https://www.gosh.nhs.uk/wards-and-departments/departments/clinical-specialties/gastroenterology-information-parents-and-visitors/refer-patient-gastroenterology-department/gastroenterology-admission-criteria/

Gastroenterology admission criteria

This is a list of patient diagnoses which are admitted to Great Ormond Street Hospital (GOSH) by our Gastroenterology team, the timeframe in which they should be admitted and their estimated length of stay (LoS).
Health professionals are reminded that this information is for guidance only.

Urgent admissions

Children with the following diagnoses should be transferred to GOSH within days from receipt of referral.
Diagnosis	Estimated LoS
Central line sepsis not responding to treatment at local hospital	Case dependent
Coeliac crisis	Case dependent
Day case for new coeliac	Case dependent
Electrolyte imbalance	Case dependent
Hypoalbuminaemia < 25 g/L	Case dependent
Inflammatory bowel disease (IBD) complications eg fistulating disease/abscess	Case dependent
Intractable vomiting/Cyclic vomiting syndrome (CVS)	Case dependent
Post Bone Marrow Transplant (BMT) with complications	Case dependent
Severe failure to thrive (FTT) /Marasmus	Case dependent
Toxic megacolon	Case dependent
Upper and lower gastrointestinal (GI) bleeds	Case dependent
Urgent/broken percutaneous endoscopic gastrostomy (PEG) /PEG Jejunostomy	Case dependent
Urgent/broken Hickman/Peripherally Inserted Central Catheter (PICC) lines	Case dependent

Elective admissions

Children with the following diagnoses should be referred to GOSH via the non-emergency pathway.
Diagnosis	Estimated LoS
Bone Marrow Transplant (BMT) assessment	Case dependent
Feeding assessments (rehabilitation / challenge)	Case dependent
Intestinal motility assessment	Case dependent
Parenteral nutrition (PN) training	Case dependent
Observation for perplexing presentation	Case dependent
Small Bowel (SB) transplant assessment	Case dependent
Shwachman diamond syndrome (SDS) assessment	Case dependent
Urgent scopes in complex patients	Case dependent

For new referrals with Inflammatory Bowel Disease and over 15 years of age, please liaise with Dr Kiparissi as they may be admitted to the Adolescent Unit at UCLH.

Reviewed by: Fevronia Kiparissi, Consultant. August 2011