SNI Criteria for GI Referral.

Table 1: SNI Criteria for GI Referral.

1. Anti-reflux therapy is used for more than 4-6 months without benefit.

2. PPI therapy is needed long-term for more than 1 year.

3. The patient desires reassurance that he/she needs medications to treat silent reflux before starting a PPI or H2 blocker.

4. There are other health concerns detected in the patient's presenting symptoms.

5. Family history of esophageal or gastric cancer.