Updated Guidance on Colonic Imaging Tests for Various Symptoms
The new NICE guidance outlines recommended tests based on different symptom complexes, emphasizing the importance of starting with the main symptom, such as rectal bleeding or abdominal mass. Specific tests like flexible sigmoidoscopy, colonoscopy, or CT scans are suggested depending on age and fitness levels. It's crucial to check patient suitability, consent, and availability for the tests within the next two weeks.
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Presentation Transcript
New NICE Guidance There are many combinations of symptoms to consider now but in order to use ICE it is important that you start with the main symptom
Start with the main symptom as described in the guidance >50 with unexplained rectal bleeding-Book flexible sigmoidoscopy on the right side of the screen Abdominal or rectal mass-this test is a symptom that still requires clinic referral via NHS eReferrals found on the right of the screen For all other symptom complexes the recommended test is colonoscopy, CT colonoscopy or plain CT depending on fitness
2WW Symptoms-recommended test All symptom complexes in new NICE guidance requiring colonic imaging (all symptom complexes apart from rectal bleeding alone or a mass) Algorithms for age and symptoms built into the requesting system AGE 60-75 TEST colonoscopy 75-85 CTC and >85 CT with extended oral prep Iron Deficiency anaemia OGD Unexplained rectal bleeding age >50 Flexible sigmoidoscopy with PO4 enema Clinic via NHS eReferrals Abdominal or rectal mass
Recommended Age for Tests Colonoscopy up to age 75 It is not possible to book a colonoscopy on the ICE system for a patient over 80 CT colonoscopy between 75-85 or unfit for colonoscopy Plain CT over 85 or unfit for any other test
Please Remember Check patient is fit for test Check they agree to have the test Check they are available to attend in next 2 weeks Download patient information leaflet and give it to them. Thanks!
