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Endoscopy

Endoscopy Department

The Princess Grace Hospital Endoscopy Centre is a purpose-built centre. It is situated on the ground floor of the hospital.

As you would expect at the Princess Grace Hospital this Centre has excellent technical facilities and a dedicated team to offer a first class service to our patients.

The Centre is open from 8am - 8pm Monday to Friday and 8am - 1pm on Saturdays. During this time our consultants are available to conduct a range of Endoscopy procedures which are detailed on the right

The Princess Grace Endoscopy unit is a purpose built unit, with safety and patient welfare foremost in mind. The unit was designed and built whilst adhering to the specifications and guidelines outlined by the British Society of Gastroenterology.

Endoscopy Overview

Endoscopy is a minimally-invasive diagnostic medical procedure used to evaluate the interior surfaces of an organ by inserting a small tube into the body, often, but not necessarily, through a natural body opening. Through the scope one is able to see lesions and other surface conditions.

The instrument may have a rigid or a flexible tube and not only provide an image, for visual inspection and photography, but also enable taking biopsies and retrieval of foreign objects.

Many endoscopic procedures are relatively painless and, at worst, associated with mild discomfort although patients are sedated for most procedures.

Recovery area

This comprises of eight private recovery bays, of which two are ensuite. Each bay is fully equipped with monitoring facilities, suction and piped oxygen. There is also a safe facility at reception to ensure the safety of the patient's valuables. Patients should expect to stay here up to one hour after the procedure. Post ERPC patients are expected to stay in hospital overnight.

The Procedure Rooms

There are two procedure rooms and both are equipped with Evis 240 series endoscopes, with procedure monitors, patient monitors and photograph monitors. There is also a video system where procedures can be recorded for the patient to take home with them and, with the patients consent to for learning and research. One procedure room is lead - lined, where therapeutic procedures such as ERCPs and Oesophoageal dilatation can be carried out.

Range of procedures:

Colonoscopy

Colonoscopy is a test which allows the doctor to look directly at the lining of the large bowel (the colon).

In order to do the test a colonoscope is carefully passed through the anus into the large bowel. The colonoscope is a long flexible tube, about the thickness of your index finger, with a bright light at the end. Looking down the tube, the doctor gets a clear view of the lining of the bowel and check whether any disease is present.

Sometimes the doctor takes a biopsy (a sample of the bowel lining). A small piece of tissue is removed painlessly through the colonoscope, using tiny forceps. This is then sent to the laboratory for further tests.

We will soon be adding detailed patient information about this procedure.

Cystoscopy

Cystoscopy is an examination of the inside of the bladder, using a very fine, flexible fibreoptic, telescopic tube (the flexible cystoscope). This is passed through the urethra (the channel to the bladder) into the bladder so that the consultant can see what the problem may be. The examination is performed under local anaesthetic; it is quick and painless.

Flexible Sigmoidoscopy

Flexible Sigmoidoscopy is a test which allows the doctor to look at the lining of the lower large bowel.

In order to do the test a sigmoidoscope is carefully passed through the anus into the lower large bowel. The sigmoidoscope is a long flexible tube, about the thickness of your index finger, with a bright light at the end. Looking down the tube, the doctor gets a clear view of the lining of the bowel and check whether disease is present.

Sometimes the doctor takes a biopsy (a sample of the bowel lining). A small piece of tissue is removed painlessly through the sigmoidoscope, using tiny forceps. This is then sent to the laboratory for further tests.

Gastroscopy

Gastroscopy is a test which allows the doctor to look directly at the lining of the oesophagus (the gullet), the stomach and around the first bend of the small intestine - the duodenum.

In order to do the test a gastroscope is carefully passed through your mouth into the stomach. The gastroscope is a long flexible tube (thinner then your little finger), with a bright light at the end. Looking down the tube, the doctor gets a clear view of the lining of the stomach and can check whether any disease is present.

Sometimes the doctor takes a biopsy a sample of tissue, which is removed painlessly through the gastroscope, using tiny forceps. This is then sent to the laboratory for further tests.

We will soon be adding detailed patient information about this procedure.

Capsule Endoscopy

To have a capsule endoscopy, patients simply swallow a capsule which contains a miniaturized camera and light source. The capsule is the size of a vitamin pill and is taken with some water. Capsule endoscopy is comfortable and painless and no sedation or analgesia is required.

The capsule passes naturally through the digestive tract over an 8 hour period taking 2 pictures per second. Images are transmitted to data recorder worn by the patient. These are then downloaded to a special workstation and reported by the doctor.

Capsule endoscopy is useful for the investigation of a number of conditions such as iron deficiency anaemia, obscure gastrointestinal bleeding, suspected Crohn’s disease, small bowel tumours, chronic abdominal pain and disorders that cause malabsorption and diarrhoea such as Coeliac disease.

This test is now available for patients at the Princess Grace Hospital. More information is available at Endoscopy London

Making Appointments

1. Telephone the Direct Number 020 7079 4344

2. From 8am - 8pm the Endoscopy Coordinator will deal with your request. The following information will be required:

. Name of referring clinician, address and telephone number
. Name of patient, date of birth, address, telephone number (day and evening)
. Method of payment (further details will be requested from patient prior to admission)
. Procedure requested
. Preferred Consultant or next available appointment

3. The booking will be confirmed by the Coordinator for the referring clinician. A Confirmation letter will be sent to the patient when there is sufficient time before the procedure is scheduled. An information leaflet and instructions and the pre-procedure medication in the case of colonoscopy procedure will accompany the letter

4. Inquiries of a clinical nature may be directed to one of the members of the Endoscopy Team by telephoning 020 7079 4344