HNY Policy and Pathway Repository - Humber

NLAG Trust wide Direct Access Gastroscopy Service - click to open

No Red Flag Symptoms Listed

Upper GI Gastroscopy (Direct Access) Service Diana Princess of Wales Hospital Grimsby and Scunthorpe General Hospital Procedures Performed:

Diagnostic fibre optic endoscopic examination of upper gastrointestinal tract and biopsies, if indicated. Do’s:

• Gastroscopy within 14 days (routine & urgent)
• 18 years and over
• Male & Female
• For clinical indications: Dysphagia; Reflux Symptoms; Dyspepsia; Nausea/Vomiting; Coeliac Histology; Other
• Practices should ensure that both endoscopy report and histology are sent to the same clinician
• Practices should refer to Gastroenterology if the histology shows Barrett’s Oesaphagus

Don’ts:

• Refer patients presenting with potential alarm symptoms, where there is an increased suspicion of an underlying diagnosis of Upper GI cancer, should be referred as a 2ww Gastroenterology or 2ww Upper GI surgery rapid diagnostic pathway using the existing pathways or depending
• Patients presenting with acute hematemesis or melena, should be considered for emergency admission  Patients 17 years and under
• Patients taking long term anticoagulation or prosthetic heart valve
• Pregnancy

No Referral Criteria/Information