** single-gpage.php **
** content-gpage.php **


Inflammatory Bowel Disease IBD – Crohn’s Disease & Ulcerative Colitis

  

Inflammatory bowel disease (IBD) is a term mainly used to describe Ulcerative Colitis (UC) and Crohn's Disease (CD)


INFLAMMATORY BOWEL DISEASE TEAM UHCW

Our service comprises of  Gastroenterology Consultants, Clinical Nurse Specialists and Dieticians.

We also have access to specialist services including, small bowel capsule, radiology and all aspects of endoscopy.

GASTROENTEROLOGY CONSULTANTS

  • Dr Eaden
  • Dr Burch
  • Professor Nwokolo
  • Professor Arasaradnam
  • Dr Loft
  • Dr Darlow
  • Dr Disney
  • Dr Mannath
  • Dr Vinnamala
  • Dr Unitt
  • Dr Gordon
  • Dr Wong

IBD CLINICAL SPECIALIST NURSES

The Nurses are available during office hours Monday – Friday

Contact:

Tel IBD: Advice line externally 02476 966075 or internal 26075.

Email: uhc-tr.uhcwibdnurse@nhs.net

The IBD Advice line is available during office hours Monday to Friday. Please leave a detailed message if we are not in the office including the patient’s details and contact number and we will respond within 48 hours.

For advice outside of these times, please contact either the patient’s consultant secretary, GP, Walk in centre or A&E as appropriate.

REFERRALS

Pre-referral investigations

  • FBC, ESR, CRP
  • In patients under 45 years, check faecal calprotectin

For faecal calprotectin, the laboratory require a stool sample the size of a 2p coin, in a labelled pot. Mark clearly on the form that the sample is for Biochemistry, not Microbiology. Stool samples should also be sent to microbiology to exclude infection.

Advice from UHCW laboratory: “Analysis of faecal calprotectin for the exclusion of active bowel inflammation is only recommended in patients under 45 years old, or for monitoring patients who have a previously diagnosed inflammatory bowel condition.”

Referral threshold – If a new patient with suspected inflammatory bowel disease, refer urgently.

OUTPATIENTS

Patients who are suspected or newly diagnosed with IBD should be seen by a Gastroenterologist. Once established they may see the IBD Nurse for their outpatient appointments. Patients are also offered telephone clinic appointments with the IBD nurses and patients who are on biologic medications are often reviewed by nurses in the virtual biologics clinics.

IRON INFUSIONS

Please refer patients via the Requests/ Referral Tab on CRRS, patient referral, IBD Nurse Specialist, inpatient/outpatient and iron infusion Tab. Please fill in the patient’s details and their weight if possible.

FOR PATIENTS WITH A SUSPECTED FLARE

Arrange:

  • Stool for FCP,
  • Stool cultures for infection
  • Bloods including inflammatory markers
  • Plain AXR and contact the IBD Advice line.

If patients are being discharged from hospital following a flare they should be followed up with an appointment with their original consultant within 6 weeks.

Click on images below for image with working links

 

 

FAECAL CALPROTECTIN – PRIMARY CARE GUIDANCE

Faecal calprotectin should be recommended in patients with less than 45 years of age, with symptoms of IBS for the past 3 months and no red flag symptoms.

  • Do NOT use FC for bowel cancer
  • Do NOT use FC for infection

 

  • Use a blue stool pot – a 2p sized amount of sample is sufficient (solid stool best if possible)
  • Morning first void stool is best
  • Send to BIOCHEMISTRY (not microbiology) – stable at room temp
  • Give as much clinical info as possible (symptoms and duration)
  • Send a SEPARATE sample to microbiology for M,C+S  if patient has diarrhoea unless infection has already been excluded

 

 

 

(Visited 1,709 times, 389 visits today)

Leave feedback

Pages