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Endoscopy accounts for 40% of all day casework within the Directorate. The department has been expanded, which is a major step forward for the service. Within the self-contained endoscopy suite the usual range of diagnostic and therapeutic upper and lower gastro-intestinal procedures are performed as well as fibre-optic bronchoscopy. We currently have six Consultant Gastroenterologists on the team and two Inflammatory Bowel Disease (IBD) Nurse Specialists.