ECCO-ESGAR-ESP-IBUS Guideline on Diagnostics and Monitoring of Patients with Inflammatory Bowel Disease: Part 1

Torsten Kucharzik¹, Stuart Taylor², Mariangela Allocca³, Johan Burisch^{4

5

6}, Pierre Ellul⁷, Marietta Iacucci⁸, Christian Maaser⁹, Pamela Baldin¹⁰, Gauraang Bhatnagar¹¹, Shomron Ben-Horin¹², Dominik Bettenworth¹³, Mallory Chavannes¹⁴, Ann Driessen¹⁵, Emma Flanagan¹⁶, Frederica Furfaro¹⁷, Giovanni Maconi¹⁸, Konstaninos Karmiris¹⁹, Amelia Kellar^{20

21}, Isabelle De Kock²², Konstantinos Katsanos²³, Uri Kopylov²⁴, Cathy Lu²⁵, Olga Maria Nardone²⁶, Nurulamin M Noor²⁷, Kerri Novak²⁸, Paula Borralho Nunes²⁹, Patrick van Rheenen³⁰, Jordi Rimola³¹, Francesca Rosini³², David Rubin³³, Martina Scharitzer³⁴, Jaap Stoker^{35

36}, Mathieu Uzzan³⁷, Stephan Vavricka³⁸, Bram Verstockt³⁹, Rune Wilkens⁴⁰, Nina Zidar⁴¹, Alessandra Zilli⁴², Henit Yanai^{43

44}, Roger Feakins^{45

46}

Affiliations

¹ Department of Internal Medicine and Gastroenterology, Hospital Lüneburg, Lüneburg, Germany.
² Center for Medical Imaging, University College London, London, United Kingdom.
³ Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Scientific, Milan, Italy.
⁴ Gastrounit, Medical Division, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
⁵ Copenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
⁶ Faculty of Health and Medical Sciences, Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
⁷ Department of Gastroenterology and Immunology, Mater Dei Hospital, Msida, Malta.
⁸ APC Microbiome Ireland, College of Medicine and Health, University of College Cork, Cork, Ireland.
⁹ Outpatients Department of Gastroenterology, Hospital Lüneburg, Lüneburg, Germany.
¹⁰ Department of Pathology, Cliniques Universitaires Saint Luc, Brussels, Belgium.
¹¹ Clinical Radiology, Frimley Health, Surrey, United Kingdom.
¹² Department of Gastroenterology, Sheba Medical Center, Tel-Aviv University, Ramat Gan, Israel.
¹³ Department of Medicine B, Gastroenterology and Hepatology, University Hospital Münster, Münster, Germany.
¹⁴ Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatric, Children's Hospital Los angeles, Los Angeles, CA, USA.
¹⁵ Department of Pathology, University Hospital Antwerp, University of Antwerp, Edegem, Belgium.
¹⁶ Gastroenterology, St Vincent's Hospital Melbourne, Fitzroy, Melbourne, Australia.
¹⁷ Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute University San Raffale Hospital, Milan, Italy.
¹⁸ Gastroenterology Unit, Department of Biomedical & Clinical Sciences, Luigi Sacco University Hospital, University of Milan, Milan, Italy.
¹⁹ Department of Gastroenterology, Venizeleio General Hospital, Heraklion, Greece.
²⁰ Section of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Chicago, Chicago, IL, United States.
²¹ Inflammatory Bowel Disease Center, University of Chicago, Chicago, IL, United States.
²² Radiology, Ghent University, Ghent, Belgium.
²³ Division of Gastroenterology, University of Ioannina, Ioannina, Greece.
²⁴ Department of Gastroenterology, Sheba Medical Center, Ramat Gan, Israel.
²⁵ Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
²⁶ Gastroenterology, Department of Public Health, University Federico II of Naples, Naples, Italy.
²⁷ Department of Gastroenterology, Cambridge University Hospital NHS Foundation Trust, Cambridge, United Kingdom.
²⁸ Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada.
²⁹ Instituto de Anatomia Patológica da Universidade de Lisboa, Hospital CUF Descobertas, Lisboa, Portugal.
³⁰ Paediatric Gastroenterology, Hepatology and Nutrition, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
³¹ Department of Radiology, IBD Unit, Hospital Clínic de Barcelona, Barcelona, Spain.
³² Pathology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
³³ Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL, United States.
³⁴ Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
³⁵ Radiology and Nuclear Medicine, Amsterdam UMD, Amsterdam, The Netherlands.
³⁶ Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMD, Amsterdam, The Netherlands.
³⁷ Department of Gastroenterology, Hopital Henri Mondor, Créteil, France.
³⁸ Department of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
³⁹ Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
⁴⁰ Digestive Disease Center, Copenhagen University Hospital, Copenhagen, Denmark.
⁴¹ Faculty of Medicine, Institute of Pathology, University of Ljubljana, Ljubljana, Slovenia.
⁴² Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
⁴³ Division of Gastroenterology, IBD Center, Rabin Medical Center, Petah Tikva, Israel.
⁴⁴ Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
⁴⁵ Department of Cellular Pathology, Royal Free London NHS Trust, London, United Kingdom.
⁴⁶ Department of Cellular Pathology, University College London, London, United Kingdom.

PMID: 40741688
DOI: 10.1093/ecco-jcc/jjaf106

Practice Guideline

ECCO-ESGAR-ESP-IBUS Guideline on Diagnostics and Monitoring of Patients with Inflammatory Bowel Disease: Part 1

Torsten Kucharzik et al. J Crohns Colitis. 2025.

. 2025 Jul 3;19(7):jjaf106.

doi: 10.1093/ecco-jcc/jjaf106.

Authors

Affiliations

¹ Department of Internal Medicine and Gastroenterology, Hospital Lüneburg, Lüneburg, Germany.
² Center for Medical Imaging, University College London, London, United Kingdom.
³ Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Scientific, Milan, Italy.
⁴ Gastrounit, Medical Division, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
⁵ Copenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
⁶ Faculty of Health and Medical Sciences, Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
⁷ Department of Gastroenterology and Immunology, Mater Dei Hospital, Msida, Malta.
⁸ APC Microbiome Ireland, College of Medicine and Health, University of College Cork, Cork, Ireland.
⁹ Outpatients Department of Gastroenterology, Hospital Lüneburg, Lüneburg, Germany.
¹⁰ Department of Pathology, Cliniques Universitaires Saint Luc, Brussels, Belgium.
¹¹ Clinical Radiology, Frimley Health, Surrey, United Kingdom.
¹² Department of Gastroenterology, Sheba Medical Center, Tel-Aviv University, Ramat Gan, Israel.
¹³ Department of Medicine B, Gastroenterology and Hepatology, University Hospital Münster, Münster, Germany.
¹⁴ Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatric, Children's Hospital Los angeles, Los Angeles, CA, USA.
¹⁵ Department of Pathology, University Hospital Antwerp, University of Antwerp, Edegem, Belgium.
¹⁶ Gastroenterology, St Vincent's Hospital Melbourne, Fitzroy, Melbourne, Australia.
¹⁷ Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute University San Raffale Hospital, Milan, Italy.
¹⁸ Gastroenterology Unit, Department of Biomedical & Clinical Sciences, Luigi Sacco University Hospital, University of Milan, Milan, Italy.
¹⁹ Department of Gastroenterology, Venizeleio General Hospital, Heraklion, Greece.
²⁰ Section of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Chicago, Chicago, IL, United States.
²¹ Inflammatory Bowel Disease Center, University of Chicago, Chicago, IL, United States.
²² Radiology, Ghent University, Ghent, Belgium.
²³ Division of Gastroenterology, University of Ioannina, Ioannina, Greece.
²⁴ Department of Gastroenterology, Sheba Medical Center, Ramat Gan, Israel.
²⁵ Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
²⁶ Gastroenterology, Department of Public Health, University Federico II of Naples, Naples, Italy.
²⁷ Department of Gastroenterology, Cambridge University Hospital NHS Foundation Trust, Cambridge, United Kingdom.
²⁸ Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada.
²⁹ Instituto de Anatomia Patológica da Universidade de Lisboa, Hospital CUF Descobertas, Lisboa, Portugal.
³⁰ Paediatric Gastroenterology, Hepatology and Nutrition, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
³¹ Department of Radiology, IBD Unit, Hospital Clínic de Barcelona, Barcelona, Spain.
³² Pathology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
³³ Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL, United States.
³⁴ Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
³⁵ Radiology and Nuclear Medicine, Amsterdam UMD, Amsterdam, The Netherlands.
³⁶ Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMD, Amsterdam, The Netherlands.
³⁷ Department of Gastroenterology, Hopital Henri Mondor, Créteil, France.
³⁸ Department of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
³⁹ Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
⁴⁰ Digestive Disease Center, Copenhagen University Hospital, Copenhagen, Denmark.
⁴¹ Faculty of Medicine, Institute of Pathology, University of Ljubljana, Ljubljana, Slovenia.
⁴² Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
⁴³ Division of Gastroenterology, IBD Center, Rabin Medical Center, Petah Tikva, Israel.
⁴⁴ Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
⁴⁵ Department of Cellular Pathology, Royal Free London NHS Trust, London, United Kingdom.
⁴⁶ Department of Cellular Pathology, University College London, London, United Kingdom.

PMID: 40741688
DOI: 10.1093/ecco-jcc/jjaf106

Abstract

The current consensus guideline offers a comprehensive and practical guidance on the diagnostic and monitoring of patients with inflammatory bowel disease (IBD). It provides recommendations on requirements for initial diagnosis, detection of complications, the use of monitoring tools in patients with IBD and diagnostics in specific situations, such as pregnancy, postoperatively and for cancer surveillance. The guideline is a joint project of the European Crohn's and Colitis Organization (ECCO), the European Society of Gastrointestinal and Abdominal Radiology, the European Society of Pathology, and the International Bowel Ultrasonography Group under the leadership of ECCO.

Keywords: MRE; diagnostic; endoscopy; imaging; inflammatory bowel disease; intestinal ultrasound; monitoring.

© The Author(s) 2025. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

PubMed Disclaimer

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
- Ovid Technologies, Inc.
- Silverchair Information Systems

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

ECCO-ESGAR-ESP-IBUS Guideline on Diagnostics and Monitoring of Patients with Inflammatory Bowel Disease: Part 1

Affiliations

ECCO-ESGAR-ESP-IBUS Guideline on Diagnostics and Monitoring of Patients with Inflammatory Bowel Disease: Part 1

Authors

Affiliations

Abstract

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources