GI and Colorectal
Latest Updates
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In response to COVID and the FIT studies for patients referred Lower GI Fast Track Suspected Cancer referrals the Northern Cancer Alliance after discussion with the Lower GI Expert Advisory Group have update the referral criteria for Lower GI Fast Track Suspected Cancer referrals. See video here and read FIT in the Colorectal Pathway and Lower GI Fast Track Suspected cancer pathway and LGI Fast Track Suspected Cancer pathway FAQs September 2020. The Fast Track Suspected Cancer referrals form has also been updated – under Fast Track Suspected Cancer referrals forms |
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This is the new combined GI symptoms suspected cancer referral pathway for NCA. In the areas where it has been adopted, it will replace the separate upper and lower GI referral pathways. The referral form is available electronically in SystemOne and EMIS with the other suspected cancer Fast Track Suspected Cancer referrals forms. |
Upper GI
PDF version of the upper gastro-intestinal symptoms pathway and the dyspepsia non-invasive management referral guidance:
Suggested Management Pathway: Upper GI Symptoms
ENDOSCOPY – regional open access upper GI V1 (PDF Version)
ENDOSCOPY – regional open access upper GI V1 (Zipped Folder for EMIS Practices)
Colorectal
FIT (faecal immunochemical test) is changing how we assess colorectal symptoms and identify risk of colorectal cancer. It has been used for the last couple of years in the bowel cancer screening program and for people with low and medium risk colorectal symptoms.
FIT can now also be used for people with symptoms consistent with NICE NG12 Fast Track suspected Cancer referral criteria.
Below are links to helpful sources of information:
FIT test – Frequently Asked Questions for GP’s
FIT test – Information film for GP’s
Film – GP Alistair Blair and Consultant Gastroenterologist Dave Nylander discussing FIT
Film – Alistair Blair and Colorectal Consultant Iain McCallum discussing FIT
NICE endorsed BSG FIT guidance explained
Information for patients
Below are links to a patient leaflet for use in primary care settings.
FIT symptomatic test – NCA Patient leaflet – colour version
Fit symptomatic test – NCA Patient leaflet – black & white version
FIT symptomatic test – Patient information animation
This short animation has been developed to support patients completing a symptomatic FIT test.