CONSULT REQUEST GUIDELINES                                                                         Print

Colonic Inertia

Suggested Pre-Referral Evaluation and Management Guidelines Patients should be assessed and treated by a gastroenterologist prior to surgical referral. Referral is indicated when colon transit time is delayed and patient has failed conservative treatment measures which include optimization of bowel regimen and completion of pelvic floor physical therapy for those patients with demonstrated dysynergia. Recommended studies include:
-Colon transit study with sitz markers
-Small bowel follow-through
-Gastric emptying study
*Smart pill test can be done in lieu of the above 3 diagnostic tests.
-Anal manometry with balloon expulsion test

Patients who have not had a complete workup as above may be referred to the multidisciplinary Michigan Bowel Control Program, which includes surgeons, gastroenterologists, and others.

Reports of any testing performed outside of the UMHS system and radiologic images on CD should be available for review at or before the time of the clinic visit. Receiving these before the clinic visit is preferable.
Suggested Additional Test/Management Prior to Specialty Visit  
Patient Education/Information (includes preps) Michigan Bowel Control Program
Appointment Timeframe Within 2-4 months
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients:
Reports and/or medical records can be faxed to 734-232-6189

CDs can be hand-carried to the appointment

Reports, medical records, CDs, and pathology slides can be mailed to:
Division of Colorectal Surgery
Attention: Jain Carver
2124 Taubman
1500 East Medical Center Drive, SPC 5343
Ann Arbor, MI 48109-5343
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-615-7565
Clinic Location Sites Colorectal Surgery Clinic
UM Consulting Physician Colorectal Surgery Physicians
Revised on: 04/20/2015



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