Extraintestinal manifestations are more common in Crohn's colitis and ileocolitis than in exclusively small bowel disease. 8.6 Osteoporosis 147- 151 Osteoporosis is common in patients with IBD (see BSG Guidelines for osteoporosis in coeliac disease and inflammatory bowel disease), although the absolute fracture risk, contribution of steroids and role of prophylaxis remain a subject for debate. 8.7 The role of the IBD nurse specialist 151 The IBD clinical nurse specialist represents a new role for the management of patients with IBD. The role of the IBD specialist nurse needs defining, but may encompass: liaising with all members of the MDT, patients, primary care, and other agencies; support of patients and carers both in hospital and the community in all aspects of care of IBD; establishment of nurse-led services, including clinics, telephone helplines, and follow up, rapid access for patients, and referral to other professionals; development of systems to enable audit and participation in research projects promoting the care of IBD patients; developing and leading teaching plans for patients and other healthcare professionals involved in IBD management. 8.8 Sources of patient information Many sources of information are available to complement explanations or advice given by clinical staff.