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Below is a summarized table for the NICE guidance on referrals and diagnostic actions for assessing stomach cancer. This table outlines the urgency and criteria for endoscopic assessment of stomach cancer, emphasizing the importance of early diagnostic procedures for those presenting with symptoms indicative of potential stomach malignancy. The distinction between urgent and non-urgent referrals is based on symptom severity and associated risk factors, guiding primary care clinicians in the timely and appropriate referral of patients for further investigation.
| Guidance Item | Criteria for Referral or Diagnostic Action | Patient Group | Recommended Action | Timeline | Symptoms/Findings |
|---|---|---|---|---|---|
| Stomach Cancer 1.2.6 | Upper abdominal mass consistent with stomach cancer | Not specified | Suspected cancer pathway referral | See the table on terminology below | Upper abdominal mass |
| Stomach Cancer 1.2.7 | • Dysphagia OR • Aged 55 and over with weight loss and any of the following: upper abdominal pain, reflux, or dyspepsia | With dysphagia, or aged 55+ with specific symptoms | Urgent, direct access upper gastrointestinal endoscopy | Within 2 weeks | Dysphagia, weight loss, upper abdominal pain, reflux, dyspepsia |
| Stomach Cancer 1.2.8 | Haematemesis | Not specified | Non-urgent, direct access upper gastrointestinal endoscopy | - | Haematemesis |
| Stomach Cancer 1.2.9 | Aged 55 or over with • treatment-resistant dyspepsia OR • upper abdominal pain with low... |
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