Lennard-Jones Intestinal Rehabilitation Unit Referral

This information is for clinical referrals.

If you would like to refer a patient please complete the Severe Intestinal Failure and HPN Referral Form and send to us via email. Completed referral forms can be sent to the St Mark’s Hospital email LNWH-tr.IFU@nhs.net.

Referrals will be triaged and reviewed by both the St Mark’s and St Georges Intestinal Rehabilitation teams and the referring service notified of the outcome by email. For telephone enquiries call the coordinator at St Mark’s on 020 8453 2389 or 07970 354630.

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 or desmoid
  1. Short bowel especially if less than 30 cm remaining jejunum or a stomal output greater than 4 litres every 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
    • Venous access – difficult access or central vein thrombosis
    • Recurrent catheter-related sepsis
    • Associated or co-existing liver or renal disease
    • 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