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The upper GI services are a specialist centre and a tertiary referral unit. It is part of the regional Upper GI multidisciplinary cancer network that works in close collaboration with the Liverpool Heart and Chest Hospital, Whiston Hospital, Warrington Hospital and the Clatterbridge Centre for Oncology.

We offer a wide range of specialist out-patient clinics including the two week upper GI suspected cancer service, Barrett’s & Dysphagia Clinic etc.. We perform an extensive range of endoscopic Upper GI techniques and therapy including;

  • advanced trimodal imaging (autofluorescence & narrow-band with magnification)
  • chromoendoscopy
  • endoscopic ultrasound
  • oesophageal dilatation
  • oesophageal and gastric outlet stenting
  • Endoscopic Mucosal Resection (EMR)
  • thermal tumour ablation with argon plasma coagulation
  • laser therapy
  • HALO Radiofrequency ablation

Upper Gastrointestinal Services

Below is a list of services offered within the Upper GI clinics and treatments centres at the hospital:

Service

Description

Contact

Upper GI Bleeding Service

This is an emergency 24/7 in-patient service where patients with upper GI bleeding/haemorrhage have an endoscopy for diagnosis and treatment of their bleeding. This is a tertiary referral service that accepts patients throughout the region. It offers multi-modal types of intervention including TIPSS for patients with varicael bleeding

0151 706 2000

Upper GI Clinic

Out-patient service that reviews patients with upper GI symptoms and problems including dyspepsia and reflux

0151 706 3557/3554

Suspected Upper GI Cancer Pathway (2 week)

Out-patient service that reviews patients with alarm symptoms or suspected to have upper gastro-oesophageal cancer are endoscoped within 2 weeks

0151 706 2653

Dysphagia Clinic

Out-patient service that reviews patients with swallowing problems and oesophageal motility disorders

0151 706 3557/3554

Barrett’s Clinic and Surveillance

Out-patient service that reviews patients with Barrett’s on presentation, provides information and patient education before entering them into a surveillance programme as recommended by the BSG

0151 706 2653

Upper GI Cancer Clinic

Out-patient service that reviews all patients with newly diagnosed gastro-oesophageal cancer within 1 week and follow up patients with the diagnoses regularly with their personalised treatment plans

0151 706 2653

Open Access Upper GI Endoscopy

Out-patient GP access for any of their patients for routine diagnostic endoscopy

0151 706 2706

Regional Upper GI Multidisciplinary Meeting

Weekly meeting of surgeons, gastroenterologists, oncologists and specialist nurses where patients with gastro-oesophageal cancer are discussed and personalised investigations and treatment plans are developed. This held in conjunction with Liverpool Heart Chest, Whiston, Warrington and Clatterbridge

0151 706 2720

Trimodal Imaging-Upper GI endoscopy

Advanced endoscopy imaging to review suspicious areas for malignant changes within the oesophagus and stomach

0151 706 3557

Endoscopic Ultrasound (EUS)

A specialised endoscopy that contains an ultrasound probe within its tip. It allows optimal characterisation and staging of gastro-oesophageal cancer and other Upper GI Lesions

0151 706 2706

Oesophageal and Gastric Dilatation

A specialised endoscopic procedure that can be performed as in- or out-patient that widens (dilates) a narrowing within the oesophagus or stomach by special balloon

0151 706 2706

Oesophageal Gastric Stenting

Usually a metal mesh placed at Endoscopy to bridge a narrowing within the oesophagus or stomach and thus help food and drink to pass and help problems such as swallowing difficulties. Can be an in-or out-patient procedure.

0151 706 2706

Thermal Tumour Ablation

Laser or APC therapy is delivered at Endoscopy can be used to debulk tumours and control bleeding area. Can be done as an in- or out-patient procedure

0151 706 2706

Endoscopic Mucosal Resection (EMR)

Is a specialised endoscopic technique used to remove polyps or tumours

0151 706 2706

HALO Radiofrequency Ablation

Is a specialised technique, to treat Barretts and suspicious cells within the oesophagus

0151 706 3557

13C-Urea breath test

A highly sensitive and specific non-invasive method for diagnosis of Helicobacter Pylori. GPs have direct access.

0151 706 2706

Oesophageal manometry

Oesophageal function test used to investigate oesophageal symptoms including non-cardiac chest pain and dysphagia, as well as diagnosis of primary and secondary motility disorders.

0151 706 3456

Ambulatory

pH monitoring

Performed alongside oesophageal manometry, 24 hour ambulatory pH monitoring facilitates accurate objective diagnosis of gastro-oesophageal reflux disease

0151 706 3456

Hydrogen breath tests

The measurement of expired hydrogen after ingestion of an appropriate substrate is an indicator of gut bacterial activity used for the diagnosis of small bowel bacterial overgrowth, lactose intolerance and oral-caecal transit time.

0151 706 2706

Easy Read Information

 

Upper GI means Upper Gastro Intestine. This is the stomach and the gullet or wind pipe.

This page gives you information about all the different services for people with problems with their upper gastro intestine.

It has information about the staff involved and how to contact the different parts of the service.

 

 

Directory of service for GPs to click when referring patients with suspected upper GI cancer.

Below is a list of services offered within the Upper GI clinics and treatments centres at the hospital:

This is an emergency 24/7 in-patient service where patients with upper GI bleeding/haemorrhage have an endoscopy for diagnosis and treatment of their bleeding. This is a tertiary referral service that accepts patients throughout the region. It offers multi-modal types of intervention including TIPSS for patients with varicael bleeding.

0151 706 2000

Out-patient service that reviews patients with upper GI symptoms and problems including dyspepsia and reflux

0151 706 3557/3554

Out-patient service that reviews patients with alarm symptoms or suspected to have upper gastro-oesophageal cancer are endoscoped within 2 weeks.

0151 706 2653

Out-patient service that reviews patients with swallowing problems and oesophageal motility disorders.

0151 706 3557/3554

Out-patient service that reviews patients with Barrett’s on presentation, provides information and patient education before entering them into a surveillance programme as recommended by the BSG.

0151 706 2653

Out-patient service that reviews all patients with newly diagnosed gastro-oesophageal cancer within 1 week and follow up patients with the diagnoses regularly with their personalised treatment plans.

0151 706 2653

Out-patient GP access for any of their patients for routine diagnostic endoscopy.

0151 706 2706

Weekly meeting of surgeons, gastroenterologists, oncologists and specialist nurses where patients with gastro-oesophageal cancer are discussed and personalised investigations and treatment plans are developed. This held in conjunction with Liverpool Heart Chest, Whiston, Warrington and Clatterbridge.

0151 706 2720

Advanced endoscopy imaging to review suspicious areas for malignant changes within the oesophagus and stomach.

0151 706 3557

A specialised endoscopy that contains an ultrasound probe within its tip. It allows optimal characterisation and staging of gastro-oesophageal cancer and other Upper GI Lesions.

0151 706 2706

A specialised endoscopic procedure that can be performed as in- or out-patient that widens (dilates) a narrowing within the oesophagus or stomach by special balloon.

0151 706 2706

Usually a metal mesh placed at Endoscopy to bridge a narrowing within the oesophagus or stomach and thus help food and drink to pass and help problems such as swallowing difficulties. Can be an in-or out-patient procedure.

0151 706 2706

Laser or APC therapy is delivered at Endoscopy can be used to debulk tumours and control bleeding area. Can be done as an in- or out-patient procedure.

0151 706 2706

Is a specialised endoscopic technique used to remove polyps or tumours.

0151 706 2706

Is a specialised technique, to treat Barretts and suspicious cells within the oesophagus.

0151 706 3557

A highly sensitive and specific non-invasive method for diagnosis of Helicobacter Pylori. GPs have direct access.

0151 706 2706

Oesophageal function test used to investigate oesophageal symptoms including non-cardiac chest pain and dysphagia, as well as diagnosis of primary and secondary motility disorders.

0151 706 3456

Performed alongside oesophageal manometry, 24 hour ambulatory pH monitoring facilitates accurate objective diagnosis of gastro-oesophageal reflux disease.

0151 706 3456

The measurement of expired hydrogen after ingestion of an appropriate substrate is an indicator of gut bacterial activity used for the diagnosis of small bowel bacterial overgrowth, lactose intolerance and oral-caecal transit time.

0151 706 2706

Contact us

For any further information, please do not hesitate to contact our specialist nurses

0151 706 2653

The team

Dr Howard Smart - Consultant Gastroenterologists & Advanced Endoscopist

Dr Sanchoy Sarkar - Consultant Gastroenterologists & Advanced Endoscopist

Una Duffy - Specialist Nurse & Endoscopist

Carol Carr - Specialist Nurse & Endoscopist

Clare Tolet-Brennan - MDT Coordinator

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