Direct Access Endoscopy
Any medically stable adult (18-80) patient with specific accepted indication(s) for an endoscopy test is suitable for Direct Access Endoscopy.
OGD and/ or Colonoscopy
ERCP or EUS
Direct Access Endoscopy may also be known as ‘Straight to Test’ or ‘Open Access Endoscopy’. The patient proceeds to the endoscopy test without a preliminary consultation with the endoscopist/ gastroenterologist.
A patient in the UK may have seen their General Practitioner (GP), or another medical specialist, who could recommend the need for an endoscopy. He/ she may have had a previous endoscopy test and requires a repeat or follow up surveillance procedure. These patients may wish to proceed straight to the endoscopy test without another formal consultation visit, potentially reducing delay and saving cost.
Fast and Easy Access to a Specialist Test
Following the referral, the patient will get an appointment to have the appropriate test done urgently. Most patients will have the test within 2 weeks. My secretary will contact the patient (usually by phone), to advise on the preparation required prior to attending.
On the day of endoscopy test, the patient is seen on the ward or endoscopy unit just prior to the test for a short discussion and consent.
It is a prerequisite that any patient requiring an endoscopy test is informed of the risks, benefits, and alternatives. Please advise the patient to review the linked pages:
Direct Access Endoscopy is Not Appropriate for any Patient Who:
When no sinister diagnosis is found, the patient is normally discharged to the referrer (GP or medical specialist) for follow up or treatment where indicated. The endoscopy reports will be faxed promptly or sent by mail. The results of tissue sample analysis with management recommendations will be sent as quickly as feasible.
If an abnormality (e.g. a cancer) is found, arrangements are made immediately for further investigations and follow up.
Specialist Endoscopies and more . . .