If you would like to refer, or be referred, to the Lennard Jones Intestinal Rehabilitation Unit, please ask a doctor to complete the HPN referral form.

Completed forms should be sent to our Intestinal Failure Coordinator:
Email: LNWH-tr.IFU@nhs.net

Referral Criteria for the Intestinal Failure Unit at St Mark’s Hospital 

Many abdominal aetiologies that may cause malnutrition or dehydration: 

• Crohn’s disease/ IBD
• Mesenteric infarction
• Surgical complications
• Motility disorder
• Radiation enteritis
• Scleroderma
• Active malignancy
• FAP / desmoid

1. Short bowel especially if less than 30cm remaining jejunum or a stomal output greater than 4L/ 24 hours on treatment
2. Enterocutaneous fistula (often in a dehisced abdominal wound) or persisting abdominal sepsis
3. Small bowel obstruction not relieved or not appropriate for surgery
4. Small bowel dysfunction
5. Other
   1. Venous access – difficult access or central vein thrombosis
   2. Recurrent catheter-related sepsis
   3. Associated or co-existing liver or renal disease
   4. Psychosocial problems
6. Any nutritional or fluid problem that relates to the gut and is outside the expertise of the referring hospital

Please note that we are not able to take patients from an intensive care or high dependency unit. Please call the intestinal rehabilitation unit to discuss your patient before making a referral. Our main page and details can be found HERE.