Please note ⚠︎: This specialty has now been moved over to the HNY Policy and Pathway Repository (PPR). Some of the links below may redirect you to the PPR. Please see the new Gastroenterology and Hepatology specialty page.

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

• Change in Bowel Habit
• Choosing formulations of medicines for adults with swallowing difficulties – SPS - Specialist Pharmacy Service – The first stop for professional medicines advice *
• Coeliac Disease (diagnosis and management) *
• Constipation Pathway (adults) 
• Deranged LFTs 
• Faecal Calprotectin *
• Gastro Oesophageal Reflux Disease 
• Iron Deficiency Anaemia (IDA) 
• Irritable Bowel Syndrome 
• Management of Dyspepsia in Primary Care and Referral for Endoscopy 
  - Referral Forms
• Nutrition following Bariatric Surgery - GP Guidance (additional guidance here) *
• Rapid Diagnostic Centre - Vague Symptoms Pathway

• Using Ferric Maltol instead of intravenous iron treatments in Diagnosed Iron Deficiency Anaemia (IDA)

• Using FIT in Suspected Colorectal Cancer *
  • Guidance Notes
  • HNY Flow Diagram

Hepatology

• Abnormal LFTs/Fibroscan *
• Haemochromatosis
• New Hepatitis C Treatment Services - Basic Fact Sheet *

• Bariatric surgery referral
• Cholecystectomy
• Haemorrhoid surgery

• Abdominoplasty (including repair of Diastasis Recti)
• Chronic anal fissure interventions (all ages) – Botulinum toxin injection, Fissurectomy and Lateral internal sphincterotomy
• Percutaneous Tibial Nerve Stimulation (PTNS) for Faecal Incontinence
• Sacral Nerve Stimulation (SNS) – Faecal Retention (not routinely commissioned)

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