PT  - JOURNAL ARTICLE
AU  - Christopher Andrew Lamb
AU  - Nicholas A Kennedy
AU  - Tim Raine
AU  - Philip Anthony Hendy
AU  - Philip J Smith
AU  - Jimmy K Limdi
AU  - Bu’Hussain Hayee
AU  - Miranda C E Lomer
AU  - Gareth C Parkes
AU  - Christian Selinger
AU  - Kevin J Barrett
AU  - R Justin Davies
AU  - Cathy Bennett
AU  - Stuart Gittens
AU  - Malcolm G Dunlop
AU  - Omar Faiz
AU  - Aileen Fraser
AU  - Vikki Garrick
AU  - Paul D Johnston
AU  - Miles Parkes
AU  - Jeremy Sanderson
AU  - Helen Terry
AU  - IBD guidelines eDelphi consensus group
AU  - Daniel R Gaya
AU  - Tariq H Iqbal
AU  - Stuart A Taylor
AU  - Melissa Smith
AU  - Matthew Brookes
AU  - Richard Hansen
AU  - A Barney Hawthorne
TI  - British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults
AID  - 10.1136/gutjnl-2019-318484
DP  - 2019 Dec 01
TA  - Gut
PG  - s1--s106
VI  - 68
IP  - Suppl 3
4099  - http://gut.bmj.com/content/68/Suppl_3/s1.short
4100  - http://gut.bmj.com/content/68/Suppl_3/s1.full
SO  - Gut2019 Dec 01; 68
AB  - 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.