CONSULT REQUEST GUIDELINES                                                                         Print

Crohn’s Disease/Inflammatory Bowel Disease

Suggested Pre-Referral Evaluation and Management Guidelines

Patients should be assessed and treated by a gastroenterologist prior to surgical referral.

Referral is indicated if the patient has:
  • symptomatic disease refractory to medical management
  • stricture with recurring symptoms of partial small bowel obstruction
  • enterocutaneous, enteroenteric, enterovaginal, or enterovesical fistula
  • extensive perineal or perianal fistulas
  • intra-abdominal abscess
  • Crohn’s-related gastrointestinal bleeding requiring transfusion
If patient has been managed external to the UMHS system, fax colonoscopy report and pathology report confirming the diagnosis of Crohn’ Disease, operative reports from any procedures performed on the bowel, and a list of all Crohn’s related drugs
Suggested Additional Test/Management Prior to Specialty Visit -Magnetic Resonance enterography or CT enterography
-Upper endoscopy (if foregut involvement known or suspected)

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 prior to the clinic visit is preferable.
Patient Education/Information (includes preps)
Appointment Timeframe 4 weeks
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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