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. 2025 Aug 15;104(33):e43984. doi: 10.1097/MD.0000000000043984

Table 1.

Diagnostic criteria for Crohn’s disease recommended by the World Health Organization.

Items Clinical manifestation Radiological imaging Endoscopy Biopsy Surgical specimen
① Discontinuous or segmental changes + + +
② Cobblestone-like appearance or longitudinal ulcers + + +
③ Whole-wall inflammatory response changes + + + +
④ Non-caseous granulomas + +
⑤ Fissures, fistulas + + +
⑥ Perianal lesions +

Patients with ①, ②, ③ are suspected; add ④, ⑤, ⑥ one of the 3 can be diagnosed; you can also be diagnosed with ④, as long as you add ①, ②, ③ 2 of the 3. “‐” means that there is no such manifestation, “+” means that there is such manifestation.