The Whittington Health (WH) endoscopy unit provides both inpatient and outpatient services for patients requiring endoscopic procedures (sedation is offered if required).

Eligibility Criteria

Inclusions

Patients without Dyspepsia (any age)

• Patients with liver disease to detect oesophageal varices
• For confirmatory biopsy of Coeliac disease
• Post treatment for Caner/Barrett's Oesophagus surveillance
• Repeat endoscopy following gastric or oesophageal ulcer treatment
• Screening in Polyposis – familial adenomatous Polyposis
• Oesophageal dilatation follow up

Dyspepsia + >55 years with

• Unexplained, persistent recent onset dyspepsia in the absence of any other features
• Unexplained worsening of dyspepsia with Barretts' oesophagus
• Known dysplasia
• Atrophic gastritis
• Intestinal metaplasia
• Peptic ulcer surgery >20 years ago

Dyspepsia any age with a change of or persistent dyspepsia symptoms, despite PPI therapy and treatment for Helicobacter pylori, with a history of Barretts, Metaplasia, Dysplasia, recent NSAID use, previous gastric surgery or strong family history.

Exclusions

For any alarm features (at any age) send via urgent suspected cancer upper GI. These symptoms may include:

• Progressive unintentional weight loss
• Iron deficiency anaemia
• Persistent vomiting
• Epigastric mass

How to Refer