Guidelines for the management of inflammatory bowel disease in adults

British Society of Gastroenterology


  • Inflammatory bowel disease (IBD) is the collective term for ulcerative colitis and Crohn's disease
  • Ulcerative colitis:
    • symptoms: bloody diarrhoea, sometimes with colicky abdominal pain, urgency or tenesmus
    • affects only the colon
  • Crohn's disease:
    • symptoms: abdominal pain, diarrhoea, weight loss; possibly malaise, anorexia, fever or intestinal obstruction
    • not limited to a particular part of the gastrointestinal tract
  • Both diseases are relapsing and remitting, but Crohn's disease is often more disabling

Quality care

  • The UK IBD service standards aim to ensure that patients with IBD receive healthcare that is safe, effective and of consistently high quality
  • These standards complement clinical guidelines and provide a benchmark for IBD services
  • Quality Care Service standards for the healthcare of people who have Inflammatory Bowel Disease (IBD) identifies the six following standards:
    • high quality clinical care
    • local delivery of care
    • maintaining a patient-centred service
    • patient education and support
    • information technology and audit
    • evidence-based practice and research
  • Refer to the full document at

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