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Endoscopy Unit

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Day Surgery Unit

Galsworthy Road Kingston upon Thames Surrey KT2 7QB
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Patient contact information Endoscopy : 0208 934 2099

Endoscopy

In this page:

The Endoscopy Service provides a diagnostic investigatory service for patients with problems of the gastrointestinal tract (the part of the body that takes in food, digests it and expels the remaining waste). Certain conditions can also be treated through an endoscope.

Endoscopic procedures involve passing an endoscope (a tube approximately half an inch thick) into the gastrointestinal (GI) tract via the mouth or the anus. This tube enables the doctor to see the inside of the GI tract and to take biopsies of any abnormalities.

Doctors undertaking endoscopic procedures work within the Gastroenterology and the Upper and Lower Gastrointestinal Surgery departments.

The service is provided to patients from the Kingston area. Patients are referred from their GP or from a specialist doctor within the trust.

We provide an endoscopy service to patients from age 16-18 years. These procedures are performed in Main Theatres under General Anaesthesia.

Paediatric referrals should be address to Dr Krish Soondrum.

Standards at Kingston Hospital Trust have been assessed and accredited by the Joint Advisory Group (JAG) on Gastrointestinal Endoscopy:

www.thejag.org.uk

Further information about Endoscopy can be found at: https://www.nhs.uk/conditions/endoscopy/

Manometry and pH study information

Patient information Transnasal endoscopy

About Endoscopy Procedures

Gastroscopy

Gastroscopy enables the specialist to look inside the oesophagus, stomach and duodenum (first part of the small intestine). The procedure might be used to discover the reason for swallowing difficulties, nausea, vomiting, reflux, bleeding, indigestion, abdominal pain or chest pain.

The procedure involves the swallowing of a thin, flexible, lighted tube called an endoscope: before the procedure the patient's throat may be sprayed with a numbing agent to prevent the gagging reflex, or they may receive pain relief and a sedative to help them relax during the examination. The endoscope transmits an image of the inside of the oesophagus, stomach and duodenum to a screen, so the specialist can carefully examine the lining of these organs. The scope also blows air into the stomach; this expands the folds of tissue and makes it easier for the specialist to examine the stomach.

Through the endoscope the specialist can see abnormalities, like inflammation or bleeding, that don't show up well on x-rays. The specialist can also insert instruments into the scope to treat abnormalities or remove samples of tissue (biopsy) for further tests.

Complications are rare: most people will probably have nothing more than a mild sore throat after the procedure. However, possible complications of gastroscopy include bleeding and damage to the lining of the gut.

The procedure takes about 20 minutes. If patients are sedated they will need to rest at the facility for one to two hours until the medication wears off.

Further information on gastroscopy can be found at:

https://www.nhs.uk/conditions/gastroscopy/what-happens/

 

Flexible sigmoidoscopy

Flexible sigmoidoscopy enables the specialist to look at the inside of the large intestine from the rectum through the last part of the colon, called the sigmoid or descending colon. Specialists may use the procedure to find the cause of diarrhoea, abdominal pain or constipation. They also use it to look for early signs of cancer in the descending colon and rectum. With flexible sigmoidoscopy the specialist can see bleeding, inflammation, abnormal growths and ulcers in the descending colon and rectum. Flexible sigmoidoscopy is not sufficient to detect polyps or cancer in the ascending or transverse colon (two-thirds of the colon).

For the procedure the patient lies on their side on the examination table. The specialist inserts a flexible, lighted tube into the rectum and slowly guides it into the colon. The scope transmits an image of the inside of the rectum and colon to a screen, so the specialist can carefully examine the lining of these organs. The scope also blows air into these organs, which inflates them and helps the physician see better.

If anything unusual is in the rectum or colon, like a polyp or inflamed tissue, the specialist can remove a piece of it using instruments inserted into the scope. The specialist will send that piece of tissue (biopsy) to the laboratory for testing.

Complications are uncommon: however, bleeding and damage to the colon are possible complications of sigmoidoscopy.

Flexible sigmoidoscopy takes 10 to 20 minutes. During the procedure patients may feel pressure and slight cramping in the lower abdomen. They will feel better when the air leaves the colon.

Click here to see a video of Flexi sigmoidoscopy:

https://www.nhs.uk/video/Pages/bowel-cancer-flexible-sigmoidoscopy.aspx

 

Flexible Sigmoidoscopy Patient Leaflets

Flexible sigmoidoscopy

Flexible sigmoidoscopy (with Moviprep)

Flexible sigmoidoscopy (with Picolax)

Flexible sigmoidoscopy (Home enema)

Gastroscopy (OGD) Patient Leaflets

Gastroscopy under General Anaesthetic

Patient information Gastroscopy

Gastro & Colonoscopy Patient Leaflets

Gastroscopy and colonoscopy under General anaesthetic (Moviprep)

Gastroscopy and colonoscopy under General anaesthetic

Gastroscopy and colonoscopy (with Moviprep)

Gastroscopy and colonoscopy (with picolax)

Gastro & Flexible Sigmoidoscopy Patient Leaflets

Gastroscopy and flexible sigmoidoscopy (Home Micro enema)

Gastroscopy and flexible sigmoidoscopy

Gastroscopy and flexible sigmoidoscopy (with moviprep)

Gastroscopy and flexible sigmoidoscopy (with picolax)

Gastroscopy and Flexible sigmoidoscopy under General Anaesthetic

Colonoscopy

Colonoscopy enables the specialist to look at the inside of the large intestine from the rectum to the opening of the small intestine.

Specialists may use the procedure to find the cause of diarrhoea, abdominal pain or constipation and to check for signs of cancer. With colonoscopy the specialist can see bleeding, inflammation, abnormal growths and ulcers in the colon and rectum.

For the procedure the patient lies on their side on the examination table. Sedation and a pain relief are usually given to help the patient relax. The specialist inserts a flexible, lighted tube into the rectum and slowly guides it into the colon. The scope transmits an image of the inside of the rectum and colon to a screen, so the specialist can carefully examine the lining of these organs. The scope also blows air into these organs, which inflates them and helps the physician see better.

If anything unusual is in the rectum or colon, like a polyp or inflamed tissue, the specialist can remove a piece of it using instruments inserted into the scope. The specialist will send that piece of tissue (biopsy) to the laboratory for testing.

Complications are uncommon: however, bleeding and damage to the colon are possible complications of colonoscopy.

Colonoscopy takes about 30 minutes. During the procedure patients may feel pressure and slight cramping in the lower abdomen. They will feel better when the air leaves the colon. If patients are sedated they will need to rest at the facility for one to two hours until the medication wears off.

Click here to see video of colonoscopy:

https://www.nhs.uk/video/Pages/Colonoscopy.aspx

Colonoscopy Patient Leaflets

Colonoscopy under General Anaesthesia

Colonoscopy under General Anaesthesia with Picolax

Colonoscopy (With Moviprep)

Patient information - Colonoscopy (With Picolax)

Patient information Colonoscopy (with Picolax) (Low residue diet)

Transnasal Endoscopy

A trans- nasal gastroscopy (sometimes referred to as TNE) is very similar test to a gastroscopy.

In trans- nasal endoscopy a much smaller camera is introduced through the nose (not into the mouth like gastroscopy) down to the back of the throat and into your oesophagus (food pipe).

Patients generally tolerate the procedure better as the camera does not touch the back of the tongue so they are unlikely to gag or retch during the procedure.

The procedure is performed sat up and as the camera is not touching the back of your tongue you can talk throughout the procedure.

Like gastroscopy trans- nasal endoscopy is a test to examine the upper part of your digestive system- your oesophagus (gullet), stomach and duodenum (small intestine).  The test is often used to investigate the symptoms you have been having such as indigestion, heartburn, stomach pain, difficulty swallowing or to exclude other abnormalities. Although the camera is thin it is still big enough to allow biopsies to be taken to help with your diagnosis.

Although the camera is passed through your nose we do not make a thorough examination of the nasal passages although if pathology is seen this will be reported to the doctor who requested the test.

The procedure takes 5 to 15 minutes and is commonly performed with local anaesthetic only although sedation can be used if preferred.

Find us and contact us

Location:

Kingston Hospital NHS Trust

Day Surgery Unit

Galsworthy Road,

Kingston upon Thames,

Surrey.

KT2 7QB

 

Contact us:

Endoscopy : 0208 934 2099 or via Main switchboard 0208 5467711

 

  • Calm environment, clean and comfortable. Professional conduct of all staff. Clearly explained each step of the way. Very good experience, personable staff. Patient
  • From the moment I arrived, every member of staff were very professional and friendly. I felt complete at ease and felt I was in good hands. Patient
  • From start to finish the staff were all pleasant and efficient. The procedure went well and once again everyone involved was fantastic. Patient
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Please find below a full list of the staff who regularly undertake Endoscopy procedures in the Endoscopy Unit at Kingston. The unit is JAG accredited ( Joint Advisory Group on GI Endoscopy). The aim of the JAG accreditation standards is to define a high-quality, safe and appropriate endoscopy service, delivered by a highly-trained, highly-supported and highly-motivated workforce.

The standards were written in consultation with endoscopy services, and are underpinned by national policy. Endoscopy services are asked to provide evidence to support their application for accreditation and demonstrate compliance with the standards.

General Surgery and Colorectal Team

 

Name and Title: Mr Ian Bloom, FRCS, FRCS Ed Associate Coloproctology RSM

Speciality: Colorectal

Job title: Consultant Colorectal Surgeon

GMC number: 3085949

 

Name and Title: Mr Adrian Fawcett, FRCS England, ACPGBI, RSM

Speciality: Colorectal

Job title: Consultant Colorectal Surgeon

GMC number: 3323803

 

Name and Title: Mr Michael Jarrett

Speciality: Colorectal

Job title: Consultant Colorectal Surgeon

GMC number: 4321053

 

Name and Title: Ms Tabinda Sultan

Speciality: Colorectal

Job title: Consultant Colorectal Surgeon

GMC number: 6112493

 

Name and Title: Mr Kumuthan Sriskandarajah

Speciality: Colorectal

Job title: Consultant

GMC number: 6079375

 

Name and Title: Mr Jean Deguara

Speciality: Upper GI/ General Surgery

Job title: Consultant

GMC number: 6041856

 

Name and Title: Mr Michail Kourkoulos

Speciality: General Surgery

Job title: Consultant

GMC number: 6152447

 

Name and Title: Mr Ioannis Gerogiannis

Speciality: General Surgery

Job title: Consultant

GMC number: 6124711

 

Name and Title: Ms Vera Tudyka

Speciality: General Surgery

Job title: Consultant

GMC number: 7191513

 

Gastroenterology Team

 

Name and Title: Dr Ralph Greaves

Speciality: Gastroenterology

Job title: Consultant & Clinical Lead for Endoscopy

GMC number: 3258507

 

Name and Title: Dr Markus Gess

Speciality: Gastroenterology

Job title: Consultant & Clinical Lead for Gastroenterology

GMC number: 4772264

 

Name and Title: Dr Rishi Goel

Speciality: Gastroenterology

Job title: Consultant & IBD Lead

GMC number: 6104126

 

Name and Title: Dr Lay-May See

Speciality: Gastroenterology

Job title: Consultant & Oncology Lead

GMC number: 6027090

 

Name and Title: Dr Helen Matthews

Speciality: Gastroenterology

Job title: Consultant& Research Lead

GMC number: 4641609

 

Name and Title: Dr Yasmin Pasha

Speciality: Gastroenterology

Job title: Consultant & Training Lead

GMC number: 6075982

 

Name and Title: Dr Christos Christodoulou

Speciality: Gastroenterology

Job title: Consultant & Audit Lead

GMC number: 7226674

 

Nurse Endoscopists

 

Name and Title: Mr Michael Grimes

Speciality: Endoscopy

Job title: Lead Nurse and Nurse Endoscopist

 

Name and Title: Ms Mandy Woodward

Speciality: Endoscopy

Job title: Nurse Endoscopist

 

Name and Title: Ms Mary ODonnell

Speciality: Endoscopy

Job title: Nurse Endoscopist

 

Name and Title: Ms Kim Drawwater

Speciality: Endoscopy

Job title:Nurse Endoscopist 

Outpatient referrals

A referral letter is required from the patients GP  to first see a specialist doctor in Gastroenterology / Colorectal or Upper Gastrointestinal surgery.A clinic appointment will be made for you to attend  a  consultation with the doctor in the out patients department.   The specialist will determine your need for an endoscopy procedure to be undertaken and will refer you onto the endoscopy team as appropriate after your clinic appointment.                                                                                                                                                       

GP direct access

Requests made via paper referral, Fax - 020 8974 6325

 

Inpatient referrals

If a patient is already in hospital the medical team responsible for their care can request an endoscopy procedure by completing a referral card and leaving it outside the level 6 endoscopy suite in the designated referrals box.

Coombe Wing (private inpatients)

All private patients referrals are managed directly by Coombe wing 0208 934 3906

Paediatric referrals for GI endoscopy

Exclusions: The Endoscopy unit does not provide a paediatric service. These procedures are performed in Main Theatres under General anaesthesia. Referrals can be made to either Dr Tim Heymann, Gastroenterology Consultant or Mr Peter Willson, Consultant UGI Surgeon    

 

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