Emma Carrington

Miss Emma Carrington is a clinician scientist and consultant colorectal surgeon working within the department of surgery and cancer at Imperial College London and Imperial College Healthcare NHS Trust. She undertook her undergraduate and medical training at Imperial College London, graduating with a first class BSc, followed by her medical degree (MBBS) in 2004. During her surgical training in London she completed an MSc in surgical technology also at Imperial in 2007. She later completed a PhD in at Queen Mary University of London, supported by a Royal College of Surgeons research fellowship, focusing on anorectal physiology and mechanisms of bowel control. She completed her surgical training as an NIHR‑funded clinical lecturer and post-doctorally led the International Anorectal Physiology Working Group to publish the London classification of anorectal function.

Miss Carrington’s clinical practice is focused on benign colorectal surgery, with specialist expertise in pelvic floor disorders, inflammatory bowel disease, proctology and endometriosis. Within the colorectal team she provides senior specialist input for patients with inflammatory bowel disease and in the joint multidisciplinary IBD clinics, supporting the surgical management of complex disease alongside gastroenterology colleagues. She is co‑lead of the neurological pelvic organ physiology (NPOP) multidisciplinary service, a formally constituted bowel–bladder pelvic floor MDT providing integrated assessment and management for patients with complex pelvic floor dysfunction. The service brings together colorectal surgery, urology, urogynaecology, pelvic floor physiology, radiology, specialist nursing and physiotherapy to support evidence‑based, governance‑led decision‑making for patients with refractory symptoms and those being considered for escalation of treatment.

Alongside her clinical work, Miss Carrington leads the NPOP research group, with a focus on improving physiological assessment of anorectal function and optimising treatment pathways for continence and evacuation disorders. She is widely published in neurogastroenterology and pelvic floor physiology and has contributed to international guideline and consensus work in this field. She currently serves as research chair of The Pelvic Floor Society and as the North West London chapter representative for the Association of Coloproctology of Great Britain and Ireland.

O’Connor A, Rose SA, Carrington EV, Clements A, Cornish JA, Drake MJ, et al. Research priorities for faecal incontinence in adults: A James Lind Alliance priority setting partnership. Colorectal Dis. 2025;27:e70154. https://doi.org/10.1111/codi.70154

Assmann SL, Keszthelyi D, Kleijnen J, Anastasiou F, Bradshaw E, Brannigan AE, et al. Guideline for the diagnosis and treatment of Faecal Incontinence—A UEG/ESCP/ESNM/ESPCG collaboration. United European Gastroenterol J. 2022;10(3):251–86.
https://doi.org/10.1002/ueg2.12213

Carrington EV, Heinrich H, Knowles CH, et al. The international anorectal physiology working group (IAPWG) recommendations: Standardized testing protocol and the London classification for disorders of anorectal function. Neurogastroenterol Motil. 2019;32:e13679. https://doi.org/10.1111/nmo.13679

Carrington, E., Scott, S., Bharucha, A. et al. Advances in the evaluation of anorectal function. Nat Rev Gastroenterol Hepatol 15, 309–323 (2018). https://doi.org/10.1038/nrgastro.2018.27

Grossi U, Carrington EV, Bharucha AE, et alDiagnostic accuracy study of anorectal manometry for diagnosis of dyssynergic defecationGut 2016;65:447-455. https://doi.org/10.1136/gutjnl-2014-308835

Grant Y, Ho CW, Archer S, Dryden S, Leff DR, Pratt P, Darzi A, Carrington EV “It’s quite an intrusive image, isn’t it?”: Patient perceptions of augmented reality for shared decision making in oncoplastic breast surgery JMIR Preprints. 15/02/2026:93262 https://preprints.jmir.org/preprint/93262

Elsaid N, Thomas GP, Dutta S, Fernando RJ, Carrington EV, Vaizey CJ. Care pathways and anorectal evaluation for obstetric anal sphincter injury-related incontinence: A UK survey of obstetricians. Colorectal Dis. 2025;27:e70140. https://doi.org/10.1111/codi.70140

Elsaid N, Thomas GP, Dutta S, Fernando RJ, Carrington EV, Vaizey CJ. Care pathways and anorectal evaluation for obstetric anal sphincter injury-related incontinence: A UK survey of obstetricians. Colorectal Dis. 2025;27:e70140. https://doi.org/10.1111/codi.70140

Ahmed A, Ho CW, Grant Y, et alAcceptability of digital health interventions in perioperative care: a systematic review and narrative synthesis of clinician perspectivesBMJ Open 2025;15:e086412. https://doi.org/10.1136/bmjopen-2024-086412

Elsaid N, Thomas GP, Carrington EV, Fernando RJ, Vaizey CJ. A UK wide survey of general surgeons' experience of the primary repair of obstetric anal sphincter injuries. Colorectal Dis. 2025;27:e17244. https://doi.org/10.1111/codi.17244

Brock, H., Lambrineas, L., Ong, H.I. et al. Preventative strategies for low anterior resection syndrome. Tech Coloproctol 28, 10 (2024). https://doi.org/10.1007/s10151-023-02872-5

Lambrineas LJ, Brock HG, Ong HI, Tisseverasinghe S, Carrington E, Heriot A, et al. Challenges in evaluating pelvic floor physiotherapy based strategies in low anterior resection syndrome: a systematic review and qualitative analysis. Colorectal Dis. 2024;26:258–271. https://doi.org/10.1111/codi.16839

Keating, T., Fleming, C.A., Brannigan, A.E. et al. Using a modified Delphi process to explore international surgeon-reported benefits of robotic-assisted surgery to perform abdominal rectopexy. Tech Coloproctol 26, 953–962 (2022). https://doi.org/10.1007/s10151-022-02679-w

Ang, D., Vollebregt, P., Carrington, E.V. et al. Redundancy in the International Anorectal Physiology Working Group Manometry Protocol: A Diagnostic Accuracy Study in Fecal Incontinence. Dig Dis Sci 67, 964–970 (2022). https://doi.org/10.1007/s10620-021-06994-4