Gastroesophageal reflux

Gastroesophageal reflux — referral criteria for Gastroenterology services.

Full SRC reference

Eligibility

At least one must be met for the patient to be eligible for referral.

Clinically suspected or confirmed gastroesophageal reflux with initial primary-care work-up completed

Red flags

Indicate urgent (Category 1) referral or emergency assessment.

Potentially life-threatening symptoms suggestive of acute severe upper gastrointestinal tract bleeding

Routine referral criteria

Determine Category 2 or 3 urgency.

Recent onset, persistent symptoms of gastroesophageal reflux with — unintended weight loss (greater than or equal to 5 percent of body weight in previous 6 months)

Recent onset, persistent symptoms of gastroesophageal reflux with — dysphagia

Recent onset, persistent symptoms of gastroesophageal reflux with — vomiting

Recent onset, persistent symptoms of gastroesophageal reflux with — iron deficiency that persists despite correction of potential causative factors

Surveillance for previously diagnosed Barrett’s oesophagus

Usually managed in primary care

Patients with any other gastroesophageal reflux
Patients with controlled symptoms
Patients that cease treatment and symptoms return
Belching
Halitosis
Screening for Barrett’s oesophagus in patients with gastroesophageal reflux without additional symptoms