This is a self-referral or direct access booking form for a gastroscopy and/or colonoscopy, without having a clinical review. You will be contacted by a clinic nurse to help you choose the date and location of the endoscopy. You may need a review in a clinic or a teleclinic before your scope if you have a significant medical history, are taking anticoagulant, have kidney failure or are elderly (>80 years). This is done for patient safety reasons.
*For Health Screening, your insurance may not approve the claim; this is usually self-paid.
*Patients using corporate insurances need to be seen in the clinic first.
Video – link explanation about insurance Approval
Video – link Instruction before your Gastroscopy:
Video – link Instruction before your Colonoscopy (Bowel Preparation):
Video – link of Parkway East Video (PS: Must remember to credit IHH Healthcare and Parkway East Hospital)
Gastroscopy is a very safe outpatient procedure and takes less than 10 minutes. It is a simple test in which a thin, flexible fibreoptic telescope is inserted through the mouth and into the stomach for a complete visualization of the cause of your symptoms. No preparation is required other than fasting for 6 hours. You will be given a local anaesthetic spray to numb the throat and an intravenous sedation.
Gastric (stomach) cancer can often remain asymptomatic for a long time, especially in the early stages. As such, it usually presents late. The usual symptoms are vague upper abdominal pain or discomfort. It can also cause early satiety (fullness after a small meal), vomiting, loss of weight, loss of appetite, fatigue, or anaemia (low blood count due to bleeding).
Occasionally, it may present as an emergency with severe pain from perforation, or bleeding (vomiting of blood or passage of black stools due to altered blood).
Stomach/ gastric cancer (GC) is the 4th most common cancer related death in male, and the 5th most common cancer related death in female, in Singapore. In addition, 75% of all the GC in the world occurs in Asia. The number of new GC cases remains high and are still rising in Asia because of the increase in aging population. At the time of diagnosis, most GC (up to 45%) are diagnosed at stage 4 (which means the cancer has spread from where it started to another organ). Hence, the key to survival is early diagnosis.
If you have recent onset of “gastric pain” or any of the symptom mentioned above, and you have not been investigated before, a gastroscopy is recommended.
Colonoscopy is a procedure where the inside of the colon is examined by passing a flexible fibreoptic camera tube through the length of the colon via the anus. The procedure is usually performed under sedation – so you will be comfortable and pain free. If a growth/ polyp in the colon is detected, your doctor will remove the growth completely if possible and send it for further testing to rule out cancer. Colonoscopy has been shown to be very safe and is the best way to rule out and screen for colorectal cancer.
1) Symptoms suggestive of colorectal cancer (CRC):
2) Other indications:
3) Screening in patients with significant family history of CRC
4) After identification/ removal of colonic adenomas, and for clearing the whole colon of synchronous neoplasia in patients with CRC
5) In patients with positive faecal occult blood/ FIT tests as part of bowel cancer screening
6) Assessment of neo-terminal ileal recurrence of Crohns following right hemi-colectomy to determine need for medical therapy
7) Assessment of extent and activity of known IBD
8) Surveillance of patients with IBD/ FAP
9) Surveillance after resection of CRC
After Hours, Please Call the 24 hours Emergency Clinic: +65 63335550