First Mexican Consensus on Crohn's disease

Area of Science:

• Gastroenterology
• Inflammatory Bowel Disease Research
• Clinical Consensus

Background:

• Crohn's disease (CD) is a chronic, incurable inflammatory bowel disease affecting the entire gastrointestinal tract.
• The etiology of Crohn's disease remains unknown.
• Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

• To establish consensus-based recommendations for Crohn's disease in Mexico.
• To cover key aspects including definitions, diagnosis, follow-up, and treatment (medical and surgical).
• To provide updated guidelines for clinical practice.

Main Methods:

• Convened Mexican specialists in gastroenterology and inflammatory bowel disease.
• Utilized a Delphi panel method with 69 statements across five modules.
• Involved pre-meeting question weighting and a face-to-face meeting for discussion and voting.

Main Results:

• Developed the first Mexican consensus on Crohn's disease.
• Established recommendations for definitions, classifications, and diagnostic criteria.
• Provided guidance on follow-up and both medical and surgical treatment.

Conclusions:

• Presents updated recommendations for Crohn's disease management.
• Includes guidelines for conventional medical, biologic, and small molecule therapies.
• Offers recommendations for surgical management of Crohn's disease.