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Lower GI Cancer Pathway

This service is for suspected 2WW Cancer Referrals only. A referral letter must be attached.  Once the referral has been assessed and triaged the booking team will contact the patient to offer them an appointment (which may be face to face or a phone call). We aim to complete this within 2 working days. The appointment will be made within 2 weeks of the referral assessment request being received

Refer to NICE guidance.  

•    Suspected GI cancer
•    Suspicious colon and rectal disease
•    Suspicious weight loss/altered bowel habits/ blood in stool 
•    Colon cancer 
•    Rectal cancer
•    Faecal incontinence
•    Rectal prolapse 
•    Unexplained Iron Deficiency Anaemia 

•    Clinical exam by GP/Clinician
•     Family history
•     FIT test where indicated
 

•    Rectal examination
•    Ultrasound
•    Clinical exam
•    Rigid sigmoidoscopy
•    Colonoscopy
•    CT colon
•    Flexible sigmoidoscopy
•    CT of chest, abdomen, and pelvis.
 

Referrals that are not suspected cancer. All known lower GI symptoms/disease

All other urgent access portals.