Heartburn, reflux & discomfort
Gastroscopy may be considered when reflux, persistent upper abdominal discomfort, nausea or similar symptoms need further investigation.
Gastroscopy is an upper gastrointestinal endoscopy used to examine the oesophagus, stomach and first part of the small intestine. It may be recommended to investigate persistent reflux, swallowing difficulty, upper abdominal symptoms, nausea or other concerns requiring direct examination.
A flexible endoscope allows the upper digestive tract to be viewed directly. The reason for arranging gastroscopy depends on your symptoms, medical history and previous investigations.
Gastroscopy may be considered when reflux, persistent upper abdominal discomfort, nausea or similar symptoms need further investigation.
Direct examination can help investigate swallowing difficulty or other oesophageal symptoms when clinically indicated.
Gastroscopy can identify inflammation, ulceration and other abnormalities. Biopsies may be taken where appropriate.
The gastroscope is passed through the mouth while you lie on your side. The current St Mary's page describes the examination itself as typically taking around 15–30 minutes, with extra time needed for admission or recovery if sedation is used.
Discuss symptoms, medical history, medicines and why gastroscopy may be helpful.
Follow the exact fasting instructions supplied for your appointment so the stomach can be examined safely and clearly.
The flexible camera is passed through the mouth to inspect the oesophagus, stomach and duodenum. Biopsies can be taken if appropriate.
Initial findings may be discussed after the procedure. Sedation can mean a longer recovery period and specific discharge restrictions.
Good preparation helps the doctor see the upper digestive tract clearly and reduces procedure-related risk. Follow the clinic's appointment instructions rather than relying only on general guidance.
The current St Mary's guidance advises no food or drink for approximately 6–8 hours before gastroscopy. Your issued instructions should specify the exact timing for your appointment.
Tell the clinical team about all regular medicines, allergies, anticoagulants, antiplatelets and diabetes treatment. Do not stop prescribed medication on your own.
If sedation is used, arrange any required escort or transport and follow the post-sedation restrictions given before discharge.
Current prices published by St Mary's Clinic. Additional investigations or treatment beyond the listed items may alter the final cost.
Consultation with the resident Internal Medicine Specialist.
Current published gastroscopy procedure fee.
Current published biopsy testing fee where tissue sampling is clinically indicated.
MD, MRCP, M.Sc Health Sciences · Internal Medicine Specialist
Dr Frank Farrugia is the resident Internal Medicine Specialist listed by St Mary's Clinic for gastroscopy. Consultation is used to review symptoms, relevant history and whether upper gastrointestinal endoscopy is appropriate.
General information about gastroscopy. Your own preparation and discharge instructions should always take priority.
Gastroscopy can be uncomfortable, particularly as the scope passes through the throat, but local throat anaesthetic and/or sedation may be used depending on the planned procedure. Experiences vary between patients.
The current St Mary's page states that the examination itself usually takes around 15–30 minutes. Allow additional time for admission and recovery, especially when sedation is used.
Yes. Small tissue samples can be taken during gastroscopy where clinically indicated. Biopsy is used for many diagnostic reasons and does not by itself mean cancer is suspected.
The visual findings can often be discussed after the examination. Histology or other laboratory results from biopsies require additional processing time.
Timing depends on whether throat anaesthetic or sedation was used and on the procedure findings. Follow the discharge instructions given by the clinical team.
There is no universal schedule. Repeat gastroscopy depends on the condition being investigated, previous findings and the treating clinician's recommendation.
St Mary's Medical Clinic · 9/11 Triq il-Barrieri, Mosta MST 3250, Malta · Mon–Fri 8:00am–6:00pm · Sat 8:00am–1:00pm