Gastrointestinal endoscopy (direct access) - Adult
Gastrointestinal endoscopy (direct access) - Adult
Immediate gastrointestinal endoscopy (direct access) referrals
Immediate referrals (seen within 7 days) are not handled by the Central Referral Service.
Do not send immediate referrals via CRS - send referrals for patients requiring immediate review (within the next 7 days) directly to the relevant hospital.
Immediately contact the on-call registrar or service to arrange an immediate gastroenterology assessment for:
To contact the relevant service, please see HealthPathways: Acute Gastroenterology Assessment
| Gastrointestinal endoscopy (direct access) conditions with Referral Access Criteria |
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Excluded gastrointestinal endoscopy (direct access) services
Referral to public adult gastrointestinal endoscopy (direct access) is not routinely accepted for the following conditions:
| Condition |
Details (where applicable) |
| Anaemia not due to iron deficiency |
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| Positive iFOBT in the context of a recent (within 2 years), complete colonoscopy |
- If still concerned call on-call registrar to discuss value of referral for repeat endoscopy procedure.
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| Patients with diarrhoea ≤6 weeks or those with diarrhoea >6 weeks without evidence of stool specimen |
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| Patients younger than 45 years who have altered bowel habit in absence of alarm symptoms |
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| Unexplained dyspepsia in absence of alarm symptoms |
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| Assessment of extra oesophageal GORD symptoms including choking, coughing, hoarseness, asthma, laryngitis, chronic sore throat, or dental erosions. |
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Last reviewed: 03-10-2023