Welcome to theECCO e-Guide

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Info

The ECCO e-Guide is an expanding collection of algorithms based on the most recently published ECCO Guidelines. Statements from prior and supportive guidelines are annotated by date and title respectively and its content has been ratified by ECCO. Content updates occur in conjunction with the publication of new ECCO statements, new guidelines and guideline updates.
New update! Interventions and Disease Info have now been mapped to the ECCO IBD Curriculum, the framework for all ECCO educational material. The IBD Curriculum links direct you to the e-Learning platform where ECCO members benefit from unrestricted access to educational content.
Become an ECCO member now
!
January 2019

Gratefully acknowledging the educational grant 2018-2019 by Janssen.

Algorithms

  • New presentation of ulcerative colitis, including severity assessment & IBDU
  • Treatment of proctitis, including quiescent, mild, moderate and severe disease
  • Treatment of left-sided colitis, including quiescent, mild, moderate and severe disease
  • Treatment of extensive colitis, including quiescent, mild, moderate and severe disease
  • Treatment of acute severe colitis, including considerations for surgery & initiating second line therapy
  • Maintenance therapy in ulcerative colitis, including considerations based on manner of induction of remission
  • Management of steroid / thiopurine refractory ulcerative colitis
  • Surgical management of ulcerative colitis, including consideration pre- and post-surgery
  • Investigation and treatment of pouchitis
  • Extra-intestinal manifestations in IBD
    Draft algorithms, based on 2015 consensus
  • New presentation of Crohn's disease, including baseline investigations & imaging
  • Treatment of fistulating perianal disease, including simple & complex disease
  • Treatment of extensive colonic disease. Interlinks with proctitis & left-sided colitis algorithms in UC.
  • Treatment of ileocaecal disease, sub-divided into quiescent, mild, moderate & severe
  • Treatment of extensive small bowel disease, sub-divided into quiescent, mild, moderate & severe
  • Treatment of foregut disease, including conventional induction therapy
  • Treatment of stricturing Crohn's disease, including perianal, colonic, ileo-caecal & small bowel
  • Treatment of penetrating disease, including enterocutaneous, enterovesical, enteroenteric & enterogynaecological fistulae
  • Management of anti-TNF therapy, including induction, optimization & maintenance
  • Managing medically-induced remission, including treatment & reducing risk factors
  • Managing surgically-induced remission, including timing of reassessments
  • Considerations regarding pregnancy in IBD, including effect on treatment, fertility & pregnancy
  • Management of Crohn's disease in children & adolescents, including diagnosis & treatment
  • Extra-intestinal manifestations in IBD
    Extra-intestinal manifestations to consider in IBD. Based on 2010 Crohn's Disease guidelines and does not currently include 2015 consensus.

Info

The ECCO e-Guide is an expanding collection of algorithms based on the most recently published ECCO Guidelines. Statements from prior and supportive guidelines are annotated by date and title respectively and its content has been ratified by ECCO. Content updates occur in conjunction with the publication of new ECCO statements, new guidelines and guideline updates.
New update! Interventions and Disease Info have now been mapped to the ECCO IBD Curriculum, the framework for all ECCO educational material. The IBD Curriculum links direct you to the e-Learning platform where ECCO members benefit from unrestricted access to educational content.
Become an ECCO member now
!
January 2019

Gratefully acknowledging the educational grant 2018-2019 by Janssen.

Resources

Title Type
ECCO IBD Curriculum
ECCO-EFFCA Ulcerative Colitis Patient Guidelines
ECCO-EFCCA Crohn's Disease Patient Guidelines
ECCO Opportunistic Infections Consensus Checklist (2014)
Mild colitis, with a small polyp shown to be hyperplastic
Moderate left sided ulcerative colitis
Ischaemic colitis

Ischaemic colitis; note the discontinuous, sub-mucosal haemorrhage / inflammation, not seen in UC

Normal terminal ileum, with erythematous colitis in cecum
Montréal classification

Extract from ECCO UC consensus, showing Montréal classification of disease activity

Mayo Score

Extract from ECCO UC consensus, showing Mayo Score

Terms and conditions

By using this site you acknowledge that the content of this website is based on a review process of the ECCO Consensus Guidelines and primarily aims at facilitating their visualization.

Any treatment decisions are a matter for individual clinicians and may not be based primarily on the e-Guide content.

The European Crohn's and Colitis Organisation and/or any of its staff members and/or any website contributor may not be held liable for any information published in good faith on this website.

You agree that the use of this website is at your own risk and hereby waive any and all potential claims against European Crohn's and Colitis Organisation, and/or any of its staff members and/or any of the website contributors.