When to Refer to a Gastroenterologist

Unexplained jaundice Suspected biliary obstruction Acute hepatitis - severe or fulminant Unexplained abnormal LFTs persisting (for 6 months or greater) Unexplained cholestatic liver disease Cirrhosis (in non-alcoholic) for consideration of liver transplant Suspected hereditary hemochromatosis Suspected Wilson's disease Suspected autoimmune hepatitis Chronic hepatitis C for consideration of antiviral therapy