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St George’s University Hospitals NHS Foundation Trust’s Gastroenterology and Hepatology Department specialises in the diagnosis and treatment of conditions of the gastrointestinal tract (the digestive tract from mouth through to anus, including the stomach and bowel), liver, pancreas and gall bladder.

The department has a very strong multidisciplinary ethos working alongside consultants and non-consultant colleagues from General Surgery, Radiology and Pathology. This ensures that patients and families are seen and treated by the right specialist.

Our consultants have a wide range of specialty expertise and work in a multidisciplinary fashion to provide integrated care for patients and their families. The department offers a comprehensive range of diagnostic procedures and specialist clinics.

Staff perform complex diagnostic and therapeutic procedures to treat conditions such as abdominal pain, ulcers, diarrhoea and cancer. A number of specialist clinics are available including inflammatory liver clinics, dyspepsia clinics and endoscopy services.

Outpatient Clinics

  • General Gastroenterology – Oesophageal, stomach, small, large bowel disorders and cancers
  • General Hepatology – Liver, gall bladder, pancreatic disorders and cancers
  • Inflammatory Bowel Disease (IBD) – Crohn’s Disease and Ulcerative Colitis
  • Viral Hepatitis – Hepatitis B, C, D, E and HIV co-infection

In addition the department provides:

  • Dyspepsia Service – A one-stop service for dyspepsia (indigestion and discomfort of the upper abdomen)) providing an endoscopy and outpatient appointment on the same day for the convenience of the patient.
  • Rectal Bleeding – A one stop service for rectal bleeding, providing flexible sigmoidoscopies (limited examination of the large bowel) within the outpatient clinic so that our patients do not have to return to the hospital to have the procedure as a day case.
  • Liver Diseases in Pregnancy – A joint hepatology clinic is provided with the obstetrics department.
  • Rapid Access Jaundice Service – A quick access clinic for patients with jaundice.
  • Adolescent IBD Transitional Clinic – The Department also holds transitional IBD clinics with the Paediatrics Department for adolescent patients who will soon be transferring to our adult service.

Day Cases

A full range of endoscopic procedures (procedures using fibre-optic cameras to examine the gastrointestinal tract) are provided in our modern state of the art endoscopy unit:

  • Upper endoscopy (examination and treatment of disorders of the gullet and stomach)
  • Colonoscopy (examination of the large bowel)
  • Flexible sigmoidoscopy (limited examination of the large bowel)
  • ERCP (Endoscopic retrograde cholangiopancreatography, examination and treatment of the bile duct leading to the liver, gall bladder and pancreas)
  • Endoscopic Ultrasound (ultrasound examination from within the bowel)

In addition:

  • National Bowel Screening Programme – the Endoscopy department at St George’s University Hospitals NHS Foundation Trust is the National Centre for Bowel Cancer Screening for the southwest London region.
  • Oesophageal Manometry Service (specialist investigation of the gullet) – we offer a referral service.
  • National Endoscopy training centre the Department provides endoscopy training courses for doctors and nurses.


The Department’s consultants and junior doctors undertake the care of inpatients who have been admitted with Gastroenetrology or Hepatology diagnoses, including patients with gastrointestinal bleeding.

Gastroenterology Trust Pathways

Pathway for the Management of Dyspepsia OGD

Pathway for the Management of Dyspepsia

Pathway for the Management of Gallstones

Pathway for the Management of IBS

A Quick Guide to Liver Function Testing Pathology

Pathway for the Management of Constipation in Adult Patients

Pathway for the Management of IBD in Merton

Pathway for the Management of Rectal Bleeding



Clinic 2, Ground Floor, St James's Wing


Clinic 2, Ground Floor, St James's Wing

Viral Hepatitis

Clinic A, Ground Floor,
Lanesborough Wing


Clinic A, Ground Floor,
Lanesborough Wing

Endoscopy Unit

1st Floor, St James' Wing


Gastroenterology and Hepatology

The majority of Gastroenterology and Hepatology inpatients are located on Keate Ward, 5th floor, St James's Wing