{"id":203,"date":"2026-06-11T09:36:01","date_gmt":"2026-06-11T08:36:01","guid":{"rendered":"https:\/\/7c71d11735.nxcli.io\/?page_id=203"},"modified":"2026-06-11T09:40:06","modified_gmt":"2026-06-11T08:40:06","slug":"gastrointestinal-and-liver-disease","status":"publish","type":"page","link":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/professionals\/gastrointestinal-and-liver-disease\/","title":{"rendered":"Gastrointestinal and liver disease"},"content":{"rendered":"
<\/div>

Gastrointestinal and liver disease<\/h1><\/div><\/div><\/div><\/div><\/section>
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Referral criteria<\/h3>\n

Gastrointestinal and liver disease conditions for consideration of referral for an opinion, advice or MMC led care.<\/p>\n

For women requiring MMC led care they are managed either in the specialist joint gastroenterology\/obstetric clinic or in the specialist maternal medicine clinics.<\/p>\n

Lead Maternal Medicine Obstetrician- Dr M Smith (Gastro)\/ Dr S Williams (Hepatology)<\/p>\n

Lead Gastroenterologist- Dr M Gunn<\/p>\n

Joint Obstetric\/Gastroenterology clinic- Wednesday afternoon RVI<\/p>\n

Specialist Maternal Medicine clinic- Thursday afternoon RVI<\/p>\n<\/div><\/div><\/div><\/div>

Clinical resources<\/h3>\n

British society of gastroenterology- <\/strong>BSG endorsed guidance: standards for provision of antenatal care for patients with inflammatory bowel disease– <\/strong>Antenatal Care for IBD Patients | BSG Guidelines & Standards<\/strong><\/a><\/p>\n

EASL Clinical practice guidelines on the management of liver diseases in pregnancy- <\/strong>EASL Clinical Practice Guidelines on the management of liver diseases in pregnancy – Journal of Hepatology<\/strong><\/a><\/p>\n

FIGO guideline on liver disease and pregnancy<\/strong>– FIGO guideline on liver disease and pregnancy – Nana – 2025 – International Journal of Gynecology & Obstetrics – Wiley Online Library<\/a><\/p>\n

Patient information resources<\/h3>\n

Crohns & Colitis UK- Pregnancy and Birth<\/strong>– Pregnancy and birth with Crohn’s Disease or Ulcerative Colitis (IBD)<\/a><\/p>\n

Crohns & Colitis UK- Pregnancy, My stoma & Me<\/strong>– Pregnancy, my stoma & me – @Stomababe<\/a><\/p>\n

Crohns & Colitis UK- Reproductive health and fertility<\/strong>– Reproductive health and fertility in Crohn’s Disease or Ulcerative Colitis (IBD)<\/a><\/p>\n

British Liver Trust- Acute fatty liver of pregnancy<\/strong>– Acute fatty liver of pregnancy (AFLP) – British Liver Trust<\/a><\/p>\n

NHS Bloods and transplant- Living with a liver transplant\/family planning-<\/strong>Family planning – Organ transplantation – NHS Blood and Transplant<\/strong><\/a><\/p>\n

British Liver Trust- Life after liver transplant – <\/strong>Life after liver transplant – British Liver Trust<\/strong><\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>

\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
Category A
\nLocal expertise<\/th>		Category B
\nReview, advice and guidance from maternal medicine centre<\/th>		Category C
\nCare led by maternal medicine centre<\/th>\n<\/tr>\n<\/thead>\n
Hyperemesis gravidarum<\/td>Complex inflammatory bowel disease
\n-\tActive disease despite treatment
\n-\tBiologics
\n-\tCorticosteroids
\n-\tPeri-anal disease
\n-\tPouch\/stoma
\n<\/td>		Portal hypertension<\/td>\n<\/tr>\n
Constipation<\/td>Acute and chronic pancreatitis<\/td>Complex pancreatitis
\n-\tNot responding to treatment
\n-\tRecurrent disease
\n-\tHypertriglyceridaemia
\n-\tIR\/surgical intervention
\n<\/td>\n<\/tr>\n
Gallstones<\/td>Treated GI malignancy<\/td>Active malignancy<\/td>\n<\/tr>\n
Gastro-oesophageal reflux disease<\/td>Unexplained jaundice<\/td>Cirrhosis<\/td>\n<\/tr>\n
Coeliac disease<\/td>Acute fatty liver of pregnancy<\/td>Decompensated liver disease\/ liver failure<\/td>\n<\/tr>\n
Viral hepatitis<\/td>Achalasia<\/td>Liver transplant<\/td>\n<\/tr>\n
Intrahepatic cholestasis (bile acids <100)<\/td>Intrahepatic cholestasis (bile acids >100)<\/td><\/td>\n<\/tr>\n
Uncomplicated inflammatory bowel disease in remission<\/td>Liver infarction\/haematoma<\/td><\/td>\n<\/tr>\n
Cholecystitis<\/td>Autoimmune hepatitis<\/td><\/td>\n<\/tr>\n
Viral hepatitis<\/td>Wilsons disease<\/td><\/td>\n<\/tr>\n
HELLP<\/td>Crigler Najjar syndrome<\/td><\/td>\n<\/tr>\n
<\/td>Primary biliary cirrhosis<\/td><\/td>\n<\/tr>\n
<\/td>Primary sclerosing cholangitis<\/td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Gastrointestinal and liver diseaseReferral criteria Gastrointestinal and liver disease conditions for consideration of referral for an opinion, advice or MMC led care. For women requiring MMC led care they are managed either in the specialist joint gastroenterology\/obstetric clinic or in the specialist maternal medicine clinics. Lead Maternal Medicine Obstetrician- Dr M Smith (Gastro)\/ Dr S...","protected":false},"author":1,"featured_media":0,"parent":86,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-203","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/comments?post=203"}],"version-history":[{"count":2,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/203\/revisions"}],"predecessor-version":[{"id":207,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/203\/revisions\/207"}],"up":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/86"}],"wp:attachment":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/media?parent=203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}