Statement 4.3: Endoscopy is the gold standard for mucosal assessment, but cross-sectional imaging with MRE or US is an alternative if endoscopy is not feasible or appropriate. Balloon-assisted endoscopy or capsule endoscopy are appropriate modalities for small bowel visualization (Evidence level 3a, 5) |
Voting agreement rate 47/47 (100%) |
Statement 4.4: The anastomotic site and proximal small bowel should be evaluated after intestinal resection. The presence of a modified Rutgeerts score of i2b or higher after ileocolonic resection is indicative of a high risk of clinical recurrence. Treatment escalation should be considered in patients with active inflammation (e.g., a modified Rutgeerts score ≥ i2b) at any time after bowel resection, regardless of the presence or absence of abdominal symptoms (Evidence level 1b, 3b, 5) |
Voting agreement rate 43/46 (93.5%) |