Gastrointestinal (Upper) Cancer, Surgeon Template

 

This is a dictation template to provide a reminder of the information required to complete the referral. The fields in red are mandatory and must be completed on the referral protocol.

Presenting Complaint

Main Presenting Complaint: [Text – 98 character maximum]

Reason for Referral: [Text]

World Health Organisation Performance Scale
Using the following as a guide, please select the most appropriate answer to describe the patients general health:

Options:

  • Asymptomatic
  • Symptomatic but completely ambulatory
  • Symptomatic, <50% in bed during the day
  • Symptomatic, >50% in bed, but not bedbound
  • Bedbound

Priority: Urgent Suspicion of Cancer

Date of Onset: [Date]

Will the patient accept any site for treatment:

  • Yes
  • No

Symptoms and Investigations

Symptoms

Unexplained weight loss:

  • Yes (If Yes, please provide brief details)
  • No

Unexplained iron deficiency anemia:

  • Yes (If Yes, please provide brief details)
  • No

Family history of oesophago-gastric cancer in more than two first degree relatives:

  • Yes (If Yes, please provide brief details)
  • No

Family history of familial adenomatous polyposis in any first degree relative:

  • Yes (If Yes, please provide brief details)
  • No

Barrett’s oesophagus:

  • Yes (If Yes, please provide brief details)
  • No

Pernicious anaemia:

  • Yes (If Yes, please provide brief details)
  • No

Gastric surgery over 20 years ago:

  • Yes (If Yes, please provide brief details)
  • No

Known dysplasia, atrophic gastritis, intestinal metaplasia:

  • Yes (If Yes, please provide brief details)
  • No

Upper abdominal epigastric mass:

  • Yes (If Yes, please provide brief details)
  • No

Iron deficiency anaemias:

  • Yes (If Yes, please provide brief details)
  • No

Clincal Examination

Jaundice:

  • Yes (If Yes, please provide brief details)
  • No

Upper abdominal mass:

  • Yes (If Yes, please provide brief details)
  • No

Investigations

FBC and ESR sent:

  • Yes
  • No

LFT, U&E sent:

  • Yes
  • No

Previous endoscopy done:

  • Yes
  • No

Upper GI cancer surgeon guideline