All necessary procedures are explained in full (with explanatory leaflets), including any preparation required, at the initial outpatient consultation. A consent form is signed on the day of the procedure, and a copy is provided for reading beforehand. The patient is supplied with a copy of the report (with photographs) following the endoscopy, along with a full explanation of the results. A further outpatient consultation is usually then arranged, to allow full discussion of any results and pathology specimens taken, and any further treatment required. Both the Clementine Churchill and Cromwell hospitals have fully equipped endoscopy units
Procedures performed by Dr Sherman personally include :
- Rigid sigmoidoscopy / proctoscopy
- Gastroscopy (including a full range of therapeutic procedures under X Ray control)
- Flexible Sigmoidoscopy
- Colonoscopy and polypectomy
- ERCP (including management of gallstones and obstructive jaundice)
- Percutaneous Gastrostomy and Jejunostomy Insertion
Dr Sherman undergoes regular annual NHS appraisal, which included evaluation of his endoscopic practice. This shows high procedure completion rates (95-98% for colonoscopy, 86-90% for ERCP) and low rates of complications.
ENDOSCOPY LIST TIMES:
Clementine Churchill Hospital
Tuesday afternoons: 14.30 – 16.30 (arrival at 14.00)
Friday afternoons: 15.30 – 16.30 (arrival at 15.00)
Ad hoc appointments: At pre-arranged times
Ad hoc procedures may also be arranged at the ACAD building, Central Middlesex Hospital, via TrustPlus (the private patient service of NW London Hospitals NHS Trust).
Other common investigations requested
- 13-Carbon Urea breath test (to detect Helicobacter Pylori infection)
- Imaging – ultrasound, CT (including virtual colonoscopy) and MRI scans
- Contrast radiology – barium meal, barium follow through, transit studies, evacuating proctography
- Non-invasive tests of liver damage – Elastography (ARFI technique), ELF test.
- Liver biopsy – ultrasound guided, targeted biopsy
- Oesophageal physiology, including 24 hour pH and motility studies
- Endoscopic ultrasound (EUS) and biopsy
- Interventional radiology – percutaneous cholangiography (PTC) and drainage, percutaneous biopsy