Dr Moodie offers consultation on all aspects of gastroenterology and hepatology.
The rocedures offered include:
Endoscopic test and treatments (under local anaesthetic, sedation or general anaesthetic):
Inflammatory bowel disease:
Dr Moodie manages a large number of patients with Crohn's disease and ulcerative colitis. Dr Moodie is an inflammatory bowel disease specialist and previous chair of the Surrey inflammatory bowel disease network. At Epsom Hospital he works with an inflammatory bowel disease specialist nurse as part of the IBD service. These patients with chronic inflammatory bowel disease often require immunomodulatory and immunosuppressive drugs such as azathioprine, 6-mercaptopurine, methotrexate, cyclosporine, infliximab, adalimumab and newer biologic therapies. Protocols and guidelines for safe administration and monitoring of these drugs are established. There is a close working relationship with gastroenterological surgeons with joint meetings to discuss cases once a week.
Food intolerance, food sensitivity, food allergies, irritable bowel syndrome, small bowel disease:
With extensive research pedigree in this area, Dr Moodie is an expert on coeliac disease and works closely with local coelaic dieticians in providing a service for coeliac disease sufferers in the region. The area of food intolerance/sensitivity/allergy is a complex one and Dr Moodie is happy to see referrals of this nature - patients may need various investigations including blood and stool analysis, small bowel biopsies, lactose/fructose/lactulose breath tests, low FODMAP diet, structured elimination diets and immunological testing.
Dyspepsia, heartburn, abdominal pains, indigestion:
Patients with these conditions may require gastroscopy, ultrasound, CT and other investigations. Oesophageal physiology (manometry, pH studies) are currently available within Epsom and St Helier Trust at the St Helier site.
Colon cancer screening, colonoscopy and polypectomy:
As part of the Cancer Network seeing two-week rule referrals for both suspected upper and lower GI cancer, Dr Moodie performs a large number of colonoscopies every week.
Oesophageal and gastric cancer:
Dr Moodie is a key member of the GI cancer services at Epsom and St Helier Trust, Epsom site. Most of the service is diagnostic (endoscopy),with patients then managed by the Royal Marsden cancer centre. Dr Moodie may become involved in the ongoing management of these patients for endoscopic therapies such as feeding tube placement, argon plasma coagulation.
Liver disease:
Having worked at the local tertiary liver centre at King's college hospital, Dr Moodie retains close personal links. Patients with some specialist liver disease (liver cancer, liver masses, cirrhosis considered amenable to liver transplant) are discussed and referred at an early stage for management by he King's liver unit, However, most chronic liver disorders are investigated and managed by Dr Moodie locally. there is a viral hepatitis service at Epsom Hospital for the treatment of hepatitis B and C. Dr Moodie does not treat viral hepatitis (B or C) for NHS or private patients, these should be referred as NHS patients to the Epsom liver clinic under Dr Lim.