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This guidance covers the referral of a patient who presents with symptoms suggestive of upper gastrointestinal cancer who should be referred to a team specialising in the management of upper gastrointestinal cancer, depending on local arrangements.
Helicobacter pylori status should not affect the decision to refer for suspected cancer.
GPs can refer a patient they suspect of having cancer to be seen within 14 days by a specialist. GPs must send the referral within 24 hours of the decision to refer.
Please use the referral forms listed on this page to ensure appropriateness. They have been agreed by the Peninsula Cancer Network.
For all patients with new-onset dyspepsia, consider a full blood count to detect iron deficiency anaemia.
Oesophageal or gastric cancer
Gall bladder cancer
The following recent blood results, less than 8 weeks old, would be extremely helpful:
From the 11th December 2017 the RD&E will only take 2WW referrals via the NHS e-Referral Service for Lower GI. GPs will be able to send their referrals to us by using new functionality called a Referral Assessment Service (RAS)
Please ensure you include:
The referral will be graded by a Clinician, patients will be booked into either a consultant clinic or day case procedure appointment. RD&E will advise the patient if their appointment date and time.
This pathway was signed off by the NEW Devon CCG.
Publication date: November 2016
Updated: December 2017