Gastrointestinal endoscopy (direct access) - Adult

From 27th September 2022 the NEW Direct Access Gastrointestinal Endoscopy Referral Form will apply to all Direct Access Gastrointestinal Endoscopy requests submitted via Central Referral Service for public metropolitan hospitals in WA.
Immediate gastrointestinal endoscopy (direct access) referrals

Immediate referrals (seen within 7 days) are not handled by the Central Referral Service.

Do not send immediate referrals via CRS - send referrals for patients requiring immediate review (within the next 7 days) directly to the relevant hospital.

Immediately contact the on-call registrar or service to arrange an immediate gastroenterology assessment for:

  • Nil

To contact the relevant service, please see HealthPathways: Acute Gastroenterology Assessment

Gastrointestinal endoscopy (direct access) conditions with Referral Access Criteria
Excluded gastrointestinal endoscopy (direct access) services

Referral to public adult gastrointestinal endoscopy (direct access) is not routinely accepted for the following conditions:

Condition Details (where applicable)
Anaemia not due to iron deficiency
Positive iFOBT in the context of a recent (within 2 years), complete colonoscopy
  • If still concerned call on-call registrar to discuss value of referral for repeat endoscopy procedure.
Patients with diarrhoea ≤6 weeks or those with diarrhoea >6 weeks without evidence of stool specimen
Patients younger than 45 years who have altered bowel habit in absence of alarm symptoms
Unexplained dyspepsia in absence of alarm symptoms
Assessment of extra oesophageal GORD symptoms including choking, coughing, hoarseness, asthma, laryngitis, chronic sore throat, or dental erosions.
Last reviewed: 03-10-2023