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Abdominal pain (gastroenterology)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Severe abdominal pain with significant impacts on activities of daily living or with any of the following concerning features:
      • weight loss ≥5% of body weight in previous 6 months
      • past history Barrett's/polyps/cancer
      • Family history of Barrett's, oesophageal or gastric or bowel cancer
      • iron deficiency in males and postmenopausal women or unexplained iron deficiency in premenopausal women
      • abdominal mass on clinical examination or abnormal imaging
      • nocturnal symptoms
  • Category 2
    (appointment within 90 calendar days)
    • Abdominal pain for >6 weeks without concerning features and not affecting activities of daily living
  • Category 3
    (appointment within 365 calendar days)
    • No category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Patient and family history of gastrointestinal cancer e.g. relationship to patient, age of cancer diagnosis and type of cancer
  • Previous endoscopic procedures (date, report and histology)
  • ELFT, FBC, iron studies
  • Relevant imaging reports

3. Additional referral information Useful for processing the referral

  • No additional information

4. Request

Last updated: 21 June 2023