We are located on level three at Yeovil Hospital, on the left just beyond reception.
What does diagnostic and therapeutic Endoscopy include?
- Flexible Sigmoidoscopy
- ERCP – Endoscopic Retrograde Cholangio-Pancreatography
- National Bowel Cancer Screening Programme
8am to 8pm.
What to expect?
On admission to the department your height and weight will be taken as well as a set of baseline observations, (blood pressure, pulse, etc). The nurse will then check your details, including what procedure you are having and if preparation has been completed.
We will also check and confirm your contact details, past medical history and next of kin information. The nurse will then give you a consent form to read through whilst waiting for your procedure and, if applicable, a change of clothing, (gown/paper pants). The endoscopist will then ensure consent is given for your procedure. An endoscopy nurse will then come and collect you for your procedure and answer any questions you may have.
The nursing staff will do their best to keep you updated of any changes or delays to the clinic timings.
We undertake approximately 7,000 procedures a year and aim to give a high quality of care for patients and relatives in a friendly and safe environment where knowledge, privacy, dignity and respect are our ultimate goals.
As we are an outpatient service, visiting is not appropriate. Patients can be dropped off and collected when their procedure has been undertaken. If you have any concerns, please let a member of staff know and they will be happy to help you.
Call: 01935 384 339
Chargeable parking is available opposite the hospital, also 20 minute spaces available in front of the hospital. Click here for more parking details and how to get here.
The Endoscopy team is delighted to be JAG accredited
The current Joint Advisory Group on Gastrointestinal Endoscopy (JAG) accreditation scheme was established in 2005 and, along with the Global Rating Scale (GRS), has supported endoscopy services across the UK to focus on standards and identify areas for development. The scheme is regarded as one of the most innovative and effective in the healthcare sector, and has been used as a model and source of inspiration for similar schemes both here and overseas.
Accreditation enables endoscopy services to assess their current performance, and it supports them in planning and developing their services. It helps with:
- People – it helps to improve their focus on meeting users’ needs
- Workforce – it helps to improve their focus on meeting the team’s needs
- Profile – it raises awareness and understanding of endoscopy, so building confidence and credibility both within the organisation and among the public
Improving Performance – the standard serves as an authoritative benchmark for assessing performance, rewarding achievements in the service and driving quality improvement.
Colonoscopy is a procedure that allows your doctor to examine the bowel from the inside from the rectum to the caecum, where the large and small intestine meet. The scope is a flexible tube around 180cm long and about the thickness of your little finger.
A diet sheet will be sent with the appointment date as well as oral bowel preparation sachets which clear the bowel to aid good visualisation of the bowel.
You will also need to stop food intake for 24 hours prior to the procedure, if you have diabetes please follow the guidance sent with the diet information and bowel preparation sachets, contact the ward for further information if required.
For more information:
ERCP is where an endoscope is passed through your mouth down to where the bile duct opens into the small intestine.
However, during ERCP the opening of the bile duct is widened with a small incision or an electrically heated wire. The bile duct stones are then removed or left to pass into your intestine and out of your body.
Sometimes a small tube called a stent is permanently placed in the bile duct to help the bile and stones pass.
An ERCP is usually carried out under sedation, which means you’ll be awake throughout the procedure but won’t experience any pain.
The ERCP procedure lasts about 30 minutes on average, but can take from 15 minutes to over an hour. You may need to stay overnight in hospital after the procedure so you can be monitored.
Flexible sigmoidoscopy is a procedure that allows your doctor to examine the rectum and the lower (sigmoid) colon. The scope is a flexible tube 60cm long and about the thickness of your little finger.
An enema will be administered prior to the procedure to void the lower part of the colon.
For more information:
A gastroscopy is a procedure where a thin, flexible tube called an endoscope is used to look inside the oesophagus, stomach and first part of the small intestine (duodenum). It’s also sometimes referred to as an OGD- oesophago-gastro-duodenoscopy.
A mouth guard will be used to protect your teeth as well as the endoscope throughout the procedure.
You cannot eat or drink for at least six hours prior to this procedure.
Bowel cancer screening involves having tests to check if you have or are at risk of bowel cancer.
Why is it offered?
Bowel cancer is a common type of cancer in both men and women. About 1 in 20 people will get it during their lifetime.
Screening can help detect bowel cancer at an early stage, when it’s easier to treat. It can also be used to help check for and remove small growths in the bowel called polyps, which can turn into cancer over time.
Types of screening test
There are two types of test used in NHS bowel cancer screening:
- Bowel scope screening – a test where a thin, flexible tube with a camera at the end is used to look for and remove any polyps inside your bowel
- Home testing kit (the FOB test) – a kit you use to collect small samples of your poo and post them to a laboratory so they can be checked for tiny amounts of blood (which could be caused by cancer)
If these tests find anything unusual, you might be asked to have further tests to confirm or rule out cancer.
When it is offered
- NHS bowel cancer screening is only offered to people aged 55 or over, as this is when you’re more likely to get bowel cancer:
- if you’re 55, you’ll automatically be invited for a one-off bowel scope screening test, if it’s available in your area
- if you’re 60 to 74, you’ll automatically be invited to do a home testing kit every two years
- if you’re 75 or over, you can ask for a home testing kit every 2 years by calling the free bowel cancer screening helpline on 0800 707 60 60
- If you’re too young for screening but are worried about a family history of bowel cancer, speak to your GP for advice.
- Always see a GP if you have symptoms of bower cancer at any age – don’t wait to have a screening test.
Risks of screening
No screening test is 100 per cent reliable. There is a chance a cancer could be missed, meaning you might be falsely reassured.
There is also a small risk that the bowel scope screening test and some of the tests you might have if screening finds something unusual could damage your bowel, but this is rare.
There are no risks to your health from the home testing kit.
Do I need to eat different foods prior procedure?
Low residue/fibre diet should be adhered to for two days prior to a colonoscopy, this is because a clear view of the bowel is required to ensure nothing is missed. Seeds should especially be avoided as this can block the scope and you may need to have the procedure repeated. Further information can be found in colonoscopy leaflet.
As a diabetic do I need to do anything different prior to procedure?
Follow the dietary advice as above, when making your appointment ensure it is early in the day. Follow guidance in the ‘diabetes and your procedure’ leaflet for medication advice, if unsure contact the day surgery ward on 01935 384339 for additional advice.
I am taking blood thinning medication– for example: warfarin, aspirin, clopidogrel, dabigatran, rivaroxaban, should I continue to do so?
If taking warfarin an INR check will be required, please arrange to have this done the day before at your GP surgery. If taking any other blood thinning medication please contact the endoscopy office on 01935 384 793 for guidance.
What bowel preparation do I need to do prior to procedure?
If having a colonoscopy you will be sent your bowel prep in the post– please follow the directions exactly to ensure the best outcome for the procedure. You will also be required to be nil by mouth once bowel prep is commenced.
If having a flexible sigmoidoscopy an enema will be sent in the post for self administration (if you are unable to self administer arrangements can be made to have it administered by a nurse prior to the procedure on the ward). The enema needs to be administered a couple of hours prior to your appointment.
How long do the procedures take?
Gastroscopy 5-15 mins
Flexible sigmoidoscopy 10– 15 mins
Colonoscopy 20 – 60 mins
What types of pain relief can you have?
Throat spray is the first choice you can have. It is an anaesthetic liquid sprayed into the back of your mouth and numbs the throat for 30 mins. You are able to go home within 30 mins of the procedure.
Sedation is the other option. It is called ‘conscious sedation’. You will not be asleep, it is different from general anaesthetic. You will have a needle put into your arm or hand in order to give you the sedation. You will not be able to leave for at least an hour after the procedure and you need someone to collect you and be with you for 12 hours after the procedure. You cannot drive/ work or make important decisions for 24 hours post procedure.
Most people do not need pain relief for this procedure but you can have Entonox, it is a mixture of nitrous oxide and oxygen. It is very effective and leaves the body within seconds so you can go home quickly.
Some people manage quite well without any analgesia but analgesia is available. Inhaled sedation (a mixture of nitrous oxide and oxygen) is offered, this gives you control over how much is taken. Intravenous sedation is the other pain relief given see above for information on it.
Can I still have sedation if I’m taking a controlled drug or strong pain relief medications?
Any concerns can be addressed over the telephone prior to the procedure. Or can be discussed with the endoscopist on the day.
If I have sedation for my procedure when can I start breastfeeding?
If you have Intravenous sedation, it is advised not to breastfeed for 24 hours after it has been administered.
Why am I having these tests?
The tests can be diagnostic or therapeutic. Diagnostic could be testing for anaemia, swallowing difficulties, and changes in bowel habit.
Sometimes the endoscopist will take small tissue samples (biopsies) to confirm a diagnosis, these samples are sent to the lab and usually take about two weeks for the results. Therapeutic can be removing small tissue growths called polyps.
Can I have a friend / someone with me?
You may have someone with you and sit in reception until you are called in. Only in very exceptional circumstances can we allow visitors onto the ward.
Is my appointment time the time of my procedure?
No, this is your arrival time. This allows for your admission and consent to be completed prior to the procedure, as well as allowing time to change in to a gown if required.
What happens if my appointment gets cancelled?
Should the need arise to cancel your appointment another will be booked and confirmation will be sent.
Is it ok wear makeup/ jewellery/nails ?
You may wear makeup and nails, although it is preferable not to have the colour red on your nails. You will be asked to remove some jewellery should it affect the safety of the procedure, for example removing a tongue piercing if having a gastroscopy.
Do I need to stop some of my medications?
Consult with your GP or contact the ward for advice on stopping any medications.
Can I fly after my procedure?
It is advisable not to fly for two weeks following a colonoscopy and/or removal of a polyp, this can be discussed with the endoscopist, or contact the ward if concerned.
I’ve not been very well is it still ok to come to my appointment?
Contact the ward and discuss your concerns prior to the appointment day.
How long does it take for the biopsy results to come back?
Approximately two weeks., the results will be forwarded to you GP unless you have a follow-up appointment with the consultant.
How long does it take to recover from the procedure?
This varies from patient to patient and whether or not sedation was administered. You can resume normal daily routines once you feel well enough to do so, however following sedation you will be recovered in the department for a couple of hours and will be unable to drive or return to work for 24 hours and must have someone with you at all times for the first 12 hours.
You are able to resume your normal eating habits once the procedure is completed unless advised differently by the endoscopist.
Where is the endoscopy department?
The Day Case UK endoscopy department can be found on level 3 (this is the level where the main reception is found), it is based left of reception just before the coffee area.