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Direct Access Endoscopy

The University of Michigan Health System offers the option of "Direct Access Endoscopy" to referring physicians in an attempt to expedite patient care.

This program provides:

Eligibility Criteria

Colonoscopy, Upper Endoscopy, and Sigmoidoscopy may be scheduled for stable persons with specific accepted indications. Exclusion criteria for this program are also included, along with a list of other relevant information and Scheduling.

Colonoscopy indications include:

1. Colon cancer screening/polyp surveillance

Current guidelines for screening
- Average risk man or woman (every 10 years starting at age 50)
- Family history of colon cancer or polyps:

  • 2 or more 1st degree relatives or one 1st degree relative affected at age younger than 60 years (every 5 years starting at age 40 or 10 years earlier than youngest diagnosis in family, whichever is first)
  • 1st degree relative at age younger than 60 years (Average risk screening but beginning at age 40 years)
  • HNPCC or FAP (genetic counseling & special screening)

Current guidelines for surveillance
- Advanced or multiple ( >3) adenomas: every 3 years
- 1 or 2 small (<1 cm) adenomas: every 5 years
- Personal history of colon cancer: 3 years; then if normal, every 5 years

2. Bleeding

3. Unexplained chronic diarrhea (longer than 3 weeks duration)

4. Inflammatory bowel disease (patient should have GI follow-up)

5. Unexplained weight loss

Upper Endoscopy (EGD) indications include:

Sigmoidoscopy indications include:

EXCLUSION CRITERIA for Direct Access Endoscopy

Patient MUST be seen in the Gastroenterology Clinic or contact the endoscopist if any of the following apply:

Other relevant information:

Scheduling

Download and complete the Direct Access Endoscopy Requisition. This requisition provides important patient information to the endoscopist. If you have any other clinical information about the patient that you believe would be useful to the endoscopist, please fax it with the Direct Access Endoscopy Requisition.

Send a copy of the Direct Access Endoscopy Requisition to CareWeb Imaged Docs. (Fax with a cover sheet to MIS 734-936-6647).Then, telephone the Endoscopy Call Center (ECC) at (734) 936-9250, option #1, to schedule the appointment.

Thank you for considering the University of Michigan Health System Direct Access Endoscopy Program.