What we do
The Queen's Day Unit is a purpose built unit opened in 2006 that
provides a wide variety of endoscopic and day surgery procedures.
We are situated at location A414 (level 4) of the Queen's Building
at the Bristol Royal Infirmary.
We have two operating theatres which provide day surgery in the
specialties of orthopaedics, oral surgery (dental),
gastro-intestinal, general, vascular, cardiac, breast and
There are four endoscopy rooms which undertake procedures for
respiratory, urology, gastro-intestinal, and hepato-biliary
specialities. Examples of these procedures are gastroscopy,
bronchoscopy, cystoscopy and colonoscopy.
In addition, the unit also cares for patients who undergo
procedures for the management of chronic pain, patients requiring
liver biopsy, and patients who require intravesical treatments
following urological surgery.
Also situated within the unit is the Physiology unit, where
patients attend to have various investigations including pH
manometry, anorectal physiology, biofeedback and breath testing for
malabsorption and Helicobacter infection
The unit is very busy, seeing up to 90 patients a day, the
majority of which are day cases. As a consequence we have a
multi-skilled workforce in order to meet patient needs. Our unit is
a learning environment and we have a key role in supporting the
development of medical and nursing students.
Gastroenterology and hepatology:
Our multidisciplinary team includes one professor of
gastroenterology, five consultants in gastroenterology and
hepatology, and a number of supporting specialist nurses. We
provide a regional referral service for digestive disorders, which
comprise diseases of the gut and liver. Our diagnostic and
interventional endoscopy service includes gastroscopy, flexible
sigmoidoscopy, colonoscopy, ERCP, and endoscopic ultrasound.
We provide a consultant-led 24 hour endoscopy service for acute
intestinal bleeding which is complemented by the provision of the
regional interventional radiology service for the treatment of
bleeding varices. In addition we have three dedicated high
dependency beds for acute intestinal bleeding.
Our areas of expertise include inflammatory bowel disease,
nutrition and intestinal failure, viral hepatitis, alcohol and
fatty liver disease, metabolic liver disease and cancers of the
liver. We are recognised both nationally and internationally for
our research into the causes and treatments of digestive
This provides a complete diagnostic and interventional service
for lower gastrointestinal disease. It is staffed by four
dedicated colorectal consultant specialists. There is expertise for
the provision of diagnostic flexible sigmoidoscopy and colonoscopy.
Our prospectively collected results show that the completion rates
and comfort for these tests is above the national average and the
complication rate is low.
We also have a full interventional service to include
polypectomy, stricture dilatation and endoscopic mucosal resection.
There is unique expertise within this region providing endoscopic
ultrasound of large rectal polyps and early cancers. We also
provide a service to place stents into obstructing colorectal
We have a history of training in colonoscopy and are in the
process of arranging a bid to become one of the National Bowel
There is a Regional Anorectal Physiology Laboratory which runs
along side our service. This provides extensive investigation and
treatment of functional colorectal disorders particularly those
related to the pelvic floor.
Upper gastro-intestinal and hepato-biliary
We provide a full range of diagnostic and therapeutic upper
gastro-intestinal endoscopy including ERCP, endoscopic ultrasound,
endoscopic stenting, endoscopic mucosal resection and Argon
We were one of the first centres in the UK to employ endoscopic
ultrasound and now use this for the staging of oesophago-gastric
and pancreatic malignancy. In addition, endoscopic ultrasound is
helpful in the diagnosis (and occasional treatment) of complicated
benign pancreatic and biliary pathology.
We use argon ablation to treat upper gastro-intestinal vascular
lesions, benign and dysplastic Barrett's epithelium, early
malignant lesions of the upper gastrointestinal tract and bleeding
We also treat gastric and duodenal polyps and mucosal lesions by
endoscopic mucosal resection, so avoiding the need for major open
Laparoscopy and laparoscopic ultrasound is used in the day
surgery theatre for the assessment of patients with
oesophago-gastric, liver, biliary and pancreatic malignancy and
complex benign upper disease. We also perform laparoscopic
cholecystectomy and laparaoscopic bile duct exploration.
Bristol Royal Infirmary,
Tel: 0117 342 0048
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