Overview
This guideline covers identifying children, young people and adults with symptoms that could be caused by cancer. It outlines appropriate investigations in primary care, and selection of people to refer for a specialist opinion. It aims to help people understand what to expect if they have symptoms that may suggest cancer.
We have used the terms 'men' and 'women' in some recommendations on gender-related cancers, but they also apply to people who have changed or are in the process of changing gender, and who retain the relevant organs.
Last reviewed: 1st May 2025
Please find below a summary table showing the key changes made to the recommendations, following stakeholder feedback:
| Old | New | |
| Oesophageal | 1.2.1 Offer urgent, direct access upper gastrointestinal endoscopy (to be done within 2 weeks) to assess for oesophageal cancer in people:
| 1.2.1 Refer people using a suspected cancer pathway referral for oesophageal cancer if they:
|
| Stomach | 1.2.7 Offer urgent, direct access upper gastrointestinal endoscopy (to be done within 2 weeks) to assess for stomach cancer in people:
| 1.2.7 Refer people using a suspected cancer pathway referral to assess for stomach cancer if they:
|
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Clinical Resources Categories
Clinical Resources Area
Reflecting on a career as a clinical academic in gastroenterology
clinical-resource/Reflecting-on-career-as-an-academic-in-gastro
At the end of 2026, I will have been a clinical academic in gastroenterology for 25 years.
Guidelines
Clinical Resources Area
BSR guideline for the prescription and monitoring of conventional synthetic disease-modifying anti-rheumatic drugs
clinical-resource/Prescription-monitoring-anti-rheumatic-drugs
This guideline has been endorsed by the BSG.