Treatments

/Treatments
Treatments2019-01-22T00:31:02+00:00

Gastroenterology Conditions & Symptoms

Dr Sarkar has considerable experience in investigating symptoms and treating a number of gastroenterology conditions having worked in a number of leading teaching and research institutions in the UK.  His expertise includes noncardiac chest pain, GI motility disorders, dyspepsia, reflux disease, abnormal liver tests, pancreatic conditions, inflammatory bowel disease and irritable bowel syndrome

SITES

  • Spire Liverpool Hospital
  • Spire Cheshire Hospital
  • Royal Liverpool University Hospital
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Gastroscopy

Dr Sarkar has performed over 4000 diagnostic procedures. He has been part of the Cheshire and Merseyside Specialists Upper GI Multidisciplinary Team and offers a range of diagnostic and therapeutic (treatments). This includes the diagnosis, assessment, staging and endoscopic treatments of polyps/tumours and cancers. Other endoscopic treatments including dilatations, stenting and the treatment of motility disorders including Achalasia.

SITES

Diagnostic procedures including advanced imaging are offered at Spire Cheshire, Spire Liverpool and Royal Liverpool

Endoscopic Therapeutic/Treatment procedures are offered at Royal Liverpool University Hospital.

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Colonoscopy

Dr Sarkar is an accredited Bowel cancer screening colonoscopist and a regional expert in colonoscopy, He is the Clinical Director of Liverpool & Cheshire Bowel Screening Programme and faculty in Mersey School of Endoscopy for teaching colonoscopy. He has performed over 3000 procedures, and in the last 12 months he has performed over 350 procedures with a completion rate is over 98% with minimal discomfort in 98% cases. Within the bowel screening programme his adenoma (pre-cancerous polyps) detection rate is one of the highest in the UK at 64% (average is 40%). He is a member of the local Colorectal Cancer Multidisciplinary Team.

SITES

Diagnostic procedures, bowel cancer screening and simple polypectomy are offered at Spire Cheshire, Spire Liverpool and Royal Liverpool University Hospital

Complex Colonoscopy (including previous failed procedures) and large polyp removal are offered at Royal Liverpool University Hospital

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Endoscopic Mucosal Resection (EMR)

Dr Sarkar is one of only three specialist endoscopists at the Royal Liverpool Hospital who is part of the complex polyp service. This service performs this procedure for tertiary referrals from hospitals from all over the North West of England for polyps or tumours they cannot be removed locally.  He is one of the few practitioners that takes private referrals for this procedure. His results are excellent with successful removal in over 95%, complications <1%, and recurrence rates of less than 5%.

SITE:

EMR is offered at Royal Liverpool University Hospital

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Endoscopic Ultrasound (EUS)

Dr Sarkar receives Private referrals for EUS from Cheshire, Wales, Liverpool and Manchester. He is one very few doctors that perform this procedure for private patients. Within the NHS, he does tumour staging for the regional specialist cancer teams in Merseyside & Cheshire for Upper and Lower GI Tumours/Polyps/Cancers. He performs EUS for diagnostic procedures for benign hepato-biliary-pancreatic conditions including gall stones and pancreatitis. This is often vital when planning treatment for these conditions.

SITE:

EUS if offered at Royal Liverpool University Hospital

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Flexible Sigmoidoscopy

Diagnostic procedures are seldom performed except for assessment or progression of disease such as colitis, to review the success of a previous resection (EMR/Polypectomy) or to assess an abnormality found on a scan

As part of complex assessment, flexible sigmoidoscopy with endoscopic EUS is used. Therapeutic procedures such as EMR, stent insertion for tumours/cancers and polypectomy in lower third of the bowel are performed at flexible sigmoidoscopy

SITE:

Diagnostic procedures are offered at Spire Cheshire, Spire Liverpool and Royal Liverpool University Hospital

Therapeutic (treatment) Procedures & Complex polyp assessment are offered at Royal Liverpool University Hospital

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Gastroscopy & Colonoscopy

These combined tests are done in one sitting and are used to investigate symptoms such as anaemia and diarrhoea. For further information please see the individual introduction sections for gastroscopy and for colonoscopy.

SITE:

Offered at Spire Cheshire, Spire Liverpool and Royal Liverpool University Hospital

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ERCP

ERCP is performed at the Royal Liverpool University Hospital. Dr Sarkar is in a team of 4 endoscopists who provide tertiary complex ERCP procedure throughout Merseyside and Cheshire which includes performing procedures that are often unsuccessful by doctors in other hospitals. Dr Sarkar’s success rate is 95% and his complication rate <2%.

SITE:

ERCP if offered at Royal Liverpool University Hospital

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