A Gastroscopy is a day case procedure that is done with or without sedation. The reason that a gastroscopy is done is to evaluate symptoms that appear to arise from the upper Gastrointestinal tract. These symptoms may include indigestion (dyspepsia), heartburn, difficulty in swallowing (dysphagia), nausea, vomiting, abdominal pain and the investigation of weight loss.
Colonoscopy and Sigmoidoscopy are both generally day case procedures that can be done with or without sedation and pain relief. A sigmoidoscopy is a limited evaluation of the lower GI tract evaluating the last 40-50cm of colon. It is generally done to evaluate symptoms of fresh (red) rectal bleeding or left sided abdominal pain or in the evaluation of known disorders such as colitis. The procedure lasts around 10 minutes and is done unsedated. Samples and photos may well be taken during the procedure.
ERCP is an endoscopic procedure that is used to treat conditions relating to the bile duct that drains the liver into the bowel. It is always done with sedation and pain relief, but can be done as a day case procedure. This procedure is used to:
” Remove gallstones from the common bile duct (but not the gallbladder)
” Relieve jaundice that is caused by obstruction to the outflow of the liver from a benign or malignant stricture or narrowing
The small bowel is one area of the gastrointestinal tract that has been difficult to image, but with the advent of the capsule endoscope, it is possible to image the whole of the small bowel. This procedure is established in the following situations:
Unexplained iron deficiency anaemia
Obscure Gastrointestinal bleeding
Suspicion of small bowel Crohn’s disease
Assessment of polyp syndromes
Gastrodoctor is the first provider of breath testing in East Sussex.
This test would be recommended to you for the evaluation of intolerance to lactose, fructose, sorbitol and sucrose. It can also be undertaken to assess small bowel bacterial overgrowth that is associated with a number of conditions including diabetes and previous radiation exposure and gastrointestinal surgery.