Procedures

Conditions

Gastromedicalsolutions LLP specialises in the full spectrum of gastrointestinal conditions. From diagnosis to management and treatment.

We offer the latest endoscopic procedures and treatments, alongside the latest evidence based clinical management for your gastrointestinal condition.

  • Ulcerative colitis
  • Ulcerative colitis (UC) is a chronic inflammatory condition that affects the large intestine and occurs 1 in 420 people in the UK. Diarrhoea with blood is the most common presentation and treatments are usually given to treat the flares and keep the condition in remission.

    In some individuals, there is a small increased risk of developing colorectal cancer and regular surveillance colonoscopy is recommended. Regular follow up with your Gastroenterologist is recommended to monitor progress.

  • Crohn’s disease
  • Crohn’s Disease (CD) affects around 1 in every 650 people. It is a chronic relapsing remitting inflammatory condition of the intestine and often occurs in patches with deep ulceration and scarring. It can affect anywhere from mouth to anus but often involves the small and/or large intestine. Presentation varies but can include tummy pain, weight loss and/or diarrhoea.

    Although, there is no cure for this illness, your Gastroenterologist can offer treatments to help control inflammation and heal the lining of your gut to provide symptomatic relief.

  • Colon cancer
  • Colon cancer is the 4th most common cancer in the UK and more than 80% are diagnosed in people aged 60 or over (Cancer Research UK).

    If detected early, colon cancer can be cured and the UK now has a well-established colon cancer screening programme for the UK. Consult your doctor for further information.

  • Diverticulosis and Diverticulitis
  • A Diverticulosis is a condition where small pouches develop within the gut and can affect any part of the bowel but usually affects the colon. Diverticula are common in older people and upto 50% have diverticulae by 80 years age. Most people have no symptoms with diverticular disease.

    Those who are diagnosed with the condition are usually advised to have a high-fibre diet. Sometimes diverticula can become inflamed and cause tummy (abdominal) pain, bleeding from the back passage, fever and antibiotics may be required. It is advisable to seek early medical advice if these symptoms develop.

  • Colonic polyps
  • Colon polyps are non-cancerous (benign) growths in the intestine. They are common and affect 1 in 5 individuals. They usually do not cause symptoms and identified when patients undergo bowel investigations or via the UK bowel cancer screening programme.

    Once identified, polyps are usually removed at endoscopy as some types of polyps can become cancerous (1 in 10) if left untreated over time.

  • H. Pylori
  • Helicobacter pylori (H. pylori) is a germ (bacterium) that resides in the lining of the stomach and/or first part of the small intestine (duodenum). It is common and is present in almost half of the world’s population, in particular the developing world.

    In most people H pylori does not cause any problems and/or symptoms but in some individuals it can cause stomach and/or duodenal ulcers. People who present with symptoms of an ulcer are routinely tested for H-pylori and given antibiotics if tested positive

  • Gastric (Stomach) Ulcer
  • In order to protect its own lining from acid erosion, the stomach produces a mucous layer. In some people, the mucous barrier is breached and this can result in damage to the lining of the stomach, also known as an ulcer.

    Medications such as anti-inflammatory tablets, H-pylori infection are common culprits. Symptoms include tummy pain which may occur with meals and may worsen with food intake. It can also be associated with nausea and/or vomiting. It is advisable to see your Gastroenterologist if you develop these symptoms.

  • Duodenal Ulcer
  • Similar to gastric ulcer, some people can develop ulcers in the duodenum. Medications such as anti-inflammatory tablets, H-pylori infection are common culprits.

    Symptoms include tummy pain which may occur before meals and may ease with food intake. It can also be associated with nausea and/or vomiting. It is advisable to see your Gastroenterologist if you develop these symptoms.

  • Anaemia
  • Anaemia occurs when the red cells lose their oxygen carrying capacity, either due to a low number of red cells or a low haemoglobin. Symptoms related to anaemia include lethargy, dizziness, weakness and/or shortness of breath.

    There are several causes to anaemia however the most common cause is iron deficiency. Post-menopausal women and males of any age with iron deficient anaemia should be investigated further to identify the cause and this may involve endoscopy.

  • Haemorrhoids (Piles)
  • Haemorrhoids are swellings that contain blood vessels and are found inside or outside the anal canal (back passage). In some individuals they can cause fresh bright red bleeding on defecation and/or a ‘lump’ sensation around their anus.

    Haemorrhoids can often settle with no treatment but in some individuals they may be troublesome and require topical therapy or endoscopic banding +/- surgery in severe cases. Having a balanced healthy diet, high fibre and fluid intake along, avoiding constipation and straining can help prevent haemorrhoids.

  • GORD (Gastro-oesophageal reflux)
  • GORD is a common condition where there is backward flow of the stomach contents in to the ‘food pipe’ (also known as gullet or oesophagus). This often results in heartburn and associated nausea and/or vomiting.

    Certain foods and lifestyle choices can exacerbate symptoms and include alcohol, caffeinated drinks and smoking. In some individuals, symptoms persist despite over the counter antacids and require a specialist opinion, especially if difficulty swallowing, weight loss and/or persistent vomiting occur.

  • Gallstones
  • Gallstones are stones that form within your gallbladder. They are more common in women and the risk increases with age. In most cases, gallstones can go unnoticed however they can migrate to the duct that drains bile and cause intense abdominal pain which often occurs with meals (biliary colic).

    Some people can develop inflammation of their gallbladder as result of gallstones, also known as cholecystitis which can cause pain, jaundice and fever. In other situations, these stones can block the bile duct and cause jaundice, fever, pain and may also cause inflammation of the pancreas, an organ in close proximity to the gallbladder. If such symptoms do occur, urgent medical attention is advised.

  • Barretts oesophagus
  • Barrett’s oesophagus is a condition where the cells that line the gullet become abnormal. This often occurs in patients with GORD where the gullet has been exposed to prolonged acid reflux. Although the lining is not cancerous, there is a risk of developing cancer within this region over time.

    Patients with Barretts oesophagus are often on antacid medications and may be advised to undergo regular endoscopic surveillance of their Barrett’s oesophagus.

  • Oesophageal cancer
  • Oesophageal cancer can occur anywhere within the length of the gullet but often occurs at the stomach junction. Individuals with oesophageal cancer can present with symptoms of difficulty swallowing, vomiting, weight loss, anaemia. Its diagnosis is confirmed by performing a gastroscopy (upper GI endoscopy).

    Treatments for oesophageal cancer vary depending of the size, location and extent of the cancer and symptoms can also help direct therapy. Options for therapy can include, surgery, endoscopic therapy, chemo and radiotherapy.

  • Achalasia
  • Achalasia is a disorder of the oesophagus. It causes abnormal oesophageal contractions and a failure of the lower oesophageal sphincter to relax when eating. This results in food stasis within the oesophagus and often causes nausea, vomiting and difficulty swallowing.

    Achalasia is uncommon but more likely with increasing age. Medical and surgical treatments are available and it is advisable to seek medical advice.

  • Coeliac disease
  • Coeliac disease is an autoimmune disease which affects 1 in 100 individuals in the UK. Gluten exposure in these individuals results in inflammation and damage to the lining of the small intestine and poor absorption of dietary nutrients such as iron, vitamins and calcium.

    Symptoms can include bloating, abdominal pain, diarrhoea, weight loss and/or lethargy. A screening blood test can help physicians know whether coeliac disease is likely in an individual however the ‘gold standard’ test is endoscopy (gastroscopy) and obtaining a biopsy from the small bowel to confirm the diagnosis.

  • IBS (irritable bowel syndrome)
  • IBS is a common long term condition of the gut which results in bouts of diarrhoea and/or constipation and associated bloating and abdominal pain. Common triggers include stress and diet.

    Although there is no cure to IBS, medications, dietary modifications and psychological interventions can be considered based on the predominant symptoms.

  • Rectal bleeding
  • Rectal bleeding is noticed as bright red blood on toilet paper or as droplets when defecating. It indicates blood loss from lower end of your bowel and typically due to haemorrhoids or a tear in the lining of your anus (fissure).

    In some individuals and especially with increasing age (over 50 years), persistent rectal bleeding needs to be investigated to rule out sinister causes such as cancer. Your physician may consider endoscopy and/or treatments depending on the cause of your rectal bleeding.

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