Description

Dr Paul Casey is a New Zealand trained gastroenterologist. He is experienced in all areas of gastroenterology. He completed a fellowship in upper GI motility disorders at the Royal Free Hospital in London and has a special interest in this area of gastroenterology.

His consulting rooms are at Eastcare Specialist Centre and Pukekohe Family Heath Care. He performs gastroscopy and colonoscopy at Ormiston Hospital.

Dr Casey is an affiliated provider with Southern Cross for clinic consultations.
He performs gastroscopy and colonoscopy at Ormiston Hospital, a Southern Cross affiliated provider for these procedures.

 

 

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.

 

What is Endoscopy?
Endoscopy is the process of looking inside body cavities, using a very tiny camera attached to the end of a long, flexible tube (endoscope). Images from the camera are sent to a television monitor so that the doctor can direct the movement of the endoscope. It is also possible to pass different instruments through the endoscope to allow small samples or growths to be removed.
Endoscopy allows a doctor to make a diagnosis either by seeing directly what is causing the problem or by taking a small tissue sample for examination under a microscope (biopsy).
Endoscopy can also be used as a treatment e.g. for removal of swallowed objects in the oesophagus (food pipe), healing of lesions etc.

Consultants

Hours

Eastcare Clinic: every Thursday morning

Pukekohe Clinic: every second Wednesday morning

Please contact the appropriate location for clinic consultation appointments. I also accept direct GP Endoscopy referrals to Ormiston Hospital. Please contact them directly, numbers below.

Referral Expectations

At your appointment 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.

Common Conditions / Procedures / Treatments

  • Gastroscopy

    This is a procedure which allows the doctor to see inside your oesophagus, stomach, and the first part of the small intestine (duodenum) and examine the lining directly. … More

  • Endoscopic Retrograde Cholangio Pancreatography (ERCP)

    A flexible tube with a tiny video camera attached (endoscope) is inserted through the mouth into the stomach and small intestine while you are under sedation (you have been given medication to make you drowsy).… More

  • Colonoscopy

    This is a procedure which allows the doctor to see inside your large bowel and examine the surfaces directly and take biopsies (samples of tissue) if needed.  Treatment of conditions can also be undertaken.… More

  • Liver Biopsy

    The best way to establish what type of liver disease is present and the extent of the disease, is a biopsy.… More

  • Hepatitis

    This is inflammation of the liver, commonly caused by viruses.  Hepatitis B and C are viruses that can cause chronic (long term) inflammation and damage to the liver.… More

  • Cirrhosis

    Cirrhosis is the term used to describe a diseased liver that has been badly scarred, usually due to many years of injury.… More

  • Peptic Ulcers

    Peptic ulcers are sores or eroded areas that form in the lining of the digestive tract.… More

  • Inflammatory Bowel Disease (IBD)

    There are two types of IBD, ulcerative colitis and Crohn’s disease.  In these conditions, the immune system attacks the lining of the colon causing inflammation and ulceration, bleeding and diarrhoea.  In ulcerative colitis this only involves the large intestine, whereas in Crohn’s disease areas within the entire intestine can be… More

  • Irritable Bowel Syndrome

    More

Charges

Dr Casey is an affiliated provider with Southern Cross for clinic consultations.

He performs gastroscopy and colonoscopy at Ormiston Hospital, a Southern Cross affiliated provider for these procedures.

Public Transport

The Auckland Transport Journey Planner will help you to plan your journey.

Parking

There is ample free off street parking at all of my clinic locations.

Contact Details

East Care, Botany

East Auckland

  • Phone

    (09) 277 1540

  • Fax

    (09) 277 1559

More details…

10 West Street, Pukekohe

South Auckland

  • Phone

    (09) 237 0280

  • Fax

    (09) 238 3377

More details…

This page was last updated at 9:06AM on November 5, 2019. This information is reviewed and edited by Dr Paul Casey - Gastroenterologist.