Jayant Patel's manslaughter trial has been told the former Bundaberg Hospital director of surgery correctly diagnosed the cause of a patient's bleeding.

Gastroenterologist Johan van den Bogaerde reviewed the patient notes of pensioner Mervyn Morris, who died three weeks after Patel performed a sigmoid colectomy on him in 2003.

The Crown alleges Patel misdiagnosed Mr Morris with diverticular bleeding.

Dr van den Bogaerde told the Supreme Court in Brisbane that Mr Morris's symptoms were consistent with diverticular bleeding and that Patel's diagnosis was reasonable.

He said the patient was in a fairly stable state when the surgery was performed and that there was a window of opportunity to perform it.

However, Dr van den Bogaerde said he had recommended a colectomy for very few of his patients with diverticular bleeding.

The Crown alleges Patel missed the fact that Mr Morris was actually suffering from radiation proctitis because he did not properly carry out a colonscopy.

But Dr van den Bogaerde said the radiation proctitis may have been so mild that it could not be seen endoscopically.

Prosecutor David Meredith accused the specialist of offering Patel an "out".

"I'm not here to give anyone an out," Dr van den Bogaerde said.

"I'm just here to give my opinion."

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