Western Health Endoscopic Services provides a comprehensive range of diagnostic and therapeutic endoscopy procedures for inpatients and outpatients.
Western Health offers 'Direct Access Endoscopy' that allows suitable patients (those triaged as a Category without complicating risks) to be referred directly for an endoscopic procedure(s) without a prior formal consultation with a gastroenterologist. This is to avoid delays in waiting for outpatient consultations to occur where the need to proceed to endoscopy is clear. Patients who have increased risks identified, or where the indication for endoscopy is not clear, will need to have a consultation prior to the procedure.
Western Health has developed a pathway to assist GPs to refer patients who meet the criteria for an urgent (within one month) Gastrointestinal Endoscopy. Two pathways have been developed:
R.A.G.E pathway for patients with overt gastrointestinal bleeding
R.A.G.E pathway for patients without overt gastrointestinal bleeding
A Symptom Guide has also been developed to compliment the pathways that outline the most important signs or symptoms associated with colorectal cancer and oesophageal or gastric cancer.R.A.G.E symptom guide
Referrals for urgent endoscopy referrals need to be submitted using the R.A.G.E form. This
form assists us to best determine the nature of the procedure required; the
peri-procedural issues to be addressed including comorbidities and medications
that may increase bleeding risk; the most appropriate site among our campuses
to perform the procedure and to determine the most suitable bowel preparation.
The R.A.G.E form is available in a word version and versions that can be uploaded into practice software
RAGE referral form.docx
RAGE referral form
RAGE MD.rtf *IMPORTANT DO NOT OPEN UNTIL READING INSTRUCTIONS BELOW*
Medical Director Import Instructions
1. Right click on the link and then select Save As… (Or Save Target As…) and then save the file to a location from where you can later retrieve it i.e. desktop or My documents.
2. Open Medical Director and then LetterWriter
3. File menu > Select modify template > Select blank template
4. File > Select import - locate downloaded file
RAGE template Best Practice.rtf *IMPORTANT DO NOT OPEN UNTIL READING INSTRUCTIONS BELOW*
Best Practice Import Instructions
1. Open a new letter and from templates menu select Import templates
2. Locate downloaded file and open
3. From File menu select Save as. Type in an appropriate template name and click on save
ERCP (Endoscopic Retrograde Cholangio Pancreatography)
EUS (Endoscopic Ultrasound)
EMR (Endoscopic Mucosal Resection)
PEG (Percutaneous Endoscopic Gastrostomy)
Luminal stent insertion
EBUS (Endobronchial ultrasound)
Endoscopic Services are provided at Western Hospital Footscray and Sunshine Hospital, Monday to Friday and Sunbury Day Hospital on Tuesday and Thursday.
Western Health Endoscopic Services is a training and teaching centre for basic and advanced procedures. We train gastroenterology and surgical registrars, an interventional endoscopy fellow, respiratory registrars and a nurse colonoscopist. Patients may have their procedure performed by a trainee or registrar, under the supervision of a qualified specialist.
The Department of Gastroenterology maintains an on-call roster for emergency endoscopic procedures 24 hours per day, 7 days per week, 365 days per year.
Endoscopic Services Nurse Co-ordinators
Email: [email protected]
Phone: 0401 464 724 or 8345 6982
Endoscopy Bookings Office
Phone: 8345 6015Fax: 8345 6619Email: [email protected]
Endoscopy Registrar - page via switch 8345 6666