背景:克罗恩病(CD)是慢性和无法治愈的炎症性肠病的一种亚型。它可以影响整个胃肠道,其病因尚不清楚。
目的:这一共识的目的是建立与定义相关的最相关方面,诊断,后续行动,医疗,以及墨西哥克罗恩病的手术治疗。
方法:召集了胃肠病和炎症性肠病领域的墨西哥专家。共识分为五个模块,69个陈述应用Delphi面板方法,会前问题已发送给与会者,进行编辑和加权。在面对面的会议上,所有选定的文章都被展示了,强调他们的临床证据水平;所有的陈述都进行了讨论,进行了最后投票,确定每个声明的协议百分比。
结果:墨西哥首次就克罗恩病达成共识,其中定义建议,分类,诊断方面,后续行动,医疗,并建立了手术治疗。
结论:提供了针对定义的最新建议,分类,诊断标准,后续行动,和常规医疗指南,生物治疗,和小分子治疗,以及手术管理。
BACKGROUND: Crohn\'s disease (CD) is a subtype of chronic and incurable inflammatory bowel disease. It can affect the entire gastrointestinal tract and its etiology is unknown.
OBJECTIVE: The aim of this consensus was to establish the most relevant aspects related to definitions, diagnosis, follow-up, medical treatment, and surgical treatment of Crohn\'s disease in Mexico.
METHODS: Mexican specialists in the areas of gastroenterology and inflammatory bowel disease were summoned. The consensus was divided into five modules, with 69 statements. Applying the Delphi panel method, the pre-meeting questions were sent to the participants, to be edited and weighted. At the face-to-face meeting, all the selected articles were shown, underlining their level of clinical evidence; all the statements were discussed, and a final vote was carried out, determining the percentage of agreement for each statement.
RESULTS: The first Mexican consensus on Crohn\'s disease was produced, in which recommendations for definitions, classifications, diagnostic aspects, follow-up, medical treatment, and surgical treatment were established.
CONCLUSIONS: Updated recommendations are provided that focus on definitions, classifications, diagnostic criteria, follow-up, and guidelines for conventional medical treatment, biologic therapy, and small molecule treatment, as well as surgical management.