British Society of Gastroenterology guidance for management of inflammatory bowel disease during the COVID-19 pandemic

Nicholas A Kennedy^{1

2}, Gareth-Rhys Jones^{3

4}, Christopher A Lamb^{5

6}, Richard Appleby⁷, Ian Arnott⁴, R Mark Beattie⁸, Stuart Bloom⁹, Alenka J Brooks¹⁰, Rachel Cooney^{11

12}, Robin J Dart^{13

14}, Cathryn Edwards¹⁵, Aileen Fraser¹⁶, Daniel R Gaya^{17

18}, Subrata Ghosh^{11

12}, Kay Greveson¹⁴, Richard Hansen^{18

19}, Ailsa Hart^{20

21}, A Barney Hawthorne²², Bu'Hussain Hayee^{13

23}, Jimmy K Limdi^{24

25}, Charles D Murray¹⁴, Gareth C Parkes^{26

27}, Miles Parkes²⁸, Kamal Patel²⁹, Richard C Pollok^{29

30}, Nick Powell^{21

31}, Chris S Probert^{32

33}, Tim Raine²⁸, Shaji Sebastian³⁴, Christian Selinger³⁵, Philip J Smith³², Catherine Stansfield³⁶, Lisa Younge³⁷, James O Lindsay^{26

27}, Peter M Irving^{13

38}, Charlie W Lees^{39

4}

Affiliations

¹ Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
² University of Exeter, Exeter, UK.
³ University of Edinburgh, Edinburgh, UK.
⁴ Western General Hospital, Edinburgh, UK.
⁵ Newcastle University, Newcastle upon Tyne, UK.
⁶ Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
⁷ Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
⁸ Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
⁹ University College London Hospitals NHS Foundation Trust, London, UK.
¹⁰ Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
¹¹ Queen Elizabeth Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
¹² University of Birmingham, Birmingham, UK.
¹³ King's College London, London, UK.
¹⁴ The Royal Free Hospital, London, UK.
¹⁵ Torbay and South Devon NHS Foundation Trust, Torquay, UK.
¹⁶ University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
¹⁷ Glasgow Royal Infirmary, Glasgow, UK.
¹⁸ University of Glasgow, Glasgow, UK.
¹⁹ Royal Hospital for Children, Glasgow, UK.
²⁰ St Mark's Hospital, London, UK.
²¹ Imperial College London, London, UK.
²² University Hospital of Wales, Cardiff, UK.
²³ King's College Hospital NHS Foundation Trust, London, UK.
²⁴ The Pennine Acute Hospitals NHS Trust, Manchester, UK.
²⁵ University of Manchester, Manchester, UK.
²⁶ Barts and the London School of Medicine and Dentistry, London, UK.
²⁷ The Royal London Hospital, Barts Health NHS Trust, London, UK.
²⁸ Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
²⁹ St George's University Hospitals NHS Foundation Trust, London, UK.
³⁰ St George's, University of London, London, UK.
³¹ Imperial College Healthcare NHS Trust, London, UK.
³² Liverpool University Hospitals NHS Foundation Trusts, Liverpool, UK.
³³ University of Liverpool, Liverpool, UK.
³⁴ Hull University Teaching Hospitals NHS Trust, Hull, UK.
³⁵ Leeds Teaching Hospitals NHS Trust, Leeds, UK.
³⁶ Salford Royal NHS Foundation Trust, Salford, UK.
³⁷ Crohn's and Colitis UK, St Albans, Hertfordshire, UK.
³⁸ Guy's and St Thomas' NHS Foundation Trust, London, UK.
³⁹ University of Edinburgh, Edinburgh, UK charlie.lees@ed.ac.uk.

PMID: 32303607
PMCID: PMC7211081
DOI: 10.1136/gutjnl-2020-321244

Practice Guideline

British Society of Gastroenterology guidance for management of inflammatory bowel disease during the COVID-19 pandemic

Nicholas A Kennedy et al. Gut. 2020 Jun.

. 2020 Jun;69(6):984-990.

doi: 10.1136/gutjnl-2020-321244. Epub 2020 Apr 17.

Authors

Affiliations

¹ Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
² University of Exeter, Exeter, UK.
³ University of Edinburgh, Edinburgh, UK.
⁴ Western General Hospital, Edinburgh, UK.
⁵ Newcastle University, Newcastle upon Tyne, UK.
⁶ Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
⁷ Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
⁸ Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
⁹ University College London Hospitals NHS Foundation Trust, London, UK.
¹⁰ Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
¹¹ Queen Elizabeth Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
¹² University of Birmingham, Birmingham, UK.
¹³ King's College London, London, UK.
¹⁴ The Royal Free Hospital, London, UK.
¹⁵ Torbay and South Devon NHS Foundation Trust, Torquay, UK.
¹⁶ University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
¹⁷ Glasgow Royal Infirmary, Glasgow, UK.
¹⁸ University of Glasgow, Glasgow, UK.
¹⁹ Royal Hospital for Children, Glasgow, UK.
²⁰ St Mark's Hospital, London, UK.
²¹ Imperial College London, London, UK.
²² University Hospital of Wales, Cardiff, UK.
²³ King's College Hospital NHS Foundation Trust, London, UK.
²⁴ The Pennine Acute Hospitals NHS Trust, Manchester, UK.
²⁵ University of Manchester, Manchester, UK.
²⁶ Barts and the London School of Medicine and Dentistry, London, UK.
²⁷ The Royal London Hospital, Barts Health NHS Trust, London, UK.
²⁸ Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
²⁹ St George's University Hospitals NHS Foundation Trust, London, UK.
³⁰ St George's, University of London, London, UK.
³¹ Imperial College Healthcare NHS Trust, London, UK.
³² Liverpool University Hospitals NHS Foundation Trusts, Liverpool, UK.
³³ University of Liverpool, Liverpool, UK.
³⁴ Hull University Teaching Hospitals NHS Trust, Hull, UK.
³⁵ Leeds Teaching Hospitals NHS Trust, Leeds, UK.
³⁶ Salford Royal NHS Foundation Trust, Salford, UK.
³⁷ Crohn's and Colitis UK, St Albans, Hertfordshire, UK.
³⁸ Guy's and St Thomas' NHS Foundation Trust, London, UK.
³⁹ University of Edinburgh, Edinburgh, UK charlie.lees@ed.ac.uk.

PMID: 32303607
PMCID: PMC7211081
DOI: 10.1136/gutjnl-2020-321244

Abstract

The COVID-19 pandemic is putting unprecedented pressures on healthcare systems globally. Early insights have been made possible by rapid sharing of data from China and Italy. In the UK, we have rapidly mobilised inflammatory bowel disease (IBD) centres in order that preparations can be made to protect our patients and the clinical services they rely on. This is a novel coronavirus; much is unknown as to how it will affect people with IBD. We also lack information about the impact of different immunosuppressive medications. To address this uncertainty, the British Society of Gastroenterology (BSG) COVID-19 IBD Working Group has used the best available data and expert opinion to generate a risk grid that groups patients into highest, moderate and lowest risk categories. This grid allows patients to be instructed to follow the UK government's advice for shielding, stringent and standard advice regarding social distancing, respectively. Further considerations are given to service provision, medical and surgical therapy, endoscopy, imaging and clinical trials.

Keywords: crohn's colitis; crohn's disease; ulcerative colitis.

PubMed Disclaimer

Conflict of interest statement

Competing interests: For details of conflicts of interest see online supplementary table 1.

Comment in

Managing an IBD Infusion Unit During the COVID-19 Pandemic: Service Modifications and the Patient Perspective.
Clough JN, Hill KL, Duff A, Sharma E, Ray S, Mawdsley JE, Anderson S, Irving PM, Samaan MA. Clough JN, et al. Inflamm Bowel Dis. 2020 Sep 18;26(10):e125-e126. doi: 10.1093/ibd/izaa171. Inflamm Bowel Dis. 2020. PMID: 32592475 Free PMC article. No abstract available.
Withdrawal of the British Society of Gastroenterology IBD risk grid for COVID-19 severity.
Lees CW, Ahmad T, Lamb CA, Powell N, Din S, Cooney R, Kennedy NA, Ainley R, Wakeman R, Selinger CP. Lees CW, et al. Gut. 2023 Feb;72(2):410-412. doi: 10.1136/gutjnl-2022-327409. Epub 2022 May 5. Gut. 2023. PMID: 35512822 No abstract available.

References

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1. Jones GR, Lyons M, Plevris N, et al. A capture-recapture study of all-age IBD point prevalence. Gut 2019;68:A63–4. - PMC - PubMed
1. Lichtenstein GR, Feagan BG, Cohen RD, et al. Serious infection and mortality in patients with Crohn's disease: more than 5 years of follow-up in the TREAT™ registry. Am J Gastroenterol 2012;107:1409–22. 10.1038/ajg.2012.218 - DOI - PMC - PubMed
1. Guan W-jie, Ni Z-yi, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020. 10.1056/NEJMoa2002032 - DOI - PMC - PubMed
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British Society of Gastroenterology guidance for management of inflammatory bowel disease during the COVID-19 pandemic

Affiliations

British Society of Gastroenterology guidance for management of inflammatory bowel disease during the COVID-19 pandemic

Authors

Affiliations

Abstract

Conflict of interest statement

Comment in

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