Gastroenterology & Hepatology

Policies

Abdominoplasty (including repair of diastasis recti) Bariatric surgery Cholecystectomy Chronic anal fissure interventions (all ages) – Botulinum toxin injection, fissurectomy and lateral internal sphincterotomy Gastroelectrical stimulation (GES) / gastro neuromodulation (not routinely commissioned) Haemorrhoid surgery Percutaneous tibial nerve stimulation (PTNS) for faecal incontinence Sacral nerve stimulation (SNS) – faecal retention (not routinely commissioned)

Pathways

Change in bowel habit / rectal bleeding Constipation in adults Constipation in children Dyspepsia Gastroenteritis in children (0-5 years old) Gastro-oesophageal reflux disease Gastro-oesophageal reflux in children Haemochromatosis Iron deficiency anaemia (IDA) Irritable bowel syndrome (IBS) Lower GI / colorectal cancer Rapid Diagnostic Centre (vague symptoms) Recurrent abdominal pain in children Suspected liver disease Upper GI cancer

Additional information

Telephone Advice for Urgent Admissions Avoidance - only available via an N3 connection 
 

Bariatric surgery guidance

BOMSS post-bariatric surgery nutritional guidance for GPs

NICE guideline - When to refer adults for assessment for bariatric surgery