD); Ulcerative colitis; Crohn's disease; Anal cancer; Bowel surgery for spinal injury patients
- Lois Macbeth c/o Mr Arnold Goede
- BMI The Chiltern Hospital London Road Great Missenden HP16 0EN
- 07725 176368
- 07725 176368
Anaesthetists worked with
- Dr Alastair Ankers Fee Assured
Current NHS consultant posts held
Consultant Laparoscopic General and Colorectal Surgeon
Buckinghamshire Healthcare NHS Trust
Stoke Mandeville Hospital
Wycombe General Hospital
Buckingham Hospital outpatient services
National Spinal Injuries Centre (NSIC)
Recent Clinical Governance Lead for General Surgery
Enhanced Recovery Programme Lead
General Surgeon to the NSIC
Current Clinical Director of Department of General Surgery at Buckinghamshire Healthcare NHS Trust.
Mr Goede's academic research interest focused on the molecular biology of neuroendorcine tumours and peritoneal fibrosis and adhesions, which earned him an MS from the University of London in 2007.
During specialisation and currently his clinical research interest focuses on the clinical benefits of laparoscopic surgery and the enhanced recovery programme, the treatment of haemorrhoids and pelvic floor disorders.
I received the Care Award, shared with Miss Murray Consultant Plastic Surgeon, for the development of the Ambulatory Care Unit at Stoke Mandeville Hospital.
(Additional) Languages spoken
- Afrikaans - Fluent
- Dutch - Conversational
Surgical Endoscopy, 2011 Dec;25(12):3877-80
Single incision laparoscopic (SILS) restorative proctocolectomy
with ileo pouch-anal anastomosis.
Gash KJ, Goede AC, Kaldowski B, Vestweber B, Dixon AR (PMID: 21761270)
Surgical Endoscopy, 2011 Mar;25(3):835-40.
LESS (Laparo-Endoscopic Single-Site) surgery is feasible in complex colorectal resections and could enable day case colectomy.
Gash KJ, Goede AC, Chambers W, Greenslade GL, Dixon AR (PMID: 20734083)
Colorectal Disease, 2011 Oct;13(10):1153-7
Laparoscopic restorative procto-colectomy: a 10-year experience of an evolving technique.
Goede AC, Reeves A, Dixon AR (PMID: 20955508)
Colorectal Disease, 2011 Sep;13(9):1052-7
Medium-term results of STARR (Stapled TransAnal Rectal Resection) for obstructed defaecation syndrome & symptomatic rectal-anal intussusception.
Goede AC, Glancy D, Carter H, Mills A, Mabey K, Dixon AR (PMID: 20813023)
Colorectal Disease, 2010 May;12(5):477-9
Randomised clinical trial of the influence of local subcutaneous infiltration versus subcutaneous and deep infiltration of local anaesthetic on pain after appendicectomy.
Randall JK, Goede A, Morgan-Warren P, Middleton SB (PMID: 19508549)
Neuroendocrinology, 2004; 80:394-424
Guidelines for the diagnosis and treatment of neuroendocrine gastrointestinal tumours: A consensus statement on behalf of the European neuroendocrine tumour society (ENETS).
Plockinger U, Rindi G, Arnold R, Eriksson B, Krenning EP, de Herder WW, Goede A, Caplin M, Wiedenmann B, Oberg K, Reubi JC, Nilsson O, Delle Fave G, Ruszniewski P, Ahlman H
British Journal of Surgery, 2003 Nov;90(11):1317-1322
Carcinoid tumour of the appendix
Goede AC, Caplin ME, Winslet MC (PMID: 14598408)
Colorectal Disease, 2003 Mar;5(2):123-128
Surgery for carcinoid tumours of the lower gastrointestinal tract
Goede AC, Winslet MC (PMID: 12780899)
Colorectal Disease, 2010 Jan 12(1):74
Comment on: anatomical branches of the superior rectal artery in the distal rectum
Goede AC, Middleton SB (PMID: 19769628)
Online peer-reviewed publications:
BMJ Learning, December 2009, online peer-reviewed learning module
AC Goede, SM Middleton
This online publication has gone into print internationally.
Courses offered to GPs
Within Buckinghamshire I present training sessions to GP on the enhanced recovery programme, laparoscopic colorectal surgery, colorectal pelvic floor disorders and surgery, and acute emergency general surgery. This is arranged either via the NHS directly at practices (my secretary at Stoke Mandeville arranges these) or via the BMI Chiltern Hospital at teaching evenings at The Chiltern Hospital. I am more than happy to come and present on any topic in General Surgery on request.
Outcomes (checked and approved by medical professional body)
Please click on this link if you would like to see information about this healthcare professional’s performance compared to their peers, as published by their medical professional body.http://www.acpgbi.org.uk/surgeon-outcomes/buckinghamshire-healthcare-nhs-trust/
Please see the detailed National Bowel Cancer Audit report above and the ACPGBI Surgeons' Outcome report:
These highlight the excellent outcomes of the most complex work that I do.
Besides the cancer resections, I operate on patients with benign conditions, and those are not reported nationally. I perform about 75 major colorectal resections annually, 87% of these are completed laparoscopically (keyhole), and my overall mortality rate is well below 1%.
I see and treat a wide variety of general surgical conditions, and do a large number of laparoscopic inguinal hernia surgery, always using the TEP approach, with a very high patient satisfaction rate. For more information:
I very frequently see and treat patients with anal fissure, haemorrhoids, anal fistula and different types of bowel and pelvic floor prolapse. I attend the St Marks' Pelvic Floor MDT on a monthly basis to discuss my patients' treatment plans.
In addition, I am a JAG accredited colonoscopist and endoscopist, and remain accredited by maintaining the required high standards set by JAG. My complication rates are monitored and extremely low, and reviewed by the Endoscopy Lead annually and reviewed in my Appraisal.
Details about JAG can be found here:
- MBChB University of Pretoria 1996
- MS University of London 2007
- FRCS (Gen Surg) Royal College of Surgeons of England 2008
- CCT (Certificate of Completion of Training) PMETB / GMC 2010
Reference number 4461308
Details of entry to specialist register
- Consultant General Surgeon, 2010
Affiliations / memberships
- BMI The Chiltern Hospital, HP16 0EN
- 14:00 - 21:00
- 01494 890890
- The Chiltern HospitalGREAT MISSENDENHP16 0EN
- 18:30 - 20:30
- 01494 890890
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.
In the event of an urgent query following treatment, Bupa members should use the following contact details
The Chiltern Hospital ward where you were discharged from on 01494890890 or
Wycombe General Hospital ward 12A or my secretary below
Ask to speak to the nurse in charge of the ward or your care.
Or the contact details provided to you:
Secretary (Lois Macbeth):