What we do
The Endoscopy Unit at Bradford Royal Infirmary offers a variety of endoscopic procedures, including Gastroscopy, Colonoscopy, Bronocscopy, ERCP (endoscopic retrograde cholangio-pancreatography) and EUS (Endoscopic Ultrasound). Specialised services and clinics are provided for patients with inflammatory bowel disease, coeliac disease, liver problems and other gastrointestinal problems. We also provide capsule endoscopy and Bowel screening services.
Endoscopy is a procedure that involves looking inside the body with an Endoscope - this is a fine tube with a camera at the end and a channel inside where tools can be passed to take biopsies or stretch a narrowed area for example. In our endoscopy unit patients receive a high quality patient centred care. Patients and relatives are treated in a friendly and approachable manner at all times. We work as a team assisting and supporting each other to ensure the smooth operation of the unit.
A gastroscopy is a procedure that allows us to look inside the oesophagus (gullet), stomach and duodenum (first part of the small bowel).
A colonoscopy is a procedure that enables the endoscopist to look at the entire lining of the colon (large bowel).
A sigmoidoscopy is a camera procedure used to examine the lining of the last part of the large bowel, including the rectum.
PEG (Percutaneous Endoscopic Gastrostomy)
PEG is an endoscopic medical procedure in which a tube (PEG tube) is passed into a patient's stomach through the abdominal wall, most commonly to provide a means of feeding when oral intake is not adequate.
ERCP (Endoscopic Retrograde Colangio-pancreatography) is a procedure, which allows us to take detailed X-rays of the bile duct and / or the pancreatic duct. The procedure helps us diagnose abnormalities within the bile duct, pancreas or liver. It also allows us to treat certain conditions such as gallstones in the bile duct or a narrowing of the bile duct. These stones can often be removed during ERCP to relieve symptoms
EUS (Endoscopic Ultrasound)
EUS is a method of obtaining high quality pictures or images of the digestive tract. Sometimes it is used to obtain a tissue sample through a small needle (EUS-FNA).
Capsule endoscopy involves swallowing a capsule which contains a tiny camera. This will take pictures of the gastro intestinal tract from the inside as it passes along the gut. The pictures are transmitted to a data recorder, which is attached to the patient with a belt around the abdomen. The patient may ask to wear the recorder for 8 hours. It saves all the pictures that are taken as it passes through. Once the test is complete the data recorder is removed and the pictures are downloaded in to a computer.
Bronchoscopy is a procedure that allows us to look at the throat, larynx, trachea and lower airways
EBUS (Endobronchial Ultrasound)
EBUS allows physicians to perform a technique known as transbronchial needle aspiration (TBNA) to obtain tissue or fluid samples from the lungs and surrounding lymph nodes without conventional surgery.
Enquiries regarding appointments please contact -01274 27 3073, 01274 27 3337, 01274 27 3338, 01274 27 2670, 01274 27 6297
Enquiries regarding procedures please contact 01274 36 4627
The endoscopy unit is located on level 2 and 3 in the Duke of York building. On arrival please report to endoscopy reception on level 2 for endoscopic procedures and outpatient reception on level 3 for outpatient clinic appointments.
Research within the Gastroenterology Unit
The Digestive Diseases Research team undertake clinical trials in all areas of Gastroenterology and Hepatology.
The teams are involved in both commercial and non-commercial trials which include testing new treatments and medicines for many GI disorders.
The Gastroenterology team are predominantly involved with the NIHR BioResource which has recently opened the IBD BioResource. The IBD BioResource is a national platform designed to expedite research into Crohn’s disease and ulcerative colitis and help develop new and better therapies.
The Gastro team have recently completed a feasibility study to test a proof of concept for the development of a new portable, non-invasive device to test Naso-gastric tube placement working in conjunction with the Quality and Safety team at the Trust. Other areas of interest include colorectal cancer studies, in particular looking at the presentation of a colorectal cancer diagnosis via emergency presentation.
The Hepatology team have undertaken numerous studies looking at new treatments for Hepatitis, including medication for Hepatitis C and more recently a vaccine for Hepatitis B. Other areas include Fatty liver treatments and the evaluation of the role of blood tests and Fibroscannning in detecting methotrexate induced hepatotoxicity. They also conducted the Hepfree study with the Queen Mary in London which involved screening 1st and 2nd generation immigrants from High risk countries for Hepatitis C and B. This study recruited 10,000 patients from Bradford.
Both the teams also play an active role in recruiting patients into endoscopy trials, and currently are undertaking a trial looking at the effectiveness of Hemospray in controlling active bleeding peptic ulcers.
The IBD Service in Bradford provides high quality, evidence based, patient focused care. It is delivered by a multidisciplinary team that includes 7 Gastroenterologist, 2 of which lead the IBD service, 2 IBD specialist nurses, a biologic nurse and admin support. We provide a dedicated IBD Helpline service that give patients a point a contact and easy access to advice and support. We run dedicated IBD clinics including a joint surgical and adolescent transition clinics. We have an established monthly IBD MDT meeting which improves coherence and continuity of care. We undertake regular service audit and submit data to the National IBD Registry.
Bowel Cancer Screening
Bradford Teaching Hospitals host the Bradford & Airedale Bowel Cancer Screening Centre. Together with Airedale NHS Trust we provide a specialist service to patients 60 – 74 years of age across Bradford and the Craven district who have opted to participate in the NHS bowel cancer screening programme.
Patients complete an FOBt (faecal occult blood test) and if necessary go on to have an appointment with a specialist screening practitioner, and if appropriate a colonoscopy examination with an accredited bowel cancer screening endoscopist.
Details of what the patient can expect at the first appointment.
Include details of what the patient will need to bring with them.