Oesophageal and Gastric Cancer

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Oesophageal and Gastric Cancer

Clinic name	Oesophageal and Gastric Cancers Service
Head of Unit	Mr Val Usatoff
Clinic Description	Click here for a detailed description of this clinic within the cancer services web pages.
Inclusion criteria	Any patient with symptoms indicating a suspicion of oesophageal or gastric cancer.
Exclusion criteria	-
Red flags – Refer directly to ED if:	If concerned about patient’s immediate management
Referral guidelines	Signs and symptoms The following signs and symptoms require urgent consultation within 2 weeks: New onset or rapidly progressive dysphagia New onset or rapidly progressive epigastric pain(>2 weeks) Other signs and symptoms: Persistent epigastric pain/ dyspepsia Pain on swallowing Food bolus obstruction Unexplained weight loss Haematemesis and/or melaena Early satiety Unexplained nausea / bloatedness or anaemia Please see Oesphagogastric cancer optimal care pathway for more information. Tests Required clinical investigation: Gastroscopy Refer to the Upper gastrointestinal endoscopy categorisation guidelines for adults 2018 and the Endoscopy page Consider including recent results for: Full blood count Liver function test
How to refer	MBS patients are bulk billed. Referrals need to be to the named Head of Unit. See here for information on how to refer and general contact information. Fax referrals to 8345 6856
Contact for referral queries	Upper Gastrointestinal Registrar via switch on 8345 6666. For general enquiries: Phone: 03 8345 6490, Fax: 03 8345 6856