Phone: (03) 9421 3430
Indications for Endoscopy
Colonoscopy Indications for Referral
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Rectal bleeding for >4 weeks
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Positive FOBT result (including National Bowel Cancer Screening Program)
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Bloody diarrhoea with negative stool MC&S
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Change in bowel habit >6 weeks with alarm symptoms at any age
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Change in bowel habit >6 weeks without alarm symptoms in patient aged >60yr
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Unexplained iron deficiency anaemia in men or non-menstruating women
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After first episode of proven diverticulitis to exclude neoplasm
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Abnormal imaging
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Active inflammatory bowel disease where endoscopy is indicated to progress management
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Surveillance for past history of bowel cancer, polyps, inflammatory bowel disease
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Surveillance for significant family history of bowel cancer
Alarm symptoms
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Persistent rectal bleeding (>4 wks)
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Unexplained progressive weight loss
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Severe pain
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Unexplained iron deficiency anaemia
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Palpable mass
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Bloody diarrhoea with negative stool MC&S
Gastroscopy Indications for Referral
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Unexplained upper GI bleeding (haematemesis, melaena)
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Unexplained iron deficiency anaemia in men and non-menstruating women
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Unexplained recent dyspepsia in patients <55yr with alarm symptoms
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Dysphagia, odynophagia
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Unexplained upper abdominal pain and weight loss (>10%)
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Persistent vomiting and weight loss
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Reflux refractory to medical therapy
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Upper abdominal mass
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For duodenal biopsy following positive serology in suspected coeliac disease
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Surveillance of Barrett’s oesophagus and gastric intestinal metaplasia
Alarm symptoms
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Unexplained iron deficiency anaemia
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Overt bleeding (haematemesis, melaena)
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Dysphagia
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Unexplained progressive weight loss with upper GI symptoms
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Severe pain
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Palpable mass