This guideline covers the management of Crohn’s disease in children, young people and adults. It aims to reduce people’s symptoms and maintain or improve their quality of life.
In May 2016, a new recommendation on inducing remission was added.
This guideline includes recommendations on:
- patient information and support
- inducing remission
- maintaining remission, including after surgery
- monitoring for osteopenia and assessing fracture risk
- conception and pregnancy
Who is it for?
- Healthcare professionals who care for people with Crohn's disease
- Providers of services for people with Crohn's disease
- People with Crohn's disease, their families and carers
Is this guideline up to date?
We checked this guideline in June 2017 and plan an update. The update will focus on postsurgical maintenance of remission.
Guideline development process
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.