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. 2023 Feb 11;58(4):313–345. doi: 10.1007/s00535-023-01958-z
Statement 1.5: Patients with worsening signs or symptoms of CD during treatment should undergo assessment for intestinal inflammation, using biomarkers, small bowel radiography, endoscopy or cross-sectional imaging (computed tomography [CT] or magnetic resonance imaging [MRI]) (Evidence level 5)

Voting agreement rate

45/45 (100%)

Statement 1.6: Endoscopy is the established standard for the assessment of intestinal inflammation (Evidence level 5) 46/47 (97.9%)
Statement 1.7: It is important to visualize the small bowel mucosa, using balloon-assisted endoscopy or capsule endoscopy, when active small bowel disease is suspected (Evidence level 2a) 47/47 (100%)
Statement 1.8: When endoscopy or capsule endoscopy is not feasible or practical, noninvasive imaging using magnetic resonance enterography (MRE), CT enterography (CTE) or ultrasound is the preferred modality (Evidence level 5) 47/47 (100%)
Statement 1.9: CT use should be minimized in patients with CD to limit lifetime exposure to radiation (Evidence level 1a/1b) 47/47 (100%)