Specialist-led, evidence-based digestive healthcare
Macquarie University Health Gastroenterology Clinic provides coordinated, sub-specialist care for a wide range of gastrointestinal and liver conditions.
We offer advanced diagnostics and treatment options, and support referring clinicians with:
- rapid access endoscopy
- transabdominal ultrasound
- a dedicated clinical liaison on-site.
We have an Advanced Trainee that is onsite from 8am to 4.30pm to additionally assist our local GPs. We also work closely with the WiSE emergency clinics to allow for a streamlined service.
Whether you need an outpatient service or an admission, we can assist you every day.
Reach out anytime. We would be delighted to collaborate and ensure streamlined, patient-centred care.
What we treat
We are a multidisciplinary group of gastroenterologists with expertise across a wide spectrum of sub-specialties, including:
- advanced inflammatory bowel disease (with new techniques such as trans-abdominal assessment of the small and large bowel)
- endoscopic retrograde cholangiopancreatography (ERCP)
- endoscopic ultrasound (EUS)
- gastrointestinal motility
- general gastroenterology
- hepatology.
Our services also encompass:
- rapid access cancer screening
- complex lesion removal
- comprehensive management of conditions including:
- Barrett's oesophagus
- coeliac disease
- deranged liver function tests
- eosinophilic oesophagitis
- GI bleeding
- iron deficiency
- undifferentiated abdominal pain.
Service information for referrers
With the ever-growing bowel cancer and inflammatory bowel disease rates, a direct access for endoscopic evaluation exists for well clients.
The Macquarie University Health Rapid Access Endoscopy Service enables GPs to refer privately insured or self-funding patients directly for gastroscopy and/or colonoscopy, without the need for prior specialist consultation.
The service is suitable for low-risk patients with indications such as:
- iron deficiency
- positive FOBT
- PR bleeding
- family history of colorectal cancer
- ongoing surveillance needs.
Patients with complex comorbidities or elevated procedural risk may require prior consultation. Once the referral form and relevant documents are submitted, our team will contact the patient directly to coordinate the procedure.
Transabdominal gastrointestinal ultrasound (TAGUS) is a great tool to assess the small and large bowel. It has been accepted nationally and internationally and is listed in guidelines for diagnosis and monitoring of inflammatory bowel disease (IBD). Furthermore, it helps patients avoid radiation, nephrotoxic/neurotoxic contrast agents and claustrophobia associated with other modalities.
Gastrointestinal ultrasound (GIUS) is perfect for patients requiring frequent assessments and does not require fasting or preparation. In combination with other examinations and tests, GIUS can assist in making decisions in IBD and to provide more evidence for irritable bowel syndrome (IBS).
Some circumstances with your patients that you may consider referring for a GIUS include:
- suspected IBD or symptom changes in a patient with established IBD
- no symptoms, but worsening stool or blood tests in a patient with established IBD
- therapeutic monitoring (assess the success of new or changed IBD medications)
- patients not able to undergo MRI or CT evaluations of IBD
- assessment of areas of the small bowel not reached by colonoscopy
- stricture length assessment (to determine if appropriate for dilatation)
- elderly or co-morbid patients with IBD
- patients suspected of having IBS.
2 Technology Place
Macquarie University NSW 2009