top of page

Therapeutic Endoscopy

Treatments and Procedures

What Is Therapeutic Endoscopy?

​

Therapeutic endoscopy is a minimally invasive medical procedure used to diagnose and treat a wide range of conditions affecting the gastrointestinal tract.

 

Unlike a diagnostic endoscopy, therapeutic endoscopy allows a surgeon or specialist to perform treatment during the same procedure, often avoiding the need for more invasive surgery.

​

It involves the use of a flexible tube called an endoscope, which contains a camera and specialised instruments. These instruments can be used to remove abnormal tissue, stop bleeding, widen narrowed areas, remove foreign objects, and perform other treatments within the digestive system.

​

Many patients benefit from therapeutic endoscopy because it can provide effective treatment with less discomfort, shorter recovery times, and reduced hospital stays compared to traditional surgery.

 

What Conditions Can Therapeutic Endoscopy Treat?

​

A wide range of upper gastrointestinal conditions can be managed using therapeutic endoscopy. These include:

​

  • Gastrointestinal bleeding

  • Gastroesophageal reflux disease (GORD)

  • Swallowing difficulties caused by narrowing of the oesophagus

  • Polyps and abnormal growths

  • Early gastrointestinal cancers

  • Precancerous changes within the digestive tract

  • Foreign body removal

  • Feeding difficulties requiring nutritional support

​

In many cases, therapeutic treatment can be performed during the same procedure as a diagnostic examination. This combined approach is often referred to as diagnostic therapeutic endoscopy.

​

To learn more about the diagnostic procedures used to examine the upper digestive tract, see our page on Upper GI Endoscopy.  

How Does Therapeutic Endoscopy Work?

​

During the procedure, an endoscope is passed through the mouth into the oesophagus, stomach, and upper part of the small intestine. The camera provides detailed images of the digestive system, allowing abnormalities to be identified and treated.

​

While a diagnostic endoscopy is primarily used to examine the digestive tract and identify abnormalities, therapeutic endoscopy allows treatment to be carried out at the same time. Depending on the condition being treated, a variety of specialist instruments can be passed through the endoscope. These may be used to:

​

  • Remove tissue

  • Stop bleeding

  • Take biopsies

  • Destroy abnormal cells

  • Remove polyps

  • Open narrowed areas

  • Place feeding tubes

​

The exact procedure will depend on your symptoms, diagnosis, and treatment goals.

 

Common Therapeutic Endoscopic Procedures

​

Several different endoscopic procedures fall under the umbrella of therapeutic endoscopy:

​

 

​​​

Therapeutic Endoscopy and Reflux Treatment

​

Some patients with severe acid reflux or gastroesophageal reflux may benefit from specialised endoscopic treatments. Certain reflux procedures can help strengthen the valve between the oesophagus and stomach, reducing symptoms such as:

​

  • Heartburn

  • Regurgitation

  • Chronic cough

  • Throat irritation

​

Your surgeon, Mr Hornby, will advise whether therapeutic endoscopic treatment may be suitable for your symptoms or whether alternative treatment options would be more appropriate.

 

Endoscopic Ultrasound

​

An endoscopic ultrasound combines traditional endoscopy with ultrasound imaging. This allows detailed examination of structures beneath the surface of the digestive tract and can help assess:

​

​

Endoscopic ultrasound can play an important role in diagnosis, staging, and treatment planning.

Preparing for the Procedure

​

Preparation will vary depending on the specific treatment being performed. You may be asked to:

​

  • Stop eating for several hours beforehand

  • Temporarily adjust certain medications

  • Arrange transport home

  • Follow specific instructions regarding blood-thinning medication

​

Your healthcare team will provide detailed guidance before the procedure.

 

What Happens During Therapeutic Endoscopy?

​

Most procedures are performed using sedation, helping patients remain comfortable throughout treatment. The endoscope is carefully guided into the digestive tract, allowing the specialist to visualise the area and perform any required treatment.

​

The length of the procedure varies depending on its complexity but may take anywhere from 20 minutes to over an hour. Many patients return home the same day.

​

Recovery After Therapeutic Endoscopy

​

Recovery following therapeutic endoscopy is generally quicker than recovery from traditional surgery. Most patients experience minimal discomfort and can resume normal activities within a short period. You may experience:

​

  • Mild bloating

  • A sore throat

  • Temporary fatigue from sedation

​

The recovery period will depend on the type of treatment performed.

​

Mr Hornby will provide advice regarding:

​

  • Diet

  • Activity levels

  • Medication

  • Follow-up appointments

​

Are There Any Risks?

​

Like any medical procedure, therapeutic endoscopy carries some risks. Although complications are uncommon, potential risks may include:

​

  • Bleeding

  • Perforation of the gastrointestinal tract (very rare)

  • Adverse reaction to sedation

  • Temporary discomfort

​

Mr Hornby will discuss the risks and benefits in detail before treatment.

 

Is Therapeutic Endoscopy Right for You?

​

Therapeutic endoscopy has transformed the treatment of many gastrointestinal conditions. It allows effective treatment through a minimally invasive approach and can often prevent the need for major surgery.

​

Whether you require treatment for gastrointestinal bleeding, reflux disease, polyps, early cancer, or another digestive condition, therapeutic endoscopy may offer a safe and effective solution.

Your surgeon, Steve Hornby, will assess your symptoms, diagnosis, and overall health before recommending the most appropriate treatment plan for your individual needs.

1

Initial consultation

Book an appointment with Steve Hornby, consultant general surgeon, to discuss your symptoms, concerns, and medical history. You will have time to ask questions and receive clear information about possible next steps.

2

 Personalised treatment plan

Care tailored to you. Following your consultation, a clear treatment plan is created based on your diagnosis, needs, and goals. This may include further investigations, treatment options, or preparation for surgery where appropriate.

3

Treatment and recovery support

Care that continues beyond treatment. If surgery is required, it is delivered in modern clinical facilities, with recovery supported through onsite physiotherapy and follow-up care. Ongoing reviews ensure your recovery stays on track.

​

 

Ready to talk things through?

 

If you have questions or would like to discuss your symptoms, we’re here to help. You’re welcome to call 01242 386579, email admin@thehornbygroup.com, or use the contact form to get in touch.

bottom of page