P270 A global consensus on the definitions, diagnosis and management of fibrostenosing small bowel Crohn’s disease

Abstract Background Small bowel fibrostenotic strictures are common in patients with Crohn’s disease (CD). No global consensus recommendations on definitions, diagnosis and clinical management available. Methods Several systematic reviews followed by a RAND/University of California Los Angeles appropriateness study the fibrostenosing CD practice were performed. A panel 28 experts patient representative convened. They assessed total 152 candidate items. The items subsequently evaluated for appropriateness. Results accurate predictive biomarkers available naïve or anastomotic strictures. Accurate requires cross-sectional imaging which should evaluate wall thickness, luminal narrowing prestenotic dilatation. potential inflammatory component be assessed. Abdominal was considered necessary prior to any treatment decision. proposed an approach medical, endoscopic, surgical therapies (Figure 1 Table 1). Technical characteristics endoscopic balloon dilation follow up strategies after successful therapy identified. Appropriateness, types performance different approaches various settings evaluated. Conclusion This provides guidance diagnostic therapeutic CD.