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A discussion of the British Society of Gastroenterology survey of emergency gastroenterology workload

P Gyawali, D Suri, I Barrison, J Smithson, N Thompson, ME Denyer, S Hughes and I Gilmore
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DOI: https://doi.org/10.7861/clinmedicine.7-6-585
Clin Med December 2007
P Gyawali
King George Hospital NHS Trust, Ilford
Roles: Specialist Registrar in Gastroenterology and General Medicine
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D Suri
Whittington Hospital NHS Trust, London
Roles: Consultant Physician, Gastroenterologist
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I Barrison
Hemel Hempstead Hospital NHS Trust
Roles: Consultant Physician, Gastroenterologist
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J Smithson
Old Building, Bristol Royal Infirmary, Bristol
Roles: Consultant Physician, Gastroenterologist
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N Thompson
Newcastle upon Tyne
Roles: Consultant Physician, Gastroenterologist Freeman Hospital NHS Trust
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ME Denyer
Seacroft Hospital, Leeds
Roles: Consultant Physician, Gastroenterologist
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S Hughes
North Bristol NHS Trust
Roles: Consultant Physician, Gastroenterologist
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I Gilmore
Liverpool
Roles: Consultant Physician, Gastroenterologist Royal Liverpool University Hospital NHS Trust
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Abstract

An electronic survey of 188 acute NHS hospitals was carried out to assess the provision of out-of-hours services for gastrointestinal emergencies in England. The response rate was 167/188 (89%) for the main questionnaire and 157/188 (84%) for a supplementary questionnaire. The survey revealed that the majority of gastroenterologists (135/157, 86%) participate in acute general medicine. A rota for out-of-hours endoscopy was in place in only 82/167 (49%) of hospitals. Trained nurse endoscopy assistance was available in 51/82 (62%) of those hospitals with a formal rota. Two thirds of gastroenterologists were telephoned up to five times each month for advice when not on call; 64% felt their emergency endoscopy service provision was unsatisfactory and 38% thought it was unsafe. This paper concludes that there is serious under provision of services for patients presenting with gastrointestinal emergencies in England.

KEY WORDS
  • British Society of Gastroenterology guidelines
  • gastrointestinal bleeding
  • general internal medicine
  • emergency endoscopy
  • out-of-hours endoscopy rota
  • © 2007 Royal College of Physicians
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A discussion of the British Society of Gastroenterology survey of emergency gastroenterology workload
P Gyawali, D Suri, I Barrison, J Smithson, N Thompson, ME Denyer, S Hughes, I Gilmore
Clinical Medicine Dec 2007, 7 (6) 585-588; DOI: 10.7861/clinmedicine.7-6-585

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A discussion of the British Society of Gastroenterology survey of emergency gastroenterology workload
P Gyawali, D Suri, I Barrison, J Smithson, N Thompson, ME Denyer, S Hughes, I Gilmore
Clinical Medicine Dec 2007, 7 (6) 585-588; DOI: 10.7861/clinmedicine.7-6-585
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