Breadcrumbs

Upper gastrointestinal surgery service in Central Adelaide

The upper gastrointestinal (UGI) surgery units at The Queen Elizabeth Hospital (TQEH) and Royal Adelaide Hospital (RAH) provide specialised assessment and surgical care of patients with problems of the upper gastrointestinal tract, including diseases of the oesophagus and stomach (including bariatric procedures), in addition to meeting the community needs for patients with general surgical problems. This applies to both acute inpatient and outpatient care settings. 

TQEH unit also provides hepatobiliary, small bowel and pancreas surgical services. The units perform high level open and laparoscopic surgical interventions, also have state-of-the-art endoscopic services and run a recognised laboratory for functional studies of the oesophagus. All cases of upper gastrointestinal malignancy are discussed in the weekly state-based multidisciplinary meeting.

The units have close functional links with the gastroenterology units, radiology and oncology units.

Outpatients - contact details

Royal Adelaide Hospital (RAH)

Fax (for referrals, non-urgent): (08) 7074 6247

Appointment enquiries and new case appointments

Outpatient area: (08) 1300 153 853

Review or change of appointments

Outpatient area: (08)1300 153 853

The Queen Elizabeth Hospital (TQEH)

Fax (for referrals, non-urgent): (08) 8222 7188

Appointment enquiries and new case appointments

Outpatient area: (08) 8222 7010 /  (08) 8222 7030

Review or change of appointments

Outpatient area: (08) 8222 7010 /  (08) 8222 7030

Appointment location – upper gastrointestinal (UGI) outpatients

Royal Adelaide Hospital (RAH)

Level 3 outpatient department
Royal Adelaide Hospital
Port Road, Adelaide SA 5000
Telephone: (08)1300 153 853
Fax: (08) 7074 6247

The Queen Elizabeth Hospital (TQEH)

Ground floor outpatient department
The Queen Elizabeth Hospital
28 Woodville Road, Woodville South SA 5011
Telephone: (08) 8222 7010 /  (08) 8222 7030
Fax: (08) 8222 7188

Services and clinics available

Outpatient service

Upper gastrointestinal, bariatric and general surgery

Clinics are held for patients with general surgical problems as well as for specific upper gastrointestinal (UGI) diseases and obesity-related problems. In addition, the Queen Elizabeth Hospital surgical unit holds clinics for patients with hepatobiliary problems.

Staff and conditions seen

Royal Adelaide Hospital (RAH)

Day Clinic (RAH) Doctors Conditions seen
Monday General surgery
Held weekly from 9.30 am to 12.00 pm
Mr Philip Game (alternate weeks)
Registrars / fellows
General surgical patients and patients with morbid obesity
Friday General surgery and upper GI (UGI) / HBP surgery  
Held weekly
Mr Peter Devitt (am only)
Dr Sarah Thompson (alternate weeks)
Dr Jon Shenfine (alternate weeks)
All general surgical conditions, postoperative patients, general surgical and upper upper gastrointestinal tract (GIT) clinics

The Queen Elizabeth Hospital (TQEH)

Day Clinic (TQEH) Doctors Conditions seen
Monday General surgery
Held weekly from 9.30 am to 12.00 pm
Mr Adrian Anthony
Dr Christine Lai
Mr Harsh Kanhere
Mr Markus Trochsler
General surgical patients and patients with morbid obesity
Wednesday General surgery and upper GI (UGI) / high blood pressure (HBP) surgery  
Held weekly from 9.30 am to 12.00 pm
Prof Guy Maddern
A/Prof George Kiroff
Mr Andrew Lord
Mr Adrian Anthony
Mr Martin Bruening
Mr Harsh Kanhere
Mr Markus Trochsler
Fellows
All general surgical conditions, postoperative patients, specific surgical problems of the upper gastrointestinal tract, liver and pancreas.

Referral process

Immediate referral process

Where consultation is urgent, the upper gastrointestinal registrar on call should be contacted via the appropriate hospital switchboard: 
Royal Adelaide Hospital (RAH): (08) 7074 0000
The Queen Elizabeth Hospital (TQEH): (08) 8222 6000.  

Alternatively, if the problem is urgent and the patient is unstable, they should be sent directly to the nearest emergency department for assessment.

Less urgent referrals

The preferred method of referral is by fax or letter – please do not send both as this results in duplication and causes wasted time in triage.
Fax (for referrals, non-urgent):
Royal Adelaide Hospital (RAH): (08) 7074 6247
The Queen Elizabeth Hospital (TQEH): (08) 8222 7188

All referrals are triaged and appointments offered according to clinical urgency judged against set criteria. As we receive a greater number of referrals than we can see, some will not receive an appointment and others may incur a significant wait. In order to facilitate the triage process your referral should be accurate, including all relevant information in order to minimise the delay for your patient. Results that you provide should be relevant to the referral. Simply printing all results is unhelpful.

Should changes occur to a patient’s medical condition while waiting for an appointment, please either send updated clinical information or where appropriate, contact the upper gastrointestinal registrar via the appropriate hospital switchboard: RAH: (08) 7074 0000 and TQEH: (08) 8222 6000.

A letter from the clinic will be posted to the patient advising their appointment time. Please include patient’s mobile phone details so they can receive SMS appointment reminders from the clinic. The GP will receive a copy of the letter sent to the patient.

Examples of conditions by urgency category and referral process

Priority Examples  (not an exhaustive list) Referral process  
Immediate
Surgical emergencies with threat to major organs
Acute surgical conditions where admission is required
Significant or uncontrolled bleeding
Severe uncontrolled pain
Acute and significant functional impairment
Severe infection
Trauma
Any condition where delay will lead to permanent organ or system damage
Conditions which require immediate consultation with a general surgeon need to be discussed with the specialist or registrar on call via RAH switchboard on (08) 7074 0000 or the TQEH switchboard on (08) 8222 6000 and the patient referred directly to the emergency department
Urgent
Condition has the potential to require more complex or emergency care if assessment is delayed
Moderate risk of permanent organ or system damage if delay occurs
Major functional impairment
Jaundice
Obstructing lesions in the gastrointestinal tract
Monday to Friday, 9am to 5pm: must be discussed with the surgical registrar on call via RAH switchboard on (08) 7074 0000 or via TQEH switchboard on (08) 8222 6000 to obtain appropriate prioritisation.
After hours: surgical registrar on call via
RAH switchboard
(08) 7074 0000 or via TQEH switchboard
(08) 8222 6000 and patient referred directly to the nearest emergency department
Semi urgent
Condition is unlikely to require more complex care if assessment is delayed
Condition has the potential to have some impact of quality of life is care is delayed
suspected malignancies:
 - dysphagia
 - liver lesions
 - other suspected malignancies
recurrent pain:
 - known gallstones with ongoing biliary colic
 - hernias that have required acute reduction
 - acute painful leg ulcers
Referrals should be marked ‘semi-urgent’ and faxed to the department of surgery at TQEH on (08) 8222 6028 or the RAH on (08) 7074 6247 .
Intermediate
Condition is unlikely to deteriorate quickly
Condition is unlikely to require more complex care if assessment is delayed.
Minimal or no functional impairment
Infective conditions:
 - recurrent cholecystitis
 - ingrown toenails
Hernias (inguinal, femoral, umbilical, incisional)
Circumcisions for medical reasons
Investigation of non-specific abdominal pain
Gastro-oesophageal reflux
Referrals should be faxed to the outpatient department of either
the TQEH on
(08) 8222 7188 or
the RAH on
(08) 7074 6247 .
Non-urgent
Do not usually need to see a specialist unless there are atypical features.
It is important to note that the wait for an appointment for these conditions may be lengthy and patients may be wise to seek alternative care via the private sector.
Asymptomatic benign lumps
Vasectomies
Cosmetic surgeryCircumcisions
Referrals should be faxed to the outpatient department of either
the TQEH on
(08) 8222 7188
or the RAH on
(08) 7074 6247.

Discharge guidelines and information

Patients whose surgical condition has stabilised or resolved and for whom no further appointment has been made will be formally discharged. If surgical assessment is required again, a new referral, explaining the reason should be faxed to us.

As only the referral is available to the specialist at the time of triage, simply requesting review without providing information about the problem is insufficient and will lead to significant delays in assessing the referral which will most likely be returned to you for more information.

Clinical information sheets

The following information sheets provide the minimum information required for assessing a referral under the headings of eligibility, priority, differential diagnosis, clinical information and investigations required, pre-referral management strategies and discharge criteria.

 

 

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