Treatments provided by Devinder Singh Bansi

Initial consultation: £260

Follow up consultation: £160

Initial consultation with interpreter: £300

Follow up with interpreter: £200

To book an appointment please contact Lara at lara@gastro-uk.com or on 07436 810 035.

Dr Bansi provides an extensive range of diagnostic and therapeutic gastrointestinal procedures, including

  • Gastroscopy 
  • Enteroscopy 
  • Colonoscopy 
  • Flexible Sigmoidoscopy 
  • Capsule Endoscopy 
  • Endoscopic ultrasound
  • Oesophageal Manometry & pH Monitoring 
  • Breath Tests (glucose, hydrogen, lactose and urea)
  • ERCP
  • Bowel cancer screening

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.
Bowel cancer or "CRC", includes cancerous growths in the colon, rectum and appendix. With 655,000 deaths worldwide per year, it is the fourth most common form of cancer in the United States and the third leading cause of cancer-related death in the Western world. Colorectal cancers arise from adenomatous polyps in the colon. These mushroom-shaped growths are usually benign, but some develop into cancer over time. Localized colon cancer is usually diagnosed through colonoscopy.
Sigmoidoscopy is an examination of the lower intestine, including your rectum, using a flexible tube containing a camera or scope. It is a way of detecting colorectal cancer prolapse and diagnosing other bowel problems. The procedure usually takes around 15 minutes and can be done as an outpatient procedure.
Colorectal cancer (aka colon cancer); Many strains of colon cancers start as colon polyps which develop into their cancerous forms within a decade of appearing in the colon . As a result, many doctors advocate colon cancer screening and colon polyp removal for at-risk patients. The process of removing colon polyps is fairly straightforward. A colonoscopy or sigmoidoscopy tube with a wire loop is used to cauterize the polyp and its base completely. Larger polyps that cannot be removed using the flexible colonoscopy tube are typically removed via laparoscopy while the patient is under general anesthesia
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.
A combination of endoscopy and fluoroscopy to diagnose problems of the biliary or pancreatic ductal systems, such as gallstones, leaks or cancers. It is now largely used therapeutically given the easy access to scanning technologies.
An upper gastrointestinal endoscopy uses a long endoscope to see the lining of the upper GI tract. This is used to identify the cause of many symptoms, from persistent heartburn to unexplained weight loss. There are a wide range of diseases that may be diagnosed by an Upper GI Endoscopy.
Flexible sigmoidoscopy is done to detect cancer in the portion of the colon, the sigmoid colon, close to the rectum and anus. A small tube containing viewing equipment is placed through the anus into the colon. As the tube is slowly removed from the colon, the doctor looks for any abnormalities. If a polyp or other abnormality is identified, a biopsy may be taken to test for the presence of cancer. Polyps may also be removed. If polyps are detected, a full colonoscopy may be recommended to check the entire colon and remove any additional polyps. There are rarely any major complications, but feeling bloated and cramping is normal. The procedure usually takes around 15 minutes, and can be done as an outpatient procedure.
Food intolerances can cause a wide range of ill health symptoms. Identifying and eliminating those foods that cause problems for you can be a positive step forward in achieving wellness. In many cases its not just eating offending foods that causes the symptoms but the damage caused to the digestive system. This is why many people start by being sensitive to one or two things but later find that more and more foods cause problems and the severity and frequency of symptoms escalates.
The intragastric balloon, which has been available since the 1980s is designed to provide short–term weight loss therapy. The silicone balloon is placed endoscopically (through the mouth and oesophagus under heavy sedation) and filled with liquid so it partially fills the stomach and creates a feeling of fullness. The maximum time a balloon can be left in place is 6 months, after which it must be removed – the risk of balloon deflation and intestinal obstruction (and therefore possible death) is significantly higher when balloons are left in place longer than 6 months.
Laparoscopic Adjustable Gastric Banding (LAGB) is purely restrictive weight loss surgery. Restrictive forms of weight loss surgery such as LAGB promote weight loss by limiting food intake and promoting a feeling of fullness (satiety) after meals. The LAGB surgery was developed for bariatric patients who wanted a safer, less complex alternative to gastric bypass surgery.During laparoscopic adjustable gastric banding surgery, two medical devices are implanted into the body
Gastric bypass procedures (GBP) are any of a group of similar operations that first divides the stomach into a small upper pouch and a much larger lower "remnant" pouch and then re-arranges the small intestine to allow both pouches to stay connected to it. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food.
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.
A liver biopsy requires the removal of a small sample of tissue from the liver, this procedure is performed under a local anaesthetic using a hollow needle inserted beneath the ribs and into the liver. This test is used to assess the severity of a liver based disease or to monitor the progress of a treatment.
A liver transplant removes the existing, diseased liver from the patient and replacing it with a healthy donor human liver. This is a major operation, not to be taken lightly, however they are performed commonly. The body will identify the liver as a foreign entity so suppressant drugs are required for the rest of the recipients life.
Oesophageal motility disorder is a term used to cover any medical disorder causing difficulty in swallowing, regurgitation of food and a spasm-type pain which can be brought on by an allergic reaction to certain foods. The term encompasses conditions such as: 1. Achalasia, which is a condition in which the muscles of the lower part of the oesophagus fail to relax, preventing food from passing into the stomach. One of three diagnostic procedures can be used to diagnose the problem, e.g. Barium Swallow, Endoscopy and a Manometry (a tube passed through the mouth or nose, which measures the pressure in your gullet at different points. There are four methods of treatment; the first being medication to relax the gullet, the second being dilation (a balloon is passed down the gullet to dilate and stretch the muscle fibres of the gullet under general anaesthetic); the third being a Botulinum toxin (Botox injection), which can be injected relatively easily via an endoscopy, but may give only temporary relief. The final procedure is laparoscopic surgery, where the gullet sphincter is accessed through the stomach and the damaged muscle fibres are divided. This procedure usually involves only a one night stay in hospital. 2. Jackhammer oesophagus is another oesophageal motility disorder.It is characterised by oesophageal spasms that involve all or most of the muscles of the oesophagus. The spasms can be very intense and tend to last for a long time. Symptoms also overlap those with those of Achalasia. There is still uncertainty about the cause, but the condition often affects people with psychiatric disorders. The first line of treatment therefore are tricyclic antidepressants, but medications used for the treatment of Achalasia also apply for this disorder. For those patients who do not respond to medication, a surgical technique called Per Oral Endoscopic Myotomy (POEM) may be used, otherwise a standard myotomy (surgical procedure to cut esophageal muscle) may need to be performed.
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.
Gastroscopy is an examination of the upper digestive tract (the oesophagus, stomach and duodenum) using an endoscope — a long, thin, flexible tube containing a camera and a light — to view the lining of these organs.
A retroperitoneal tumour is an abnormal and rare growth that develops inside part of the abdominal cavity known as the retroperitoneal space. As the retroperitoneal space is hidden toward the back of the abdomen and the organs there are quite mobile, a retroperitoneal tumor can grow quite large, shifting organs out of its path, before being discovered. Symptoms such as an enlarged belly and abdominal pain may eventually develop. Although retroperitoneal tumours can be benign, or harmless, most often they are cancerous. Because of it's position, excision of the tumour can be challenging to carry out. Open surgery is relatively rarely used today. To minimize the surgical trauma of open surgery, the procedure is performed laparoscopically, thus giving all the advantages of minimally invasive surgery.
Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 25% of its original size, by surgical removal of a large portion of the stomach, following the major curve. The open edges are then attached together (often with surgical staples) to form a sleeve or tube with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopically and is not reversible.
Ultrasound or sonography, in medicine, technique that uses sound waves to study and treat hard-to-reach body areas. In scanning with ultrasound, high-frequency sound waves are transmitted to the area of interest and the returning echoes recorded. In obstetrics it is used to study the age, sex, and level of development of the fetus and to determine the presence of birth defects or other potential problems. It is also used for such procedures as lithotripsy, in which shock waves break up kidney stones, eliminating the need for surgery. Ultrasound is noninvasive and involves no radiation.
Ultrasound or sonography, in medicine, technique that uses sound waves to study and treat hard-to-reach body areas. In scanning with ultrasound, high-frequency sound waves are transmitted to the area of interest and the returning echoes recorded. In obstetrics it is used to study the age, sex, and level of development of the fetus and to determine the presence of birth defects or other potential problems. Ultrasound is used in cardiology to detect heart damage and in ophthalmology to detect retinal problems. It is also used to heat joints, relieving arthritic joint pain, and for such procedures as lithotripsy, in which shock waves break up kidney stones, eliminating the need for surgery. Ultrasound is noninvasive and involves no radiation.