Endolaparoscopic surgery combines the power of endoscopy and laparoscopy to diagnose and treat a wide range of digestive and abdominal conditions with minimal invasion. I am trained in advanced endoscopic and laparoscopic procedures, offering patients a comprehensive range of interventional options under one specialist.
What Is Endolaparoscopic Surgery?
This specialty brings together two minimally invasive techniques laparoscopy (operating through small abdominal incisions using a camera) and endoscopy (examining and treating the digestive tract through a flexible tube inserted via the mouth or rectum). Together, these tools allow for highly accurate diagnosis and treatment without the need for large open surgeries.
Procedures Performed
- Diagnostic and Therapeutic Upper GI Endoscopy
- Colonoscopy (Diagnostic and Therapeutic)
- ERCP (Endoscopic Retrograde Cholangiopancreatography)
- PEG (Percutaneous Endoscopic Gastrostomy)
- Laparoscopic Abdominal Surgery
- Polypectomy (Removal of Polyps)
- Endoscopic Haemostasis (Stopping Internal Bleeding)
- Endoscopic Biopsy
Upper GI Endoscopy
Upper gastrointestinal endoscopy involves passing a thin, flexible camera through the mouth into the oesophagus, stomach, and duodenum. It is used to diagnose ulcers, gastritis, reflux disease, tumours, and bleeding. Therapeutic endoscopy can also treat conditions directly such as stopping bleeding, dilating strictures, or removing abnormal tissue during the same procedure.
Colonoscopy
Colonoscopy examines the entire large intestine (colon) and rectum using a flexible camera inserted through the rectum. It is the gold standard for detecting colorectal cancer, polyps, inflammatory bowel disease, and unexplained rectal bleeding. Polyps identified during colonoscopy can be removed immediately in the same session, preventing potential progression to cancer.
ERCP (Endoscopic Retrograde Cholangiopancreatography)
ERCP is a specialised procedure that combines endoscopy with X-ray imaging to diagnose and treat problems in the bile ducts and pancreatic duct. It is commonly used to remove bile duct stones, relieve bile duct blockages, place stents, and diagnose pancreatic or biliary tumours. ERCP is a highly technical procedure that requires significant expertise and experience.
PEG (Percutaneous Endoscopic Gastrostomy)
PEG is a procedure in which a feeding tube is placed directly into the stomach through the abdominal wall, guided by an endoscope. It is performed for patients who are unable to swallow or eat adequately due to stroke, neurological conditions, head and neck cancers, or prolonged illness. PEG placement provides a safe and reliable route for long-term nutritional support.
Polypectomy
Polyps are abnormal growths on the lining of the colon or stomach that can develop into cancer over time. During endoscopy or colonoscopy, polyps are identified and removed immediately using specialised tools a procedure called polypectomy. Early removal of polyps is one of the most effective ways to prevent colorectal cancer.
Endoscopic Haemostasis
Internal bleeding from the digestive tract can be life-threatening if not treated promptly. Endoscopic haemostasis stops bleeding from ulcers, varices, or vessel abnormalities using techniques such as injection therapy, clip application, or thermal coagulation — all performed through the endoscope without the need for open surgery.
Who Needs These Procedures?
- Persistent abdominal pain, bloating, or indigestion
- Unexplained weight loss or loss of appetite
- Blood in stool or vomiting blood
- Difficulty swallowing
- Suspected gallstones or bile duct stones
- Abnormal liver function tests
- Screening for colorectal cancer
- Monitoring of known digestive conditions
Benefits of Endolaparoscopic Procedures
- Minimally invasive with no large incisions
- Diagnosis and treatment often completed in a single procedure
- Short recovery time most patients go home the same day
- Performed under sedation for patient comfort
- Lower risk of complications compared to open surgery
- Highly accurate real-time visualisation of internal organs
Preparation and Aftercare
Most endoscopic procedures require fasting for 6–8 hours beforehand. Colonoscopy requires bowel preparation the day before. My team provide clear written instructions before your procedure. After the procedure, most patients rest for 1–2 hours and are discharged with detailed aftercare advice and a follow-up plan.