CONSULT REQUEST GUIDELINES                                                                         Print

Sliding Hiatal hernia and/or gastroesophageal reflux

Suggested Pre-Referral Evaluation and Management Guidelines Barium swallow
Esophagogastroduodenoscopy (EGD)
Suggested Additional Test/Management Prior to Specialty Visit Reports:
  • Barium swallow
  • Pertinent medical history
  • Prior esophageal operative and EGD reports
  • Esophageal Manometry and pH reflux testing
  • Pulmonary function tests
Patient Education/Information (includes preps) GI/GU Test Preps
Appointment Timeframe Next available appointment
Please complete Outpatient Consult Request Form and fax to 734-615-2656
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry films or CD's and slides to appointment; fax reports to 734-615-2656
Clinic Contact Information Physicians: 800-962-3555
New Patients: 734-936-4973
Return Visit Patients: 734-936-8857
Clinic Location Sites Taubman Health Center
UM Consulting Physician Thoracic Surgery Faculty
Revised on: 01/14/2015



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