Novel and innovative ways of increasing diagnosis are needed to diagnose cancers earlier in Wales, whilst not becoming burdensome on an already stretched health service.
Dr Hasan Haboubi
Endoscopy is critical to the diagnosis of oesophageal and gastric cancers, which are both in the top 10 of cancers with the worst mortality outcomes. Endoscopy can be particularly valuable in identifying pre-cancerous lesions and early cancers where the tumour is still amenable to curative treatment.
Transnasal endoscopy (TNE) is an upper GI endoscopy method performed via the nose rather than the mouth, using a thinner endoscope. TNE has been adopted in some hospitals in England and widely in Scotland, but is not yet in use in Wales. The potential benefits of introducing TNE to the diagnostic pathway are:
- better patient outcomes - as the procedure is less invasive it is therefore more comfortable
- improved efficiency - TNE can take less time and fewer resources, thus enabling more patients to be seen overall and can therefore contribute to reducing the growing backlog facing endoscopy services.
This project will see Dr Hasan Haboubi, Consultant Gastroenterologist in Cardiff and Vale, and Dr Dai Samuel, Consultant Hepatologist in Cwm Taff Morgannwg, deploy Olympus gastroscopes in dual site TNE clinics across a six month period to test and demonstrate the value of TNE in a Welsh health context. Following (and depending on the) evaluation, the project will then progress the promotion of TNE uptake across Wales.
Check back for project updates.