Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Indications for referral to a specialist in the management and investigations of short bowel syndrome (SBS) include:
- Complex nutritional management needs that cannot be met in primary care, such as the requirement for specialised parenteral nutrition support.
- Complications related to SBS, including severe malabsorption, electrolyte imbalances, or liver dysfunction.
- Need for multidisciplinary assessment involving gastroenterologists, dietitians, and surgeons experienced in SBS.
- Diagnostic uncertainty or the need for advanced investigations beyond the scope of primary care.
- Failure to respond to initial management strategies or worsening clinical status.
Referral should be made to a specialist with appropriate skills and experience, typically a gastroenterologist or a multidisciplinary intestinal failure team, to ensure comprehensive assessment and management.