Referral for Investigation

Local Contact Details for Urgent ReferralReferral_Criteria.html
 

NICE flowchart of referral criteria

New episode of dyspepsia
Referral Criteria met?
Review medicationLifestyle.html
Endoscopy findings

Treat non-ulcer dyspepsia (NUD)

Treat as un-investigated dyspepsiaDyspepsia_Pathway.html
Treat gastro-oesophageal disease GORD)

Treat peptic ulcer disease (PUD)

Referral Checklist

 Significant GI bleeding
 Any age if alarm signs:
 Chronic GI bleeding
 Unintentional weight loss
 Dysphagia
 Persistent vomiting
 Iron def. anaemia
 Epigastric mass
 Suspicious Ba meal
 Over 55 yr new onset
  Review
Return to self care
Refer to specialist

No

Yes

NUD

Upper GI malignancy

GORD

PUD