https://www.gosh.nhs.uk/wards-and-departments/departments/clinical-specialties/gastroenterology-information-parents-and-visitors/refer-patient-gastroenterology-department/gastroenterology-admission-criteria/
Gastroenterology admission criteria
This is a list of patient diagnoses which are admitted to Great Ormond Street Hospital (GOSH) by our Gastroenterology team, the timeframe in which they should be admitted and their estimated length of stay (LoS).
Health professionals are reminded that this information is for guidance only.
Urgent admissions
Diagnosis | Estimated LoS |
---|---|
Central line sepsis not responding to treatment at local hospital | Case dependent |
Coeliac crisis | Case dependent |
Day case for new coeliac | Case dependent |
Electrolyte imbalance | Case dependent |
Hypoalbuminaemia < 25 g/L | Case dependent |
Inflammatory bowel disease (IBD) complications eg fistulating disease/abscess | Case dependent |
Intractable vomiting/Cyclic vomiting syndrome (CVS) | Case dependent |
Post Bone Marrow Transplant (BMT) with complications | Case dependent |
Severe failure to thrive (FTT) /Marasmus | Case dependent |
Toxic megacolon | Case dependent |
Upper and lower gastrointestinal (GI) bleeds | Case dependent |
Urgent/broken percutaneous endoscopic gastrostomy (PEG) /PEG Jejunostomy | Case dependent |
Urgent/broken Hickman/Peripherally Inserted Central Catheter (PICC) lines | Case dependent |
Elective admissions
Diagnosis | Estimated LoS |
---|---|
Bone Marrow Transplant (BMT) assessment | Case dependent |
Feeding assessments (rehabilitation / challenge) | Case dependent |
Intestinal motility assessment | Case dependent |
Parenteral nutrition (PN) training | Case dependent |
Observation for perplexing presentation | Case dependent |
Small Bowel (SB) transplant assessment | Case dependent |
Shwachman diamond syndrome (SDS) assessment | Case dependent |
Urgent scopes in complex patients | Case dependent |
For new referrals with Inflammatory Bowel Disease and over 15 years of age, please liaise with Dr Kiparissi as they may be admitted to the Adolescent Unit at UCLH.
Reviewed by: Fevronia Kiparissi, Consultant. August 2011