Direct to an emergency department for:

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

Criteria for referral to public hospital specialist clinic services

  • Recent onset, persistent symptoms of gastroesophageal reflux with:
    • unintended weight loss (≥ 5% of body weight in previous 6 months)
    • dysphagia
    • vomiting
    • iron deficiency that persists despite correction of potential causative factors.
  • Surveillance for previously diagnosed Barrett’s oesophagus.

Information to be included in the referral

Information that must be provided

  • Onset, characteristics and duration of sentinel findings e.g. changes in weight, ferritin levels
  • Previous endoscopy results
  • Current and complete medication history (including non-prescription medicines, herbs and supplements).

Provide if available

Not applicable.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

  • 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.