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Endoscopy

Endoscopy is a test to look inside the body using a small camera, often at the end of a long tube. The camera is passed into the body through an opening such as the mouth.

Our Endoscopy team perform a wide range of gastro-intestinal and respiratory procedures for inpatients and outpatients, using state-of-the-art equipment. The team perform around 18,500 procedures each year and are national leaders on the Bowel Cancer and Bowel Scope Screening programmes.

We are the only trust in Kent and Medway taking part in a pilot programme where patients swallow a tiny camera known as a Colon Capsule Endoscopy (CCE), and have also been designated the Endoscopy Training Hub for Kent and Medway. Both our units are JAG accredited, ensuring a high-quality, safe and appropriate endoscopy service, delivered by a highly-trained team. We have also been awarded JAG training provider accreditation status and are now one of the national centres commissioned to improve endoscopy training in England.

The Endoscopy team are involved in a large number of research projects and aim to ensure our practice is based on the best available clinical evidence to provide the highest standard of care for every patient.

Our philosophy of care

 

Maidstone Hospital Unit Manager: Sally Nicholas and Hema Kafle
The Maidstone Hospital unit is located in the yellow zone, number 13, on the ground floor. All procedures except capsule endoscopy are undertaken in this unit with the addition of EUS and EBUS.

Tunbridge Wells Hospital Unit Manager: Sally Craven
The Richard Loke Endoscopy Unit at Tunbridge Wells Hospital is in the purple area on Level –1. All procedures (including capsule endoscopy) except EBUS are undertaken in this unit.

General queries about appointments: 01892 638210

  • Option 1: to change or cancel an appointment at Tunbridge Wells or Maidstone (lines are open Monday – Friday, 9.00-11.00am and 1.30-3.30pm)
  • Option 2: medical enquiry with appointment at Tunbridge Wells
  • Option 3: medical enquiry with appointment at Maidstone.

Opening hours

Both units are open 08.00am – 6.30pm Monday to Friday, 8.00am to 5.00pm on Saturdays. The Tunbridge Wells site is open 8.00am – 1.00pm on Sundays.

Maidstone Unit is temporarily open on Sundays 8.00am-6.30pm

 

What is an endoscopy?

An endoscopic procedure allows us to inspect your gastrointestinal or respiratory tract with a flexible tube, which has a video camera attached to the end.

Upper gastrointestinal endoscopy (OGD or Gastroscopy) includes the examination of the oesophagus (foodpipe or gullet), stomach and duodenum (the first part of the small bowel). Lower gastrointestinal endoscopy (colonoscopy or flexible sigmoidoscopy) is an examination of the colon (large bowel).

We can also visualise the entire small bowel using a swallowed pill-sized camera (capsule endoscopy). Endoscopic retrograde cholangio-pancreatography (ERCP) examines the biliary tree (ducts that connect your gallbladder, pancreas and duodenum) with the help of x-ray and Endoscopic Ultrasound Scan (EUS) can also be used to look at these ducts or the external layers of your gullet.

Respiratory endoscopy (bronchoscopy or endobronchial ultrasound (EBUS)) includes the examination of the bronchial tree and adjacent lymph nodes.

Different types of endoscopic procedures and relevant forms/guidance

The National Bowel Cancer Screening Programme

Bowel cancer (colorectal cancer) is the second most common cause of cancer deaths in the UK, accounting for 11% of all new cancers. The lifetime risk of developing bowel cancer is 1 in 14 for men and 1 in 19 for women, in 2012 in the UK.

To read more about bowel cancer and its treatment, visit the Cancer Research UK website

Colorectal cancer can be prevented via polypectomy, which is the removal of pre-cancerous growths (polyps) within the bowel at either colonoscopy or flexible sigmoidoscopy. This is a safe, mostly painless procedure with highly effective results.

Information about the bowel cancer screening programme can be found on the NHS website.

Questions or problems after your procedure

In the event of an emergency, you are advised to attend your nearest A&E department, taking a copy of your endoscopy report with you.

For other queries, you can contact your GP or the medical staff in the endoscopy department on the general enquiry line 01892 638210.

Meet the team

Between 30-35 physicians, surgeons and nurse endoscopists supported by nurses deliver endoscopy at our hospitals. They are supported by a large team of specialist nurses, endoscopy assistants and technical staff.

  • Debora Primerano, Deputy General Manager for General Surgery and Endoscopy and Kent and Medway Training Hub Manager
  • Raquel Souto, Endoscopy Practice Educator
  • Ezzy Chandler, Endoscopy Service Manager

 

Medicine

Dr Adrian Barnardo
Consultant Gastroenterologist, Endoscopy Lead, Kent & Medway Endoscopy Training Hub lead

 

Dr Bijay Baburajan
Endoscopy Training Lead
Consultant Gastroenterologist and Endoscopist

Dr Iona Bell
Consultant Gastroenterologist and Endoscopist

Dr Paul Blaker
Consultant Gastroenterologist and Endoscopist

Dr Justin Fegredo
Consultant Gastroenterologist and Endoscopist

Dr Doddi Hanumantharaya
Consultant Gastroenterologist and Endoscopist

Dr Laurence Maiden
Chief of Medicine and Emergency Care
General Physician and Gastroenterologist, and Endoscopist

Dr Hermant Sharma
Consultant Gastroenterologist and Endoscopist

Surgery

Miss Helen Lloyd
Surgical Clinical Lead for Endoscopy
Consultant General Surgeon and Endoscopist

 

Mr Yasser Abdulaal
Emergency Surgery Consultant and Endoscopist

Mr Charles Bailey
Consultant General Surgeon and Endoscopist

Mr Dinesh Balasubramanian
Emergency Consultant and Endoscopist

Mr Ahmed Hamouda
Consultant General Surgeon and Endoscopist

Mr Jordan Iordanov
Surgical Associate Specialist and Endoscopist

Mr Rasa Moosvi
Consultant General Surgeon and Endoscopist

Mr Mahir Shahabdeen
Surgical Associate Specialist and Endoscopist

Miss K Takacs
Staff Grade Surgical Doctor and Endoscopist

Mr Gabor Toth
Staff Grade Surgical Doctor and Endoscopist

Mr Christopher Wright
Consultant general surgeon and Endoscopist

Respiratory

Dr Simon Webster
Lead Respiratory Consultant
Respiratory Consultant and Endoscopist

 

Dr Phillip Davidson
Respiratory Consultant and Endoscopist

Dr Terry Lim How
Respiratory Consultant and Endoscopist

Dr Ravish Mankragod
Respiratory Consultant and Endoscopist

Dr Tuck-Kay Loke
Respiratory Consultant and Endoscopist

Clinical Endoscopists

Ricardo Alves, Lead Clinical Endoscopist

Monica Silva, Lead Clinical Endoscopist

Guilherme Pereira, Senior Clinical Endoscopist

Steven Ablos, Clinical Endoscopist

Mark Canoy, Clinical Endoscopist

Leona Chibambo, Clinical Endoscopist

Christine Herrera, Clinical Endoscopist

Febie Ladroma, Clinical Endoscopist

Augustina Simpson, Clinical Endoscopist

 

EUS

Mr Jeffrey Lordan
Emergency, UGI Consultant Surgeon and EUS Endoscopy Lead

Dr Doddi Hanumantharaya
Consultant Gastroenterologist and Endoscopist

Bowel cancer screening

Dr Adrian Barnardo
Endoscopy Lead
Kent & Medway Endoscopy Training Hub lead
Consultant Gastroenterologist

Dr Laurence Maiden
Chief of Medicine and Emergency Care
General Physician and Gastroenterologist, and Endoscopist

Mr Dinesh Balasubramanian
Emergency Consultant and Endoscopist

Mr Jordan Iordanov
Surgical Associate Specialist and Endoscopist

Mr Sanjay Joshi
Surgical Associate Specialist and Endoscopist

Mr Ricardo Alves
Lead Nurse Endoscopist

ERCP

Dr Hermant Sharma
Clinical Lead for Endoscopy
Consultant Gastroenterologist and Endoscopist

Dr Doddi Hanumantharaya
Consultant Gastroenterologist and Endoscopist