Table 3.

Follow-Up pathway for patients following ileoanal pouch surgery

Post j-pouch formation follow-up

Information to be given on discharge: when & where to represent to hospital, who to contact. Loperamide, mesalazine if cuffitis, antibiotics as required Close post-surgical follow-up by stoma nurses as per stoma care pathway. 6 weeks after surgery: face to face outpatient follow-up (to plan timing of reversal of ileostomy and arrange gastrografin enema X-ray).

Post ileostomy reversal:

Routine follow-up pathway: Stoma/pouch nurse telephone call within 1 week of discharge. Further follow-up calls/visits arranged on individual basis. Dietitian review Face to face surgical outpatient within 6 weeks from surgery 6 month telephone call for pouch function with colorectal surgeon. PROMs questionnaires emailed 12 month face to face appointment with surgical team with questionnaires/PROMS Pouchoscopy within 1 year of pouch formation Blood tests prior to year 1 visit: Full blood count, iron level and B12, liver function, renal function, vitamin D, folate. After year 1 follow-up is complete: Rebook for further follow-up in case of complications or poor function, otherwise yearly PROMs emailed and 6montnly/yearly telephone follow-up

PROMs, patient-reported outcome measures.