4. David Graham

David Graham

Consultant Gastroenterologist

VISIT WEBSITE

Treatments provided by David Graham

Conditions treated

  • Acid reflux
  • Barret's oesophagus
  • Bloating
  • Cancer prevention
  • Diarrhoea
  • Indigestion
  • Irritable bowel syndrome
  • Oesophagael cancer

Tests offered

  • Barret's endoscopic surveillance
  • Colonoscopy test
  • Endoscopy

Treatments

  • Acid reflux treatment
  • Endoscopic resection
  • Oesophageal laser therapy
  • Oesophageal stent
  • Radiofrequency ablation

Fees

Dr Graham is recognised by all the major UK medical insurers. Patients seeing Dr Graham should not usually have any shortfalls to their invoices unless there are specific conditions in their insurance policies such as co-pay or an agreed excess.

For self pay patients, an initial consultation with Dr Graham costs between £250-350 and a follow up consultation usually costs £225. Fees for endoscopy can be made available on request, although please note that hospitals add considerable fees over and above those that are paid to the consultant.

Treatments, operations and tests

If Barrett's oesophagus has been diagnosed, you will need to be monitored regularly. You will also need to have regular examinations of the inside of your food pipe. These are called endoscopies. They don't prevent oesophageal cancer, but should pick it up early on when there is a better chance of successful treatment. Treatment aims to lower the amount of acid reflux you have and to remove any damaged areas. Treatments include medicaction, Endoscopic Mucosal Resection or other Surgery.
Colonoscopy is a diagnostic procedure which enables a doctor, usually a gastroenterologist, to examine the appearance of the inside of the colon or large bowel. The doctor inserts a flexible tube into the anus, and then, into the rectum and through to the colon. The doctor controls the colonoscope by looking through the scope or by using a camera image projected onto a screen.
The symptoms of irritable bowel syndrome (IBS) can often be managed with diet and lifestyle changes alone, and it is important to understand the nature of the condition. Changing your diet will play an important part in controlling your symptoms. However, everyone reacts differently to different foods. It is helpful to keep a diary of your food intake and your reaction to it in order to avoid those that may trigger your symptoms. It is important to learn the difference between soluble and insoluble fibre foods and avoid the latter. Often patients are advised to study the FODMAP diet. Sometimes the condition is managed with medication, such as antispasmodics or even anti-mobility medicines, depending on your particular type of IBS. In some cases psychological treatments are also helpful.
An oesophageal stent is a flexible mesh tube that is placed through the constricted area of your oesophagus (food tube) to allow food and beverages to pass from your mouth to your stomach for digestion and absorption of nutrients. Constrictions of the oesophagus are often caused by a tumour or radiotherapy treatment. The stent is inserted down the oesophagus and through the blockage, where it expands to open up the passage. The stent may only need to stay in a short time or, depending on the reason it may need to stay in permanently. If a biodegradable stent is used, this will usually dissolve in approximately 3-4 months.