Test and Procedures
This test examines the oesophagus, stomach and first part of the small bowel (duodenum).
Sedation is usually not required, but can be used.
If you have indigestion, problems with swallowing (including food feeling like it 'gets stuck on the way down'), heartburn, upper abdominal pain, coeliac disease, anaemia, Barrett’s oesophagus, hiatus hernia or polyps, you may need a gastroscopy.
Enteroscopy examines the small bowel. We have access to the non-invasive video capsule (VCE) test, but can also provide access to balloon-assisted enteroscopy (BAE) for very specific cases. VCE is very useful in the investigation of anaemia, abdominal pain or bleeding. You may need BAE if an abnormality is seen on VCE or if a Specialist thinks this test is required first. BAE is usually performed under a light general anaesthetic, whereas VCE is an outpatient procedure (you can have a completely normal day whilst the capsule is 'doing its thing'!).
Colonoscopy / Sigmoidoscopy
These tests investigate the large bowel (colon). Sedation is not usually required, but you will need to take a laxative or enema to prepare.
Colonoscopy is used to investigate diarrhoea, pain, bleeding from the back passage.
You may also need regular colonoscopy if you have had polyps or if you have colitis. Wherever possible and appropriate we will use non-invasive tests, such as faecal calprotectin, as your first test. In this way, we can sometimes avoid having to put you through a colonoscopy unnecessarily.
As part of our commitment to quality, we work with our Hospitals and Clinics to ensure access to high-definition endoscopy equipment as standard.
Not everyone can offer this service and it is not just a gimmick: multiple clinical studies have demonstrated that HD endoscopy increases our ability to detect problems (like polyps) and arrive at an accurate and rapid diagnosis. In circumstances where it is required, magnification (zoom) endoscopy can also be used to provide incredibly detailed and clinically-valuable images.
This is an innovative procedure designed to help control type 2 diabetes and promote weight loss.
EndoBarrier™ is not a replacement for weight loss surgery, but can be used to achieve goals when surgery is not appropriate or desirable. Careful consideration must be given as to whether EndoBarrier or surgery for weight loss is the best option and you will have already consulted a specialist in Metabolic Medicine and/or a specialist Dietitian before being referred.