Print This Page     Close Window Consult Request Guidelines for Colonic Inertia     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 followthrough -Gastric emptying study *Smart pill test can be done in lieu of the above 3 diagnostic tests. -Defecography -Anal manometry with balloon expulsion test -Colonoscopy 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 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