CONSULT REQUEST GUIDELINES                                                                         Print

Non-specific Colitis

Suggested Pre-Referral Evaluation and Management Guidelines Patients should be evaluated and treated by a gastroenterologist prior to 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
  • intra-abdominal abscess
  • persistent and significant bleeding (anemia)
  • extensive perineal or perianal fistulas
  • high grade dysplasia on biopsy
If patient has been managed external to the UMHS system, fax colonoscopy report and pathology report confirming the diagnosis of Non-specific Colitis, operative reports from any procedures performed on the bowel, and a list of all disease related drugs
Suggested Additional Test/Management Prior to Specialty Visit - CT scan of the abdomen and pelvis with oral and IV contrast
- Serum studies to include comprehensive metabolic panel and complete blood count
Patient Education/Information (includes preps)
Appointment Timeframe 2-4 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 Karin M Hardiman, MD
Arden Marie Morris, MD
Scott E Regenbogen, MD
Revised on: 09/19/2012



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