Lewis, from London, completed the 2.4 mile swim, 112-mile bicycle ride and a marathon in nine hours, 52 minutes and 12 seconds.
Germany's Katja Konschak was second in 10:11:25 and Britain's Joanna Carritt third in 10:21:14.
France's Cyril Viennot won the men's race ahead of Britain's Joe Skipper and Estonia's Kirill Kotsegarov.
"I loved the spectators [in Bolton] they were amazing, I was nearly in tears, " said Lewis, a doctor.
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