Piers C. Gatenby is a Gastroenterologist based in Bedford Park, Adelaide, SA 5042. He looks after people with health issues that affect the digestive system, especially the oesophagus and stomach.
In day-to-day care, the work often involves helping patients with reflux and ongoing heartburn, including gastroesophageal reflux disease (GERD). Over time, reflux can sometimes lead to changes in the lining, and Barrett’s oesophagus is one of the conditions he manages. For people dealing with long-term symptoms, having a clear plan matters, and that’s usually where the focus starts.
Endoscopy is a key part of the picture. When tests are needed, these procedures help doctors look closely at the inside of the oesophagus and stomach. They can also guide next steps when there are concerns that need follow-up, including possible issues like oesophageal cancer.
Some patients also come in with problems linked to the diaphragm, such as diaphragmatic hernia. This can affect how the stomach sits and how reflux behaves, so treatment can be different compared with simple heartburn. In cases where surgery is needed, gastrectomy may be part of management. That means working through the process carefully, including what to expect before and after treatment.
There’s also a wider set of health needs that show up in gastro care. Long Haul COVID is one of the areas listed among the services, and symptoms can be complex. Type 2 diabetes (T2D) also comes up often in real-world care, since gut health and blood sugar can affect each other in many cases.
At times, patients need support that goes beyond just a single test or a single appointment. Ongoing review, plain-language explanations, and practical next steps can help people feel more in control while they work through diagnosis and treatment.
Clinics in Bedford Park give local access for people across the Adelaide area who are looking for help with digestive conditions, whether it’s reflux that won’t settle, changes such as Barrett’s oesophagus, or investigation using endoscopy.