Download A4Medicine Mobile App
Empower Your RCGP AKT Journey: Master the MCQs with Us! 🚀
Clinical Recommendations for Oesophageal and Assessment: This table offers crucial guidance for healthcare professionals, based on NICE recommendations, to determine the timing and necessity of upper gastrointestinal endoscopy for assessing individuals with potential oesophageal cancer considering specific symptoms and risk factors.
| Recommendation | Guidance |
|---|---|
| Offer urgent, direct access upper gastrointestinal endoscopy to assess for oesophageal cancer in people: | with dysphagia or |
| To be done within 2 weeks | aged 55 and over with weight loss and any of the following: |
| Direct access implies that the test is done and primary care retains clinical responsibility throughout , including acting on the result | - upper abdominal pain |
| - reflux | |
| - dyspepsia. [2015] | |
| Consider non-urgent direct access upper gastrointestinal endoscopy to assess for oesophageal cancer in people aged 55 or over with: | treatment‑resistant dyspepsia or |
| upper abdominal pain with low haemoglobin levels or | |
| raised platelet count with any of the following: | |
| - nausea | |
| - vomiting | |
| - weight loss | |
| - reflux | |
| - dyspepsia | |
| - upper abdominal pain, or | |
| - nausea or vomiting with any of the following: | |
| - weight loss | |
| - reflux | |
| - dyspepsia | |
| - upper abdominal pain. [2015] | |
| Consider non-urgent direct access upper gastrointestinal endoscopy to assess for stomach cancer in people with haematemesis. | Vomiting... |
Try our Free Plan to get the full article.
