ACUTE SEVERE COLITIS (consider admission)
- Pulse > 90
- Temperature > 37.8
- CRP > 45
- Haemoglobin < 105 g/l
Resources
Remedy page on Inflammatory Bowel disease can be accessed here
RCGP have a toolkit for IBD flare management available here: Inflammatory bowel disease toolkit: Flare management (rcgp.org.uk)
Hospital Specific IBD contacts/ guidance:
BRI
Weekly gastro hot clinic accessible via bleep 2330
IBD nurses: bleep 6646, 01173421100
Gastro/hepatology: bleep 2330
WGH
Does not have a dedicated urgent clinic for patients with suspected IBD but if the patient has symptoms of IBD and Faecal Calprotectin of >250, or diagnosis of IBD has been confirmed by direct access colonoscopy, then please mark GASTRO referral as urgent and it should be triaged by the gastroenterology team and seen as quickly as possible in their clinic.
IBD Nurses: Bleep 306
Gastro SpR: Bleep 168/386
NBT
Gastro advice: SpR bleep 1804, 07710385714
IBD nurses 0117 414 6354 or via email on IBDNurses@nbt.nhs.uk
For patients already in the service
- Gastroenterology - gastroenterologyandhepatologysecretaries@nbt.nhs.uk Tel. 0117 414 6499
- IBD - IBDNurses@nbt.nhs.uk or phone IBD Nurses on
- Liver - Katharine.caddick@nbt.nhs.uk (LIVER) or phone 0117 414 6466 or fiona.jones@nbt.nhs.uk (LIVER) or phone 0117 414 6468
- Endoscopy - Endoscopybooking@nbt.nhs.uk or phone 0117 414 5040 (09 – 17:00)
Email responses will be returned within 7 calendar days.
NBT have a service available via eRS to facilitate urgent outpatient appointments for patients with suspected or confirmed IBD. Once the patient has been referred, and if they fulfil the urgent criteria, they will be offered an appointment within 4 weeks. This service may also be appropriate for some patients who would otherwise be admitted to hospital. This service should not be used for patients with suspected cancer.
The criteria for this urgent service are:
Suspected IBD:
Symptoms of abdominal pain/discomfort, bloating, change in bowel habit (such as diarrhoea, with or without rectal bleeding) that have been present for at least 6 weeks
AND
A faecal calprotectin of > 250.
Confirmed IBD:
Diagnosis made by endoscopy at an alternative treatment centre
AND
One or more of the following:
- 4 or more stools/day
- Pyrexia
- Heart rate > 90
- Anaemia
- Raised CRP (Dr Valliani at NBT suggest >20 indicates moderate flare and >45 indicates severe flare)