This guideline is mainly relevant for secondary care and doesn’t really change our practice. There are a few useful bits for us.
- Stop Smoking – encourage this as has a huge impact on relapse rates
- Fertility – ensure women are aware of the impact of medication / surgery on their fertility.
- Osteopenia and fracture risk – ensure you assess patients for fracture risk as per the recent NICE guideline. Remember that patients may have low BMI or frequent use of steroids which also increases risk.
Spotting Severe Crohn’s