Published ECCO Guidelines

In its aim to foster transparency, ECCO has diligently maintained a disclosure policy of potential conflicts of interests (CoI) for several years: ECCO Guidelines manuscripts cannot be submitted for publication without all authors having submitted their CoI Forms.

As ECCO experts are increasingly involved in several activities such as the ECCO Congress, Workshops, Guidelines, or other projects, including publications of papers in JCC (Journal of Crohn’s & Colitis) throughout one year, ECCO now collects one completed CoI form from experts in line with the respective Congress business year (updated every autumn). These forms are publically accessible through the ECCO website – showing the “ECCO Annual Disclosure of potential conflicts of interest”.


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ECCO Guidelines on Therapeutics in Crohn’s Disease:  medical treatment (2019)

ECCO Guidelines on Therapeutics in Crohn’s Disease: surgical treatment (2019)

These are the first ECCO Guidelines to adopt the GRADE approach [Grading of Recommendations Assessment, Development, and Evaluation] in order to provide transparent, high-quality, evidence-based recommendations on medical treatment in CD. The surgical treatment manuscript utilised the traditional Oxford Levels of Evidence in order to address surgical management, including preoperative aspects and drug management before surgery. 




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ECCO-ESGAR Guideline for Diagnostic Assessment in IBD Part 1: Initial diagnosis, monitoring of known IBD, detections of complications (2018)

ECCO-ESGAR Guideline for Diagnostic Assessment in IBD Part 2: IBD scores and general principles and technical aspects (2018)

This new diagnostic consensus guideline is a joint project of the European Crohn’s and Colitis Organisation [ECCO] and the European Society of Gastrointestinal and Abdominal Radiology [ESGAR] that now merges the former ECCO-ESGAR Imaging Guideline and the former ECCO Endoscopy Guideline, also including laboratory parameters. It has been drafted by 30 ECCO and ESGAR members from 17 European countries.




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Second N-ECCO Consensus Statements on the European Nursing Roles in Caring for Patients with Crohn’s Disease or Ulcerative Colitis (2018)

This is the second Nurses European Crohn’s and Colitis Organisation [N-ECCO] Consensus Statements document addressing inflammatory bowel disease [IBD] nursing across Europe. N-ECCO continues to be an active member of the European Crohn’s and Colitis Organisation [ECCO], providing education and networking opportunities for nurses across Europe within three designated nursing sessions, N-ECCO Network Meeting, N-ECCO School and the N-ECCO Research Forum, in addition to e-learning and podcasts.”



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      ECCO-ESCP Consensus Guidelines on Surgery in CD (2017)

The aim of this Consensus is to establish up-to-date standards for timing and methodology of Surgery in Crohn’s Disease.In cooperation with ESCP, ECCO Surgeons joined forces with Paediatricians as well and parts of this Guideline will cover paediatric content.  





JCC Cover CD Part 1ECCO Crohn’s Disease (CD Part 1 (2016)CD) Consensus Update (2016) – Part 1

ECCO Crohn’s Disease (CD Part 2 (2016)CD) Consensus Update (2016) – Part 2

This paper addresses diagnosis and management of Crohn’s Disease [CD] and concerns the surgical management of CD as well as special situations including management of perianal CD and extra-intestinal manifestations.





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   ECCO Extra-intestinal Manifestations Consensus

This is the first European Crohn’s and Colitis Organisation [ECCO] consensus guideline that addresses extra-intestinal manifestations [EIMs] in inflammatory bowel disease [IBD]. It has been drafted by 21 ECCO members from 13 European countries. Although this is the first ECCO consensus guideline that primarily addresses EIMs, it is partly derived from, updates, and replaces previous ECCO consensus advice on EIMs, contained within the consensus guidelines for Crohn’s disease1 [CD] and ulcerative colitis2 [UC].




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   ECCO Malignancy Consensus (2015)

Due to the important clinical problem that the risk of malignancy in patients with IBD represents for physicians treating IBD, ECCO planned to initiate a programme to develop a specific Guideline for malignancy. 
The aim of this consensus is to 
establish Guidelines for managing the risk of malignancy, treatment in the event of malignancy and therapy of IBD in the context of a past or current history of malignancy




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ECCO Anaemia Consensus (2015)

The aim of this consensus is establish up-to-date standards for the diagnosis, follow-up and management of anemia in IBD patients with a special focus on iron deficiency anemia in IBD.





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ECCO Reproduction and Pregnancy Consensus (Edition 2015)

The ECCO Consensus guidelines on the diagnosis and management of IBD are regularly updated. This updated consensus paper addresses these issues and is aimed to optimize preconceptional counseling in patients with inflammatory bowel disease and to promote a European perspective on the management of pregnancy in patients with IBD and its dilemmas.




MASTER ECCOJC 9 1 Cover no adECCO Consensus on Surgery for Ulcerative Colitis

The goal of this consensus was to establish European consensus guidelines for the surgical treatment of Ulcerative Colitis.







MASTER JCC Cover Paed CD GLECCO-ESPGHAN Consensus Paediatric CD

The aim of this consensus is to establish standards for the management of Pediatric CD. All treatment aspects will be considered, induction as well as maintenance therapy, nutritional treatment approaches as well as the use of anti-inflammatory drugs, immunosuppressors, or biologics.






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ECCO Opportunistic Infections (OI) Consensus (Edition 2014)

ECCO Supplementary material

ECCO (OI) Consensus Checklist (Edition 2014)





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ECCO-ESP Histopathology Consensus (2013)

The aim of this new consensus is to establish standards for diagnosis and pathological procedures in IBD and other colitides, such as lymphocytic and collagenous Colitis and variants, indeterminate, unclassified Colitis and infectious Colitis related to IBD. ESP Logo



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