Management of Mild Crohn’s Disease in 2026

Nancy Fu

doi:10.58931/cibdt.2026.4263

Authors

Nancy Fu, MD, MHSc, FRCPC

Abstract

Key Takeaways

1. Mild Crohn’s disease patients have limited anatomical disease involvement with no severe endoscopic lesions, and absence of stricturing, fistulizing or perianal features. They are usually older, ambulatory, eating well and have no prior surgery, abnormal biochemistry or signs of systemic toxicity.
2. Non-pharmacological management for mild Crohn’s disease can include dietary interventions, NSAID and tobacco avoidance. Pharmacotherapy may include budesonide, sulfasalazine and immunomodulators. Mesalamines should not be used.
3. Mild Crohn’s disease can be managed with close monitoring only. It should include regular clinical and biochemical evaluations with endoscopy, cross sectional studies and health maintenance assessments at recommended intervals.

Author Biography

Nancy Fu, MD, MHSc, FRCPC

Dr. Nancy Fu is an Associate Clinical Professor at University of British Columbia. Her practice focuses on inflammatory bowel disease, adolescent transition care, intestinal ultrasound training and applications, patient centered innovations and quality improvements. She co-leads the transition PACE project supported by Crohn’s and Colitis Canada. She is a faculty member of the GRIT program and a member of the IBD-GRS quality committee in the Canadian Gastroenterology Association. She participates in clinical research and GI residency training.

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Management of Mild Crohn’s Disease in 2026

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Abstract

Author Biography

Nancy Fu, MD, MHSc, FRCPC

References

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