Print This Page
    Close Window
UMHS Home/Logo Consult Request Guidelines

for Gastroesophageal Reflux Disease

Gastroesophageal Reflux Disease
Suggested Pre-Referral Evaluation and Management Guidelines 1) H2 blockers
2) PPI
3) Prokinetic
Suggested Additional Test/Management Prior to Specialty Visit 1) UGI
2) Ph probe (if clinically indicated)
Patient Education/Information (includes preps) 1) Nissen fundoplication
2) Prep: Prep for Pediatric Upper GI
3) Prep: ph probe
Appointment Timeframe Next Available Appointment. Please complete Outpatient Consult Request Form and fax to 734-936-9784
How to Get Results to Consultant UMHS Patients: See CareWeb
External Patients: Hand carry or fax records to 734-936-9784
Clinic Contact Information Physician: 800-962-3555
Patients: 734-764-4151
Clinic Location Sites C.S. Mott Children's Hospital
UM Consulting Physician Pediatric Surgery Faculty
Revised on: 03/22/2011