Abstract

Affecting approximately 115 000 people in the UK (Crohn's and Colitis UK, 2013), Crohn's disease is a chronic inflammatory disease of the gastrointestinal (GI) tract, presenting with periods of relapse and remission (National Institute for Health and Care Excellence (NICE), 2015). The inflammation is intermittent, with sections of unaffected GI tract between the inflamed sections. Symptoms of Crohn's disease vary between individuals, but include loss of appetite, mouth ulceration, weight loss, diarrhoea, fatigue, abdominal pain and anaemia (Crohn's and Colitis UK, 2013). As well as the associated psychological impact of Crohn's disease, it can also result in a range of physical complications including malnutrition, intestinal strictures, abscesses, fistulas and cancers (NICE, 2015).

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