Annual Report 2010 - St. James's Hospital
Annual Report 2010 - St. James's Hospital
Annual Report 2010 - St. James's Hospital
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Clinical Directorates I GEMS<br />
The following procedures were carried out in the unit in <strong>2010</strong><br />
Procedure<br />
Number<br />
Colonoscopy 5,583<br />
Cystoscopy 1,068<br />
ERCP 458<br />
Trus biopsy 487<br />
Sigmoidoscopy 296<br />
Bronchoscopy 1,131<br />
OGD 7,291<br />
Ileoscopy 26<br />
The following procedures were carried out in the unit in 2009<br />
Procedure<br />
Number<br />
Colonoscopy 5,003<br />
Cystoscopy 970<br />
ERCP 471<br />
Trus biopsy 363<br />
Sigmoidoscopy 287<br />
Bronchoscopy 968<br />
OGD 6,576<br />
Ileoscopy 28<br />
GI Function Unit<br />
A total of 3,287 GI Physiology studies were carried out in<br />
<strong>2010</strong>, 65% of which were outside referrals. There has been a<br />
dramatic increase in the number of referrals, particularly from<br />
outside <strong>St</strong>. James <strong>Hospital</strong>, leading to an increased waiting<br />
list, up to 10 months for some procedures. The unit is still<br />
staffed by only 3 GI Technicians, and received an extension of<br />
the basic grade post for another year. There are no routine GI<br />
Physiology investigations available to other General hospitals<br />
or Paediatric <strong>Hospital</strong>s; the Unit is the only provider of a<br />
national referral service.<br />
The unit has introduced an extended day in the past 6 months<br />
that gives longer investigation time, in an effort to reduce<br />
waiting lists, for specialised investigations. This change has<br />
allowed us to reduce the waiting list for some specialised<br />
investigations by 48%.<br />
The Unit is the only investigation unit that has full Accreditation<br />
as both a Service and Training Unit in Ireland, and both<br />
permanent Technicians have full Accreditation as GI<br />
Physiologists.<br />
Urology<br />
The urology department continued to expand in <strong>2010</strong> with the<br />
addition of Tanya Conroy our fourth Clinical Nurse Specialist.<br />
The number of admissions increased to 538 and there<br />
was marked increase in the number of surgical procedures<br />
performed in <strong>2010</strong> with over 130 oncological operations.<br />
In addition to main theatre there are 9 day surgery and 12<br />
endoscopy lists per month.<br />
As part of the National Cancer Control Programme <strong>St</strong>.<br />
James’s urology department is a tertiary referral centre for<br />
prostate cancer and is also the only centre in Ireland to offer<br />
laparoscopic partial nephrectomy. The Rapid Access Prostate<br />
Clinic (RAPC) was opened in 2009, which allows GPs to<br />
directly refer patients with an abnormal prostate or raised PSA<br />
to a specialised one- stop clinic. 500 patients have been seen<br />
61
Change language