The nurse specialists provide information, advice and support on
any aspect of inflammatory bowel disease. Some specific aspects of
the service are:
The IBD clinic takes place on various days throughout the
The clinic includes:
The IBD MDT (multidisciplinary team) meeting is attended by a
group of experts in the field of IBD to improve coherence and
continuity of care. The meeting is attended by Gastroenterologists,
Surgeons, Radiologists, Histopathologists and the IBD Nurses. The
purpose of this meeting is to discuss any patient we are concerned
about and these are usually those with complex problems, but we can
discuss any patients if we feel it is necessary.
Endoscopy is a procedure that involves looking inside the body
with an Endoscope - this is a fine tube with a camera at the end
and a channel inside where tools can be passed to take biopsies or
stretch a narrowed area for example. Most people with Inflammatory
Bowel Disease will need an endoscopy at some time. The ones you are
most likely to need are either Sigmoidoscopy, Colonoscopy or
Sigmoidoscopy looks at the rectum and left hand side of the
large bowel (the sigmoid colon). You may need an enema just before
the procedure to empty this area.
Colonoscopy looks at the rectum, the whole of the large bowel
(sigmoid, transverse and ascending colon) and also the terminal
ileum (end of the small bowel) in most cases. You will need to take
some medicine the day before the procedure to clean out the bowel.
Colonoscopies are usually carried out under sedation.
Gastroscopy looks at the oesophagus, stomach and part of the
duodenum. You will be given a choice of whether or not to have
sedation or a local anaesthetic throat spray.
'As I was very, very nervous, I must have been the worst patient
ever and they were brilliant with me and I can't thank them enough
- could you please pass on my sincere thanks.'
Patient, Hysteroscopy Unit, Chester-le-Street Community