Is endoscopy a simple procedure that can be performed well by a junior doctor?

Doctor's Answers 1

Photo of Dr Wai Leong Quan
Dr Wai Leong Quan

Gastroenterologist

Hi Wai Ma,

Endoscopy is carried out by doctors who are competent to do the procedure. The level of complexity depends on the reason for the endoscopy and the type of endoscopical procedure you plan to undergo. Diagnostic upper digestive endoscopy, for instance, is relatively easy and safe to perform.

Endoscopy of the bile ducts (e.g. Spyglass Cholangioscopy), on the other hand, can be challenging and carries much higher risks of complications, thereby requiring more years of training to master.

endoscopy singapore

SpyGlass Cholangioscope for laser stone fragmentation

Although it is true that restructured hospitals need to conduct training for their resident doctors, these trainings are done under direct supervision of a competent endoscopist most if not all the time.

This is necessary so that our resident doctors can have adequate training to be competent endoscopists in future to guide new trainees in the public domain.

In case you are wondering, the resident doctors in public hospitals are qualified doctors registered under Singapore Medical Council and undergoing their final training phase to become a specialist. As such, they are not the first- or second- year fresh-out-of-medical-school junior doctors that you are concerned about.

In any case, even in the best of hands, complications can still happen, especially for more complex cases. As such, do consider your options carefully and try asking your friends or relatives about their experiences before drawing your own conclusion.

In my opinion, word-of-mouth is likely a more reliable gauge of the endoscopists’ experience and work ethics. Lastly, do expect a longer wait time if you choose to have your scopes done in public hospitals due to the sheer number of cases they have to handle.

Similar Questions

Is colonoscopy a simple procedure that can be performed well by a junior doctor?

A colonoscopy carries a 1 in 1000 risk of perforation. Should a perforation occur, it often requires immediate surgery to repair the perforation. In some instances, a stoma is required to allow the damaged colon to heal. As such, a colonoscopy should not be considered a “simple” or “risk-free” procedure as the consequences of a complication from the scope can be morbid, with the need for multiple surgical procedures to treat. To understand more about colonoscopy in Singapore, you can refer to The Complete Guide To Colonoscopies In Singapore (2018).

Photo of Dr Jason Lim

Answered By

Dr Jason Lim

Colorectal Surgeon

When is an endoscopy required?

Besides clinching diagnoses such as gastric ulcers, colonic polyps, or cancers, modern endoscopes can certainly be used to treat many different digestive conditions. Gastric Ulcer Small Intestine Polyp Bleeding gastric varices By removing a growth known as polyp in the large intestine through the process of Colonoscopy and Polypectomy, colon cancer death rates has been shown to be reduced by more than 50%. In cases with active bleeding from the digestive tract, endoscopy is now the first line treatment to arrest the bleeding.

Photo of Dr Wai Leong Quan

Answered By

Dr Wai Leong Quan

Gastroenterologist

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