Refer patients for suspected pancreatic cancer if they are aged 40 years and over with jaundice, as per NICE guidelines NICE NG85.
Consider urgent suspected cancer pathway referral within 2 weeks for patients aged 60 years and over with weight loss and any of the following symptoms: diarrhoea, back pain, abdominal pain, nausea, vomiting, constipation, or new-onset diabetes NICE NG85.
Offer urgent CT scan or ultrasound scan within 2 weeks for patients aged 40 years and over with unexplained weight loss and symptoms such as diarrhoea, back pain, abdominal pain, nausea, vomiting, or new-onset diabetes NICE NG85.
Refer using a suspected cancer pathway referral if the patient has jaundice and is aged 40 years and over NICE NG85.
Consider non-urgent direct access upper gastrointestinal endoscopy for patients aged 55 years and over with raised bilirubin and alkaline phosphatase, or with symptoms such as upper abdominal pain, reflux, or dyspepsia NICE CKS,NICE CKS.