Management of Mild Crohn’s Disease in 2026
Résumé
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.
Références
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