Table 4

Questions to identify patients in need of specialist assessment

Critical minimal questions indicating need for GI referralCritical minimal indicators to consider endoscopic assessment
Are they woken from sleep to defaecate?Is the patient ≥5 years after radiotherapy (screening for second malignancy)?
Do they have troublesome urgency of defaecation and/or faecal leakage/soiling/incontinence?Is there any rectal bleeding?
Do they have any GI symptoms preventing them from living a full life?
  • Data compiled from references96 97