April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA108
Academic Journal
To determine the incidence of true dysphagia in patients referred with dysphagia under the 2 week rule and to assess the improvement in service a "dysphagia hotline" was piloted for 6 months. 92 patients were referred with dysphagia under the existing 2 week cancer guidelines. A telephone consultation was conducted with the patient by a consultant gastroenterologist. True progressive dysphagia carries a relative risk of 18.6 for having oesophageal cancer. The dysphagia hotline significantly shortens time from referral to diagnosis, but is unlikely to affect outcome.


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