Endoscopy & Gastroenterology Surgery

Experience the highest standard of Endoscopy & Gastroenterology Surgery in Derry-Londonderry at JACE Private Clinic, where your well-being and satisfaction are our top priorities.

Endoscopy & Gastroenterology Surgery - JACE Private Clinic - Northern Ireland

How we can help?

Welcome to JACE Private Clinic, your first choice for Endoscopy. 

Our team consists of highly dedicated Consultant Gastroenterologists and General Surgeons who are locally based. We specialise in providing comprehensive examinations, accurate diagnosis, and effective treatments for a wide range of conditions that impact the oesophagus, stomach, and large and small intestines (bowel). Count on us to deliver compassionate and personalised care, supporting you on your journey towards improved health.

Comprehensive Endoscopy Services

At JACE Private Clinic, our focus lies in delivering excellent endoscopy procedures and investigations. Our experienced medical team employs cutting-edge technology to ensure precise diagnosis and effective treatments.

Endoscopy is a minimally invasive procedure that involves the use of an endoscope—a thin, long, flexible tube equipped with a camera and bright light at the end. Through either the mouth or rectum, the endoscope is inserted into the body, allowing for a comprehensive visual examination of the gastrointestinal tract. This enables the identification and evaluation of various conditions.

Throughout the process, our skilled professionals prioritise your comfort and well-being. We are committed to providing personalised care and delivering accurate results, promoting your overall health and peace of mind. Trust in JACE Private Clinic to provide you with the exceptional care you deserve.

Endoscopy consultations from £200.00

Symptoms that may require an Endoscopy Investigation

Abdominal pain

Persistent or severe abdominal pain, especially in the upper abdomen, may necessitate an endoscopy investigation to evaluate the cause, such as ulcers, gastritis, or gallstones.

Gastroesophageal reflux disease (GERD)

Chronic heartburn, regurgitation, difficulty swallowing, or chest pain associated with GERD may require an endoscopy to assess the extent of oesophageal damage or the presence of a hiatal hernia.

Persistent nausea and vomiting

If you experience chronic nausea and vomiting without an obvious cause, an endoscopy can help identify conditions like gastroparesis, gastric outlet obstruction, or peptic ulcers.

Unexplained weight loss

Sudden or significant unexplained weight loss, coupled with gastrointestinal symptoms, may warrant an endoscopy to investigate potential causes such as tumours, celiac disease, or malabsorption disorders.

Gastrointestinal bleeding

If you experience recurrent or significant bleeding from the gastrointestinal tract, an endoscopy can help visualise the source of bleeding, such as ulcers, polyps, or abnormal blood vessels.


Unexplained anaemia, especially when accompanied by gastrointestinal symptoms, may require an endoscopy to determine if there is an underlying gastrointestinal bleeding or malabsorption issue.

Iron deficiency

Chronic iron deficiency, even in the absence of anaemia, may necessitate an endoscopy to identify the source of the deficiency, such as gastrointestinal bleeding or malabsorption disorders.

Persistent diarrhoea

Prolonged episodes of diarrhoea, especially with associated abdominal pain or weight loss, may require an endoscopy to examine the gastrointestinal tract for conditions like inflammatory bowel disease, celiac disease, or microscopic colitis.

Suspicion of gastrointestinal malignancies

If there are concerns about the presence of gastrointestinal cancers, an endoscopy can aid in detecting tumours, assessing their size and location, and obtaining tissue samples for further analysis.

Types of Endoscopy Procedures at JACE Private Clinic

OesophaoGastro-Duodenoscopy (OGD)

Gastroscopy– Also known as Upper Endoscopy or OesophagoGastro-Duodenoscopy (OGD) is a procedure that involves looking at the upper part of the digestive tract with a long, narrow and flexible gastroscope with a bright light and camera at the end to investigate the oesophagus (food pipe), stomach and first part of your small intestine (duodenum). If necessary, the endoscope facilitates the collection of small tissue samples (biopsies) for further analysis.

You may need to have a gastroscopy if you have any of the following;

Persistent nausea and vomiting (particularly vomiting blood)

Trouble or pain when swallowing food (dysphagia)

Heartburn, indigestion, or pain in your stomach that doesn’t go away even after taking medication

Endoscopy & Gastroenterology Surgery - JACE Private Clinic - Northern Ireland
Endoscopy & Gastroenterology Surgery - JACE Private Clinic - Northern Ireland


A colonoscopy is a test used to check inside your bowels. A long, flexible, tube with a camera and bright light at the end is called a colonoscope. The colonoscope is inserted into the rectum and guided through your large bowel allowing your doctor to examine the lining of your bowel.

You may need to have a colonoscopy if you have:

Changes in bowel habits

Presence of blood in the stool

Unexplained anaemia (low blood count)

Screening for colon cancer

Flexible Sigmoidoscopy

A Flexible Sigmoidoscopy is a test that is quite similar to a colonoscopy, where the colonoscope is inserted through the rectum. However during a flexible sigmoidoscopy, the colonoscope is guided through the lower part of the large bowel. If you are experiencing changes to your bowel habit or experiencing rectal bleeding, you may require an examination of the lower part of your large intestine (bowel).

Preparing for an Endoscopy Procedure

Depending on the specific area of the body being examined, you may be required to stop eating and drinking for a certain period. However, this will be explained during your consultation.

If you are having a colonoscopy or a sigmoidoscopy, which examines the rectum and lower bowel, a laxative or enema may be given to help clear the bowels of any stools.

If you are having this procedure and you are taking antiplatelet or anticoagulant medicines, it is important that you discuss this with your Doctor.

Antiplatelet and anticoagulation medication

Most commonly used medications are listed below, however if you are taking a medication not listed below, please discuss this with your clinician.

Antiplatelet medication

Examples of antiplatelet medication include: Aspirin, Clopidogrel, Prasugrel, Ticagrelor.

These are used to help prevent heart attacks, strokes and blockage of blood vessels in limbs in patients who are at risk of these conditions.

Anticoagulant medication

Examples of anticoagulant medication include: Warfarin, Heparin, Rivaroxaban, Apixaban, Edoxaban and Dabigatran.

These are used to prevent blood clots and strokes in patients at risk of a variety of conditions, including atrial fibrillation (AF), mechanical replacement heart valves, deep vein thrombosis (DVT), and pulmonary embolus (PE).

Endoscopy & Gastroenterology Surgery - JACE Private Clinic - Northern Ireland


If you are taking antiplatelet or anticoagulant medication, it is important for you and your clinician to discuss whether you will temporarily need to stop this medication.

Every endoscopic procedure has an element of discomfort, but at JACE Private Clinic, we prioritise your comfort and safety. We offer multiple options of analgesia to minimise this.

Throat Spray

This is a local anaesthetic which numbs the throat, this is used in diagnostic gastroscopy in order to minimise discomfort. However, can also be used in other therapeutic procedures too.

With the throat spray you will be completely awake during the procedure, whilst you may be bloated and feel uncomfortable, it should not be painful.

Gastroscopies are very quick tests and tend to take 5-10 minutes; the spray will have an effect for approximately one hour.

After having the gastroscopy with just the spray you are able to go home unaccompanied and drive. You have no lasting effects and can continue with your daily routine.


The sedation that we use is a form of conscious sedation; this means that you will still be awake during the procedure. The aim of the sedation that we give is to relax patients, some people may feel slightly drowsy, but this is not always the case.

The medication we use is called Midazolam and is given as an injection via an intravenous cannula (IV); it is not intended to make you go to sleep like a general anaesthetic.

Sedation can provide you with a more comfortable experience throughout your stay in endoscopy, especially if you are anxious. However, it is important to know that there are limitations associated with this medication.

Following sedation, you must be accompanied by a responsible adult over 18 years of age for a minimum of 12 hours. Therefore, you will need to bring a friend or relative (who is able to stay with you) to the endoscopy department.

Additionally, for 24 hours you are not permitted to drive, operate heavy machinery, sign any legal documents or consume any alcohol.

Pain Relief

The Analgesia (pain killer) we use is called Fentanyl; we tend to use it as prevention on patients who are undergoing lengthy or therapeutic procedures. This medication has similar side effects to Midazolam in that for 24 hours you are not permitted to drive, operate heavy machinery, sign any legal documents or consume any alcohol.

Depending on various risk factors such as age, patients who suffer with any breathing problems such as COPD or sleep apnoea, we need to be extra cautious with the amount of sedative that can be given. This does not mean that you are not able to have the sedation, but that you might need to have a lower dose. This can be discussed with you by your endoscopist on the day of the procedure.

Gas and air (Entonox)

Entonox (gas and air) is commonly associated as pain relief in labour. If you have gas and air you will be advised by the nursing staff how to use it, however you are in control, you will be handed a mouthpiece to use as and when you require.

You will be fully awake during this, but it can make you feel a bit lightheaded after prolonged use. Therefore, you are not able to drive for one hour following the procedure. After the hour there should be no lasting side effect so you can go about your daily routine.

Making an appointment

Comprehensive discussion about your medical history and concerns.

Thorough physical examination to assess your condition.

Personalised aftercare and follow-up plan tailored to your needs.

Take the first step towards your well-being by reaching out to us today. Simply complete the ‘Talk to us today‘ form to schedule an appointment or give us a call for a friendly and confidential conversation about your specific treatment requirements.

Our dedicated team will gladly assist you in identifying the most suitable consultant and arranging an appointment at a convenient time for you.

How to pay

At JACE, we prioritise your convenience and offer flexible payment options to ensure a seamless experience. If you’re a self-funded patient, you have the choice to settle your bill in person during your appointment or contact us via phone at +44 (0) 28 7116 5790 to make a secure payment prior to your visit. Alternatively, if you’re covered by private health insurance, please click below to access detailed information about our payment process. We look forward to providing you with exceptional care at JACE Private Clinic.


As part of our commitment to addressing your concerns, we have compiled a list of frequently asked questions to assist you. However, if you have any further inquiries that are not addressed on this page, we encourage you to complete our Talk to us today Form.

How much is a private appointment for endoscopy?

Check back soon for up-to-date pricing.

When can I see a doctor?

Our dedicated team strives to provide you with prompt care, aiming to schedule your appointment within just one week of contacting us. To take the first step simply fill out our “Talk to us today” form or give us a call at +44 (0) 28 7116 5790 to book an appointment and consult with our experienced team.

What happens at the appointment?

During your initial appointment, our dedicated team will carefully examine your symptoms to gain a comprehensive understanding of your condition. In addition to discussing your medical history, our highly skilled doctor will inquire about the events preceding your appointment, the specific symptoms you have encountered, any concerns you may have, and any pre-existing conditions you might be experiencing. By engaging in this thorough discussion and examination, our doctors will be equipped to make an accurate diagnosis, ensuring you receive the best possible care.

Endoscopy & Gastroenterology Surgery - JACE Private Clinic - Northern Ireland

What our patients say

Scott Miller

Excellent service and communication.


Super service, great communication throughout the entire process! THANK YOU!

Patrick Lynch

Very good facility friendly & helpful professional staff great medical care, your health is your wealth.

Endoscopy consultant

Our endoscopy service is led by Mr. Roger Lawther, a renowned General Surgeon with a specialisation in Lower GI surgery and Mr. Tim White a Colorectal/General Surgeon with a distinguished background in surgical practice.

Their extensive experience allows them to address a wide range of symptoms and concerns. Whether you’re experiencing rectal bleeding, diarrhea, abdominal pain, weight loss, concerns regarding abdominal cancer, family history of cancer, or lumps and bumps, they are here to provide expert consultation.

The surgeon’s expertise extends to the treatment of various conditions, including colorectal cancer, colorectal polyps, inflammatory bowel disease, diverticular disease, irritable bowel disease, anal fissures, anal fistula, hemorrhoids, other anal swellings, pilonidal sinuses, hernias, and gallstones.