A procedure where a thin, flexible tube is used to look inside the gullet, stomach and first part of the small intestine to diagnose discomfort in the upper abdomen.
Indigestion (dyspepsia) is a general term for pain or discomfort felt in the stomach and under the ribs. Heartburn is when acid moves up from the stomach into the gullet (oesophagus) and causes a burning pain behind your breastbone. Indigestion and heartburn can occur together or on their own. It's a common problem that affects most people at some point. In most cases it's mild and only occurs occasionally.
Proposed revisions to the eligibility criteria
Gastroscopy for dyspepsia is only funded when in line with NICE guidance (CG 184 Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management).
Routine endoscopic investigation of patients of any age, presenting with dyspepsia and without alarm signs, is not usually necessary and will not be funded unless the patient fits the following criteria, and therefore categorised as Restricted:
dyspepsia that is responding poorly to medical treatment
a typical symptoms e.g. satiety, nausea, bloating
investigation of upper abdominal pain/ noncardiac chest pain
being considered for anti-reflux surgery
No restrictions are applied to gastroscopy for indications other than dyspepsia.
Further information and guidance
NICE CG 184 – https://www.nice.org.uk/guidance/cg184 - published September 2014 (updated November 2014) (replaces CG 17) Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management. This guideline offers evidence-based advice on the care and treatment of adults (aged 18 and over) with symptoms of dyspepsia, symptoms suggestive of gastro-oesophageal reflux disease (GORD), or both.