| Symptom/Diagnosis |
Features |
Timing
of Referral |
GI
bleeding
|
Orthostatic
hypotension,
tachycardia. Signs suggesting ongoing bleeding (melena, bright red
blood in vomitus)
|
Urgent |
Alkaline
caustic ingestion
|
Dysphagia,
odynophagia stridor, chest pain, abd pain
|
Urgent |
Acetaminophen
overdose
|
Rising
prothrombin time, mental status changes |
Urgent;
evaluation
for orthotopic liver
transplantation |
| Suspected
gastric outlet obstruction |
Vomiting
old food, large volume of vomitus, succusion splash |
Urgent
or elective |
| Immunocompromised
pt |
Dysphagia,
odynophagia, chest/abd pain |
Urgent
or elective |
| Inflammatory
bowel disease |
Bloody
diarrhea, fever, abdominal pain, abdominal distention |
Urgent
or elective |
| Cholangitis
|
Fever,
leukocytosis, jaundice,
elevated transminases, bilirubin, alkaline phosphatase |
Urgent |
| GE
reflux disease |
Refractory
to symptomatic treatment |
Elective |
Chronic
intractable
nausea/vomiting with
unrevealing workup |
|
Elective |