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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
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