Hepatobiliary surgery
Emergency referrals
All urgent cases must be discussed with the on call Surgical Registrar to obtain appropriate prioritisation and treatment. Contact through:
- Royal Brisbane and Women's Hospital (07) 3646 8111
- The Prince Charles Hospital (07) 3139 4000
- Redcliffe Hospital (07) 3883 7777
Urgent cases accepted via phone must be accompanied with a written referral and a copy faxed immediately to the Central Patient Intake Unit: 1300 364 952.
Does your patient wish to be referred?
Minimum referral criteria
Does your patient meet the minimum referral criteria?
Category 1
Appointment within 30 days is desirable
- Frequent biliary colic (more than weekly) not relieved by analgesia and lasting >8hours
- Any suspicion of hepatobillary malignancy
- Known gallstones with ongoing biliary colic
- Gall bladder mass/recurrent cholecystitis
- Radiological imaging abnormality requiring investigation
Category 2
Appointment within 90 days is desirable
- Symptomatic gallstones
- Gallstones (following cholecystitis, recurrent biliary colic)
- Gall bladder polyps ≥10mm
- Chronic pancreatitis
- Porcelain gallbladder
Category 3
Appointment within 365 days is desirable
- Asymptomatic gallstones
If your patient does not meet the minimum referral criteria
Consider other treatment pathways or an alternative diagnosis.
If you still need to refer your patient:
- Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
- Please note that your referral may not be accepted or may be redirected to another service
Other important information for referring practitioners
Not an exhaustive list
- Lifestyle modification (increased activity, dietary, weight, smoking, alcohol)
- Referral is not mandatory for patient with asymptomatic gallstones or gall bladder polyps on ultrasound if <10mm
- Short attacks of biliary colic can be managed symptomatically
- Gallstones, points for concern:
- increasing frequency and severity of pain
- documented jaundice or deranged LFTs
- USS evidence of duct dilatation
- If known to have common bile duct stones refer as Cat 1
- If obstructive jaundice and fever – refer to emergency
Referral requirements
A referral may be rejected without the following information.
Send referral
Hotline: 1300 364 938
Fax: 1300 364 952
Electronic: eReferral system
Mail: Metro North Central Patient Intake
Aspley Community Centre
776 Zillmere Road
ASPLEY QLD 4034
Health pathways
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