Urgent referral for endoscopy (i.e. <2 weeks)

Question 1

Dysphagia

Answer 1

Urgent

Question 2

Upper abdo mass consistent with stomach cancer

Answer 2

Urgent

Question 3

> = 55, weight loss AND any of:

• upper abdo pain
• reflux
• dyspepsia

Answer 3

Urgent

Question 4

Haematemesis

Answer 4

Non-urgent referral

Question 5

> = 55 with treatment-resistent dyspepsia

Answer 5

Non-urgent referral

Question 6

> = 55, upper abdo pain with low haemoglobin levels

Answer 6

Non-urgent referral

Question 7

> =55, raised platelet count with any of:

Nausea, vomiting, weight loss, reflux, dyspepsia, upper abdo pain

Answer 7

Non-urgent referral

Question 8

> = 55, nausea or vomiting with any of:

weight loss, reflux, dyspepsia, upper abdo pain

Answer 8

Non-urgent referral

Question 9

Management of patients who do not meet referral criteria (“undiagnosed dyspepsia”)

Answer 9

1) Review medications for possible causes
2) Lifestyle advice
3) Trial of full-dose PPI for 1 month OR a ‘test and treat; approach for H. pylori

Question 10

Initial diagnosis of H. pylori infection

Answer 10

Carbon-13 urea breath test or stool antigen test

Question 11

Test of H.pylori cure

Answer 11

Carbon-13 urea breath test