Gastroenterology and Hepatology | Counties Manukau

Middlemore Hospital

Contact Details

Phone (09) 276 0000 or FREEPHONE 0800 266 513
Email customerservice@cmdhb.org.nz

Patient Enquiries (09) 276 5004 or 0800 266 513
Information or Visiting Hours (09) 270 4799
 
Outpatient appointments & surgical booking enquiries:
Ph (09) 277 1660  or O800 266 513
Email: customerservice@cmdhb.org.nz

Emergency Department: Open 24 hours / 7 days, Phone (09) 276 0000 or
FREEPHONE 0800 266 513

Street Address

Middlemore Hospital
Hospital Road
Ōtāhuhu
Auckland

Postal Address

Private Bag 93311
Ōtāhuhu
Auckland 1640
New Zealand

Description

What is Gastroenterology?

Gastroenterology is the branch of medicine that looks at diseases of the oesophagus (gullet), stomach, small and large intestines (bowel), liver, gallbladder and pancreas. 

The oesophagus is the tube that joins your mouth with your stomach. It is a muscular tube that contracts to push the food through when you swallow.

The stomach is where food is broken down by acid and emptied into your intestines. The stomach has special cells lining its wall to protect it from these acids.

The intestines consist of the small intestine (duodenum, jejunum and ileum – different sections of small intestine) and the large intestine (colon).  As food passes through the small intestine, nutrients are broken down and absorbed.  When it passes into the colon, water is absorbed.  The waste that is left is passed as faeces (poo).

The liver is roughly the size of a football and is on your right side just under your ribs. It stores vitamins, sugar and iron which are used by cells in the body for energy.It also clears the body of waste products and drugs, produces substances that are used to help blood clot and aid the immune system, and produces bile which aids in digestion.

The pancreas is an elongated organ that lies in the back of the mid-abdomen. It is responsible for producing digestive juices and certain hormones, including insulin, the main hormone responsible for regulating blood sugar.

A gastroenterologist is a doctor specialising in the field of medicine which involves these closely related organs.

 

Gastroenterology and Hepatology Services Provided by Counties Manukau DHB
Gastroenterology and hepatology services provided are outpatient clinics, inpatient (ward) care and endoscopy services. See below for clinic locations.

Referral Expectations

Your GP will refer you to our department if they are concerned that you have problems that require a specialist opinion regarding the diagnosis or treatment of the condition. 

Waiting times for clinics range from less than 2 weeks to 12 months depending on urgency, which is assessed from the letter we receive from your GP.

Before coming to our clinic, you may be asked to undergo tests such as blood tests, urine tests or stool/faeces tests (you collect a sample of your urine or poo for analysis).

Clinic appointments may be at the Gastroenterology Department, Middlemore Hospital, Manukau SuperClinic™ Module 3 or Botany SuperClinic™.

Your appointment will take 20-40 minutes.  A history of your symptoms will be taken as well as a review of any medications you are on (please bring these with you).  You will then be examined which may involve, depending on your complaints, a rectal examination.  This involves the insertion of the doctor’s finger or a tube into your bottom to examine the inside.

You may be referred on for some of the following radiology tests, depending on your condition: ultrasound scan, CT scan or MRI.

Fees and Charges Description

There are no charges for services to public patients if you are lawfully in New Zealand and meet one of the Eligibility Directions specified criteria set by the Ministry of Health.  If you do not meet the criteria, you will be required to pay for the full costs of any medical treatment you receive during your stay.

To check whether you meet the specified eligibility criteria, visit the Ministry of Health website.

For any applicable charges, please phone the Accounts Receivable Office on (09) 276 0060.

Common Conditions / Procedures / Treatments

Cirrhosis
Colonoscopy
Endoscopic retrograde cholangio pancreataography (ERCP)
Gastroscopy
Hepatitis
Inflammatory bowel disease (IBD)
Liver biopsy
Peptic ulcers
POEM for Achalasia
G-POEM for Gastroparesis
Z-POEM for Zenker's Diverticulum
ESD for early GI cancers
GI stents
Management of complications of Bariatric Surgery
Radiofrequency Ablation of Barrett's Oesophagus

Visiting Hours

Visiting times are between 2pm and 8pm. Visitors are restricted to two at a time.
Children are welcome, but must be supervised by an adult.


https://www.healthpoint.co.nz/public/gastroenterology/gastroenterology-and-hepatology-counties/