Open access endoscopy is widely used in Australia to minimize the time and cost of gastroscopy and colonoscopy. However in many situation that may not be possible and prior consultation with a gastroenterologist would make the endoscopy procedure easier, safer and  most importantly productive.  This is most important in the setting for colonoscopy. The procedure and bowel preparation can be properly discussed to minimize the difficulties with poor bowel preparation. 

Following are some of the situation a prior consultation is advisable.

  • Prior incomplete or complicated procedures
  • Patients with significant co morbidities.
  • Patients who are on anti coagulation medication or multiple anti platelet medications
  • Patients who has diagnosed chronic liver or gastrointestinal conditions such as celiac disease, Crohn's disease, ulcerative colitis,  liver cirrhosis, iron deficiency anemia,  Persistent Helicobacter pylori infections.


Dr. Niranjan J Arachchi

Medical Consultation


Gastroscopy is a test which examines the inner lining of the oesophagus, stomach and first part of the small bowel.  After patient is given a light anesthetic, a thin tube is passed through the mouth to the oesophagus and stomach.  The inner lining is examined and samples are taken during the procedure. This usually take about 10-15 minutes and relatively a simple and safe procedure. Like many medical procedure there might be complications of from this procedure. Please discuss more information with your doctor. For more detailed information please look at this page. 

Specialist medical consultation is a process where patient and physician discuss patient's medical conditions, symptoms and further management.  This time is used to explore patients symptoms, conduct a medical examination and review investigation results.  Further tests are usually requested at this time, medication are prescribed and follow plans are discussed. It is necessary for the patients bring all the relevant previous investigation results, Xrays and list of medications when attending the consultation. 

Dr NJ Arachchi provide consultation service to variety of gastrointestinal medical conditions.

  • Viral Hepatitis B & C
  • Fatty liver disease
  • Autoimmune liver disease
  • Cirrhosis
  • Abnormal Liver function tests
  • Celiac disease
  • Ulcerative colitis
  • Crohn disease
  • Liver lesions
  • Non specific gastrointestinal symptoms
  • Helicobacter pylori infection


Colonoscopy is a test which examines the inner lining of the large bowel or colon.  After patient is given a light anesthetic, a thin tube is passed through the anus to the colon.  The inner lining is examined and samples are taken during the procedure.  One of the most important reason for this procedure is to look for colon cancer and remove pre cancerous lesions called colonic polyps.   The procedure can take up to 20 - 40 minute.   Even though the procedure is relatively simple, there might be complications which you need to be aware. Please discuss with you doctor.  For more detailed information please look at these pages.

Pre Procedure Medical consultation