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How to arrange Direct Access Colonoscopy and/or Endoscopy for suitable patients

Direct Access Procedure Form

The process

Each referral (using our PDF link here) will be reviewed by a Gastroenterologist to confirm suitability for a Direct Access Procedure. Practice staff will then contact the patient to arrange a convenient time for them to have their colonoscopy/endoscopy with a remote consultation (via TeleMedicine) prior to answer any questions the patient may have. Any patients considered not suitable for direct access will be offered an appointment to see the Gastroenterologist prior to a procedure being scheduled.

Patients will be sent an information sheet and instructions regarding bowel preparation via email. The bowel preparation can be purchased from a chemist or from our rooms at East Adelaide Medical Centre, 50 Hutt Street, Adelaide SA 5000.

Once they arrive at hospital they will go to a Day Procedure area where the Gastroenterologist will meet with them to review their medical history and re-discuss the procedure. The colonoscopy/endoscopy will then be performed. An anaesthetist will administer sedation during the procedure.

Following the procedure, the Gastroenterologist will discuss the results and organise follow-up (either remotely or clinic appointment) where appropriate

Results will be sent to the referring doctor

For further information on colonoscopy or endoscopy, please see our information sheets here (link)

Indications (but not limited to):
  • A positive faecal occult blood test
  • Rectal bleeding
  • A prior history of colonic polyps or bowel cancer and require surveillance colonoscopy
  • A family history of bowel cancer
  • Iron Deficiency with or without anaemia
  • Dysphagia
  • Suspected Coeliac Disease (positive serology)
  • Barrett’s Oesophagus (screening or surveillance)
Conditional criteria
  • Are under 75 years of age
  • Are fit and healthy
  • Are capable and willing to consent in English
  • Have no history of serious heart disease, liver disease or serious lung disease
  • Have a full list of medications available
  • Have somebody to transport the patient to and from hospital
  • Have private health insurance or be willing to pay private hospital fees
Referral
  • Patients must be referred by a registered Medical Practitioner to one of the Gastroenterologists.
  • Referrals flagged for “Direct Access Colonoscopy”
    • Email to admin@lumengastro.com.au
    • Faxed directly to the rooms (08) 8239 2021
    • Post to Lumen Gastroenterology
    • Sent via Argus Messenger