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Surgical > Colorectal > Endoscopy – Direct to Test Gastroscopy and Flexible Sigmoidoscopy (DTT) performed without sedation


Endoscopy – Direct to Test Gastroscopy and Flexible Sigmoidoscopy (DTT) performed without sedation

  

Endoscopy, gastroscopy and flexible sigmoidoscopy provided by Nuffield Health Warwickshire Hospital for NHS patients across Coventry and Warwickshire via e-Referrals ERS performed without sedation ONLY

Reviewed on : 17 Oct 2025

Reviewed by : GP Gateway Editor

Expires : 17 Oct 2027

Inclusion Criteria:

Age18-75

For OGD without sedation only

  • Dyspepsia
  • Reflux
  • Epigastric pain
  • Coeliac disease
  • Nausea and vomiting

For Flexible Sigmoidoscopy without sedation

  • Anal itching and irritation
  • Fresh rectal bleeding
  • Erratic bowels
Exclusion Criteria:
  • Over 75 years of age
  • 2WW referrals
  • On anticoagulation
  • Dysphagia
  • Pacemaker in situ
  • On CPAP
  • BMI >45 or weight >200kg
  • Incapacitating disease
  • Barretts surveillance
  • Revision surgery
  • Unstable psychiatric disorder
  • Severe anxiety
  • Anaemia
Referral letter to contain
  • Any current medical conditions
  • Past medical history and surgery
  • Current medication
  • Observations BP and BMI
  • Notifications of any past MRSA, blood-borne viruses, bleeding disorders
  • Allergies
  • Drug/alcohol dependencies
  • Disabilities requiring assistance e.g. mobility, interpreter

Appropriate investigations eg X rays, MRI, CT scans, recent blood tests within 3 months

Existing social support in place

Services Provided

Telephone pre-assessment by Endoscopy Nurse

Gastroscopy

Flexible sigmoidoscopy

Contact

The Chase, Old Milverton Lane, Leamington Spa, Warwickshire CV32 6RW

Tel: 0800 0155020

Email: nuffieldhealth.ereferrals@nhs.net

 

 

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