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British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults
Lamb, CA Kennedy, NA Raine, T Hendy, PA Smith, PJ Limdi, JK Hayee, B Lomer, MCE Parkes, GC Selinger, C
Lamb, CA
Kennedy, NA
Raine, T
Hendy, PA
Smith, PJ
Limdi, JK
Hayee, B
Lomer, MCE
Parkes, GC
Selinger, C
Authors
Lamb, CA
Kennedy, NA
Raine, T
Hendy, PA
Smith, PJ
Limdi, JK
Hayee, B
Lomer, MCE
Parkes, GC
Selinger, C
Barrett, KJ
Davies, RJ
Bennett, C
Gittens, S
Dunlop, MG
Faiz, O
Fraser, A
Garrick, V
Johnston, PD
Parkes, M
Sanderson, J
Terry, H
Gaya, DR
Iqbal, TH
Taylor, SA
Smith, M
Brookes, M
Hansen, R
Hawthorne, AB
Kennedy, NA
Raine, T
Hendy, PA
Smith, PJ
Limdi, JK
Hayee, B
Lomer, MCE
Parkes, GC
Selinger, C
Barrett, KJ
Davies, RJ
Bennett, C
Gittens, S
Dunlop, MG
Faiz, O
Fraser, A
Garrick, V
Johnston, PD
Parkes, M
Sanderson, J
Terry, H
Gaya, DR
Iqbal, TH
Taylor, SA
Smith, M
Brookes, M
Hansen, R
Hawthorne, AB
Editors
Other contributors
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Epub Date
Issue Date
2019-09-27
Submitted date
Alternative
Abstract
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Ulcerative colitis and Crohn's disease are the principal forms of inflammatory bowel disease. Both represent chronic inflammation of the gastrointestinal tract, which displays heterogeneity in inflammatory and symptomatic burden between patients and within individuals over time. Optimal management relies on understanding and tailoring evidence-based interventions by clinicians in partnership with patients. This guideline for management of inflammatory bowel disease in adults over 16 years of age was developed by Stakeholders representing UK physicians (British Society of Gastroenterology), surgeons (Association of Coloproctology of Great Britain and Ireland), specialist nurses (Royal College of Nursing), paediatricians (British Society of Paediatric Gastroenterology, Hepatology and Nutrition), dietitians (British Dietetic Association), radiologists (British Society of Gastrointestinal and Abdominal Radiology), general practitioners (Primary Care Society for Gastroenterology) and patients (Crohn's and Colitis UK). A systematic review of 88 247 publications and a Delphi consensus process involving 81 multidisciplinary clinicians and patients was undertaken to develop 168 evidence- and expert opinion-based recommendations for pharmacological, non-pharmacological and surgical interventions, as well as optimal service delivery in the management of both ulcerative colitis and Crohn's disease. Comprehensive up-to-date guidance is provided regarding indications for, initiation and monitoring of immunosuppressive therapies, nutrition interventions, pre-, peri- and postoperative management, as well as structure and function of the multidisciplinary team and integration between primary and secondary care. Twenty research priorities to inform future clinical management are presented, alongside objective measurement of priority importance, determined by 2379 electronic survey responses from individuals living with ulcerative colitis and Crohn's disease, including patients, their families and friends.
Citation
Lamb C. A., Kennedy N. A., Raine T., et al. (2019) British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults, Gut, 68(Suppl 3), pp. s1-s106.
Publisher
Journal
Research Unit
PubMed ID
31562236
PubMed Central ID
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Type
Journal article
Language
en
Description
© 2019 The Authors. Published by BMJ. This is an open access article available under a Creative Commons licence.
The published version can be accessed at the following link on the publisher’s website: http://dx.doi.org/10.1136/gutjnl-2019-318484
Series/Report no.
ISSN
0017-5749
EISSN
1468-3288
ISBN
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Licence for published version: Creative Commons Attribution-NonCommercial 4.0 International