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Gastroenterology
Referring direct| | Common conditions| | Required investigations| | Exclusions| | Alternative services| | Associated clinics|
Referring via Choose & Book
Use Choose & Book for:
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Routine patients: these should always be referred via the Choose & Book system.
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Urgent patients: all urgent referrals should now go through Choose & Book, rather than being faxed to the department.
2 Week Wait patients
2 Week Wait patients should preferably be faxed to the 2 Week Wait Bureau, as all referrals are triaged to ensure they are booked into the most appropriate clinic as soon as possible.
If the patient has chosen to use the John Radcliffe Hospital and the complaint is either General Surgery, Vascular or Gastro, send a letter via the post to:
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Consultant (if known) or specialty
John Radcliffe Hospital
Headley Way
Headington
Oxford OX3 9DU
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Alternatively fax to: 01865 851173.
Common conditions treated in Gastroenterology are:
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general gastrointestinal disorders
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irritable bowel syndrome or dyspepsia not responding to management guidelines (OXWEB)
Procedures which may be performed in clinic:
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sigmoidoscopy (not open access)
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Full Blood count
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E-reactive protein
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Liver function tests
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Endomysial antibody serology (for IBS/annemia)
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Consider geratology if patient is aged >85 years
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Consider general medicine for ill-defined symptoms or colorectal surgery
Viral hepatitis clinic
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Hepatitis C and B only patients
Liver/pancreatobiliary clinic
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Liver disease (except Hepatitis B & C)
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Pancreatobiliary disease
Coeliac clinic
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Coeliac patients
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Required investigations include:
- definitive diagnosis of coeliac disease
- positive endomysial antibody serology
Inflammatory bowel disease
- full blood count
- reactive protein
General note
Blood diarrhoea is appropriate, but not simply a change in bowel habit with rectal bleeding. Abdominal pain with diarrhoea and weight-loss and elevated CRP is appropriate, but not symptoms in the absence of objective evidence of inflammation, except in patients previously diagnosed with IBD.