Direct Access Guidelines

Direct access endoscopy

Certain patients may be eligible for a direct access procedure. These include patients who are:

  • Under the age of 75

  • Fit and healthy

  • Able to consent in English

  • No significant cardiac, liver or respiratory disease

  • Have private health insurance or be willing to pay private hospital fees

Please specify this in your referral and the practice staff will contact the patient to arrange a convenient time for their endoscopic procedure. Dr Selvanderan will review the patient on the day, prior to the procedure. Following the procedure, Dr Selvanderan will discuss the results with the patient and arrange the appropriate follow-up. A copy of the procedure report will be sent to you.

Indications for direct access endoscopy

  • Positive faecal occult blood test (FOBT)

  • Rectal bleeding

  • Family history of bowel cancer

  • Previous history of colonic polyps or bowel cancer

  • Iron deficiency (with or without anaemia)

  • Dysphagia

  • Suspected coeliac disease

  • Barrett’s oesophagus