Services We Offer © Sebastian Zeki 2012   Consultation  When you first meet Dr Greenfield you will be offered a 30 minute appointment so that he can  carefully review your symptoms and examine you. A management plan will then be agreed with  you that will depend on your symptoms; for instance you might just need to alter your diet or  perhaps you may need blood tests, scans or an endoscopy. Dr Greenfield always sends your  GP a detailed letter of the consultation and a copy letter can also be sent to yourself for your  records. After tests a follow up consultation will be arranged to go through results and to monitor any treatment. Gastroscopy  If you suffer with swallowing problems, heartburn/reflux, vomiting or upper abdominal pain, Dr  Greenfield may advise a gastroscopy.If you have these symptoms Dr Greenfield may advise a  gastroscopy.  A gastroscopy is an examination that allows Dr Greenfield to directly view your gullet, stomach and duodenum using a thin flexible fibre-optic endoscope. If required tissue, samples can  be taken and a biopsy performed to look for an infection (Helicobacter) that can cause ulcers. The  test is done either with sedation to relax you or you may remain awake and you can decide what  you would prefer.  The   examination  is done as a “day case” coming in to hospital and going  home a few hours later. To learn more about this test please click here. Flexible sigmoidoscopy Symptoms related to your lower bowel might include bleeding from your bottom, diarrhoea  or constipation. These symptoms might require a lower bowel examination. A flexible  sigmoidoscopy is an examination that allows Dr Greenfield to directly view your rectum,  sigmoid colon and descending colon  using a thin flexible fibre-optic endoscope. Tissue  samples can be taken as required.  Before the examination a small dose of laxatives will  be required and the test is done with either sedation to relax you or you can use entonox  (“laughing gas”). The examination is done as a “day case” coming in to hospital and going home a few hours later. To learn more about this test please click here. Colonoscopy  Symptoms related to your large bowel might include diarrhoea, constipation, abdominal pain,  weight loss or anaemia. These symptoms might require a complete examination of your large  bowel. A colonoscopy allows Dr Greenfield to examine the total lining of your large bowel using a  flexible fibre-optic endoscope.   Before the examination laxatives will be required and the test is  usually done with sedation to relax you and pain relief as required. The examination allows Dr  Greenfield to take biopsy samples as required and   polyps (small growths) can also be removed if  these are found.  The examination is done as a “day case” coming in to hospital and going home a  few hours later.   To learn more about this test please click here. Flexible sigmoidoscopy ERCP   Symptoms related to your bile duct or pancreas might include pain or jaundice. After blood  tests, ultrasound and possibly MRI, it may be that you need an ERCP. This is an  examination of your bile ducts  and pancreas performed with a flexible fibre-optic  endoscope. Treatments that can be performed by Dr Greenfield at  ERCP might include  removal of gallstones or stenting  (placing an drainage tube internally) of the bile duct. The  examination is usually done as a “day case” coming in to hospital and going home a few  hours later. Sometimes a short hospital stay may be required. To learn more about this test  please click here. Dr Greenfield ERCP Gastroscopy