[Evidence-informed guideline for the management of Crohn's disease in adults: recommendations from PANCCO].

What was studied

This is a guideline for adults with Crohn's disease in Latin America. Crohn's disease is a long-term gut illness that can flare up again. A group called PANCCO wrote it. They built on an older Colombian guideline from 2020. A team from many fields set out key care questions. For some questions, they searched for new studies from 2020 to 2026. They rated how strong the proof was with a method called GRADE.

What they found

The group wrote a set of advice points for doctors. Some points cover how to tell if the disease may come back. Some cover drugs to calm the disease and keep it calm. Some cover stronger drugs for moderate to severe disease. Others cover tunnels that form near the anus, called fistulas. Others cover surgery and care done with a scope. They also cover how to stop the disease coming back after surgery. Extra points on good practice for doctors were added too.

What it means for patients

The authors say the guideline brings together the latest proof on Crohn's care in adults. It covers stronger drugs and team care for fistulas. It also covers the role of surgery and scopes. They say it gives doctors a practical way to make care choices. It is meant to fit the needs and means of Latin America.

Why it is not certain yet

The abstract does not list the advice points themselves. It does not say how strong the proof was for each point. Only some of the questions were checked with new searches. The rest were adapted from the older 2020 guideline. A guideline can only be as good as the studies behind it.

Source

[Evidence-informed guideline for the management of Crohn's disease in adults: recommendations from PANCCO].

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