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European evidence based consensus on the diagnosis and management of Crohn’s disease: special situations
  1. R Caprilli1,
  2. M A Gassull2,
  3. J C Escher3,
  4. G Moser4,
  5. P Munkholm5,
  6. A Forbes6,
  7. D W Hommes7,
  8. H Lochs8,
  9. E Angelucci9,
  10. A Cocco10,
  11. B Vucelic11,
  12. H Hildebrand12,
  13. S Kolacek13,
  14. L Riis14,
  15. M Lukas15,
  16. R de Franchis16,
  17. M Hamilton17,
  18. G Jantschek18,
  19. P Michetti19,
  20. C O’Morain20,
  21. M M Anwar20,
  22. J L Freitas21,
  23. I A Mouzas22,
  24. F Baert23,
  25. R Mitchell24,
  26. C J Hawkey25,
  27. for the European Crohn’s and Colitis Organisation (ECCO)
  1. 1University of Rome “La Sapienza” Department of Clinical Sciences, Rome, Italy
  2. 2Department of Gastroenterology and Hepatology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
  3. 3Erasmus MC-Sophia Children’s Hospital, University Medical Centre, Rotterdam, Netherlands
  4. 4Department of Internal Medicine IV, University Hospital of Vienna, Vienna, Austria
  5. 5Herlev Hospital, University of Copenhagen, Herlev, Denmark
  6. 6University College Hospital, London, UK
  7. 7Academic Medical Centre, Department of Gastroenterology and Hepatology, Amsterdam, Netherlands
  8. 8Clinic of General, Visceral, Vascular and Thoracic Surgery, Charite Campus Mitte, Humboldt-University of Berlin, Berlin, Germany
  9. 9University of Rome, GI Unit, Department of clinical science, La Sapienza, Policlinico Umberto I, Rome, Italy
  10. 10Gastroenterology Unit, University of Rome La Sapienza, Rome, Italy
  11. 11University Hospital Rebro, Division of Gastroenterology and Hepatology, Zagreb
  12. 12Department of Women and Child Health, Astrid Lindgren Children’s Hospital, Stockholm, Sweden
  13. 13University Children’s Hospital Zagreb, Department of Gastroenterology and Nutrition, Klaiceva, Croatia
  14. 14Herlev Hospital, University of Copenhagen, Herlev, Denmark
  15. 15IVth Medical Department, Charles University Hospital, Prague, Czech Republic
  16. 16Instituto di Medicina Interna, Cattedra di Gastroenterologia Policlinico, Milan, Italy
  17. 17Department of Gastroenterology, The Royal Free Hospital, London, UK
  18. 18Stadtkrankenhaus Neuwied, Federal Republic of Germany
  19. 19Centre Hospitalier Universitaire Vaudois, Division of Gastroenterology, Lausanne, Switzerland
  20. 20Adelaide and Meath Hospital, Department of Gastroenterology, Dublin
  21. 21Department of Gastroenterology and Hepatology, Hospital Garcia de Orta, Almada, Portugal
  22. 22Gastroenterology Department, University Hospital, Heraklion, Greece
  23. 23Heilig Hartziekenhuis, Roeselare, Belgium
  24. 24EFFCA, Bournemouth, Dorset UK
  25. 25Wolfson Digestive Disease Centres, University Hospital Nottingham, UK
  1. Correspondence to:
    Dr S P L Travis
    John Radcliffe Hospital, Oxford OX3 9DU, UK; simon.travis{at}; Professor E F Stange MD PhD, Professor of Medicine, Department of Internal Medicine 1, Robert Bosch Krankenhaus, PO Box 501120, Auerbachstr 110, 70341 Stuttgart, Germany; Eduard.Stange{at}


This third section of the European Crohn’s and Colitis Organisation (ECCO) Consensus on the management of Crohn’s disease concerns postoperative recurrence, fistulating disease, paediatrics, pregnancy, psychosomatics, extraintestinal manifestations, and alternative therapy. The first section on definitions and diagnosis reports on the aims and methods of the consensus, as well as sections on diagnosis, pathology, and classification of Crohn’s disease. The second section on current management addresses treatment of active disease, maintenance of medically induced remission, and surgery of Crohn’s disease.

  • 5-ASA, mesalazine
  • AZA, azathioprine
  • CD, Crohn’s disease
  • CDAI, Crohn’s disease activity index
  • CsA, cyclosporin
  • ECCO, European Crohn’s and Colitis Organisation
  • IBD, inflammatory bowel disease
  • IFX, infliximab
  • 6-MP, 6-mercaptopurine
  • UC, ulcerative colitis
  • Crohn’s disease
  • postoperative recurrence
  • fistula
  • paediatric
  • adolescence
  • pregnancy
  • psychosomatic
  • extraintestinal manifestation
  • complementary therapy

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