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St George’s provides both diagnostic and local care for patients with cancer of the upper gastrointestinal tract, which includes diagnoses of oesophageal, gastric, pancreatic and hepatobilliary and GI neuroendocrine cancers.

There is a seamless relationship with the St George’s endoscopy unit which has an international teaching reputation for upper GI endoscopy and is JAG (Joint Advisory Group) accredited. The department has an endoscopic ultrasound service which enables accurate staging of upper GI cancers as well as allowing further assessment and biopsy of pancreatic lesions. A team of therapeutic endoscopists support management of patients who are being treated with radical and palliative intent with oesophageal and duodenal stenting, and insertion of long-term feeding tubes.

We have a tertiary endoscopic retrograde cholangiopancreatography (ERCP) service for endoscopic diagnosis and treatment of pancreatic or hepatobillary tumours and stent insertion.

We also have tertiary interventional radiology department who undertake percutaneous transhepatic cholangiography (PTC) for bilary drainage not successful by ERCP and TACE (transcatheter arterial chemoembolisation) as locoregional treatment of hepatomas.

Diagnosis

Patients will undergo a combination of tests to determine a diagnosis, including:

  • CT scan
  • MRI scan
  • PET-CT scan