Silvio Danese  ©  ECCO

Dear ECCO friends,

Thank you to everyone for once again making the ECCO Congress, Europe’s most important event in the field of Inflammatory Bowel Disease (IBD), such a wonderful occasion. Held this year in Vienna, the Congress attracted 6,676 participants from over 80 countries and the number of accepted abstracts surpassed 1,000.  Thank you especially to our invited speakers for delivering such exciting presentations and also to the ECCO Committee Members for their hard work and dedication, which helped to make the Congress so successful. 

6,676 delegates attended the 13^th Congress of ECCO in Vienna

The 13th Congress of ECCO – Inflammatory Bowel Diseases 2018, which was held on February 14-17, 2018 in Vienna, Austria, attracted a total number of 6,676 delegates from 86 different countries. Since the inaugural ECCO Congress in 2006 in Amsterdam, at which there were 350 delegates, participant numbers have steadily increased, as shown in the graph below:

ECCO Congress participation 2006-2018 © ECCO

Another record number of abstracts has been submitted for the 13^th Congress of ECCO. Out of 1,366 submitted scientific abstracts, 1,012 abstracts have been accepted.

Of these abstracts, 38 have been selected as Oral Presentations during the Scientific Programme and another 80 were selected as Digital Oral Presentations. Each of these presentations was reviewed by ECCO Committee Members in order to select the winners of the Top 10 DOPs, IIS Abstract Awards, and the Y-ECCO Abstract Awards.

Shomron Ben-Horin © ECCO

Michael Scharl © ECCO

Fat in IBD – Much more than an innocent bystander 

Within the framework of the 6^th SciCom Workshop, the role of fat and lipids in IBD pathogenesis was highlighted. Six highly interesting talks shed light on the fact that fat is much more than an innocent bystander in IBD.

Janneke van der Woude © ECCO

One of the main goals of ECCO is to promote IBD-related basic and clinical research as well as to foster interaction and productive collaboration among European research groups working in the IBD field. To achieve this goal, ECCO continues to award Grants, Fellowships and Travel Awards.

For 2018 the number of awardees has increased to an amazing total of more than 30.

Jihye Park © Jihye Park

Most patients with chronic IBD are diagnosed at a young age. After baseline diagnosis many of these young patients have to undergo repeated imaging procedures during the variable clinical course of their disease. Ultrasound, CT and MRI are used to image transmural alterations and extra-intestinal manifestations of the disease and to monitor response to treatment. 

John Mansfield © ECCO

The 6^th ClinCom Workshop focussed on two current themes in IBD research: Evolving endpoints in clinical trials and comparative effectiveness research (CER).

Laurent Peyrin-Biroulet (Nancy, France) described the drivers that have led to the move from Crohn’s Disease Activity Index (CDAI) and Mayo scores to patient-reported outcomes (PROs) that just record clinical symptoms. The ultimate therapeutic goal is not only to reduce symptoms but also to return the patient to a normal life without disability. For Ulcerative Colitis (UC) the PRO uses rectal bleeding and stool frequency scores from the Mayo score, while for Crohn’s Disease (CD) abdominal pain and stool frequency scores are used. Many clinical trials also aim to show resolution of mucosal inflammation so endoscopic scores are frequently being used as co-primary endpoints with symptom scores. Some problems with PROs remain to be settled, especially the cut-off values for active disease, response and remission, and also the variability of patients’ assessment of loose stools and rectal bleeding.

Naila Arebi © ECCO

An introduction to pharmaco-epidemiology: How to interpret real world data for clinical practice 

The Epidemiological Committee (EpiCom) organised their 4^th workshop at the ECCO’18 Congress in Vienna.  Delegates were welcomed by Ebbe Langholz, who introduced the sessions with a short video on the UR-CARE database to illustrate the importance of databases and their potential across Europe. 

Pascal Juillerat © ECCO

The 16^th Intensive Advanced IBD Course took place before the ECCO meeting as the highlight of the educational program which runs in conjunction with the conference.

This well-known course, which has been an a staple of the ECCO Congress almost since the beginning of ECCO, took place once again with a full attendance from Europe and abroad. Overall, 82 doctors attended the course from 37 countries and were treated to a comprehensive update on IBD.

Giovanni Maconi © ECCO

Participating speakers and chairs: Simon Travis (United Kingdom), Raf Bisschops (Belgium), Raya Atreya (Germany), Peter Irving (United Kingdom), James Lindsay (United Kingdom), Matthieu Allez (France), Massimo Fantini (Italy) and Peter Lakatos (Hungary)

The ECCO Endoscopy Workshop reached its 3^rd edition in 2018 and has become a mainstay of the educational activities of ECCO. The workshop was organised by the Educational Committee (EduCom) and was designed to meet the needs of IBD specialists with some experience in endoscopy. 

Giovanni Maconi © ECCO

Participating speakers and tutors: Anil Kumar Asthana (Australia), Arun Gupta (United Kingdom), Christian Maaser (Germany), Emma Calabrese (Italy), Francesca Maccioni (Italy) Jordi Rimola (Spain), Jaap Stoker (The Netherlands), Kerry Novak (Canada), Michael Torkzad (United Kingdom), Pietro Paolantonio (Italy), Rune Wilkens (Denmark), Torsten Kucharzik (Germany), Stephan Vavricka (Switzerland), Andrea Laghi (Italy) and Giovanni Maconi (Italy)

Joana Torres © ECCO

Inflammatory Bowel Disease is a chronic disease in which both medical and psychological factors have a major impact on several domains of the patient’s quality of life. Patients with IBD report higher levels of psychological and emotional distress, fatigue, anxiety, centrally mediated abdominal pain, depression and sleep disturbance. These complex complaints require integrative and appropriate management. Psychotherapies and body-mind interventions may have a beneficial impact on coping skills and stress management, but their efficacy and best use remain matters of debate. 

Christian Maaser © ECCO

The downside of ECCO´s clear and strict rules regarding terms of committee membership is that we regularly have to say goodbye to very dear colleagues who have done a tremendous amount of work during their term and have been very reliable colleagues and become good friends. Now, it is necessary to say “goodbye and thank you” to Gionata Fiorino, who invested an enormous amount of time in GuiCom projects during his 4-year GuiCom term. 

Usha Chauhan © ECCO

The 9^th N-ECCO School in Vienna was well attended, attracting 62 participants, including 11 dietitians, from 24 countries. This year the learning objectives were published online, next to the programme. The School covered a range of IBD topics for both nurses and dietitians who work with IBD patients. The aim of the School is to enhance basic knowledge in a clear and precise manner in order to enable nurses and dietitians new to IBD, or those with an interest in the subject, to provide better support to IBD patients throughout Europe and beyond. In addition, the N-ECCO School has come to serve as a great networking opportunity for both nurses and dietitians, enabling them to share experiences and plans for furthering their careers and demonstrating the importance of a multidisciplinary approach to IBD care.

Susanna Jäghult © ECCO

This year 92 nurses with a special interest in research participated in the 5^th N-ECCO Research Forum in Vienna. The participants were a fine mix of experienced nurse researchers and nurses new to research. The meeting itself offered a combination of plenary and interactive sessions and workshops.

The Forum was opened by Susanna Jäghult (Sweden), who co-chaired with Palle Bager (Denmark). The first session addressed practical issues in research.

Kay Greveson © ECCO

The cultural city of Vienna welcomed the participants of the 12^th N-ECCO Network Meeting this year. 

N-ECCO Chair Palle Bager (Denmark) opened the Network Meeting by welcoming 275 nurses and dietitians from across the world who share the goal of developing care for people with IBD globally. The first session focused on the role of the Inflammatory Bowel Disease nurse specialist. Isobel Mason (UK) discussed the value of the IBD nurse and how to promote the role across Europe, including how to audit your service and provide a detailed job plan. She also presented a new healthcare professional website developed by Crohn’s and Colitis UK, which has numerous resources to support the IBD nurse. 

Liesbeth Moortgat © ECCO

On the evening of Wednesday, February 14, 26 nurses from 17 countries across Europe participated in our yearly N-ECCO National Representatives Meeting.  

As N-ECCO Committee Member responsible for the National Representatives, Liesbeth Moortgat welcomed the attendees, and this was followed by a short round of introductions. Belgium, Croatia, Finland, Slovenia, Poland and the United Kingdom were happy to present their new National Representatives. An exchange of nurses every 2–3 years is greatly encouraged by N-ECCO, but many countries nevertheless retain the same National Representatives for more than 3 years. New people tend to mean new ideas!

Arie Levine © ECCO

This ECCO News Issue is the perfect opportunity for me to express awe and gratitude: awe for the dedicated dietitians of D-ECCO, who have accomplished so much, and gratitude to the Governing Board of ECCO, which detected this emerging need in IBD and supported its development within ECCO, allowing me to be part of the process.

Oded Zmora © ECCO

The 7^th S-ECCO IBD Masterclass, the meeting of the surgeons’ branch of ECCO, was held this year on February 15, 2018 in Vienna, within the framework of the 13^th Congress of ECCO. The S-ECCO IBD Masterclass is the annual scientific forum for professional discussions on surgical aspects of the treatment of patients with IBD, emphasising the multidisciplinary approach in these patients. Each year, this unique meeting devoted to IBD surgery is attracting an increasing number of surgeons from around the globe owing to the high-quality scientific content and the opportunity for interchange of knowledge and ideas between surgeons and other professionals responsible for the care of IBD patients. 180 surgeons, gastroenterologists and other professionals from 40 countries registered for the Masterclass this year, which focused on cutting-edge IBD surgery.

Oded Zmora © ECCO

The surgeons’ branch of ECCO, S-ECCO, has celebrated its seventh year. The most significant S-ECCO annual event is the S-ECCO IBD Masterclass, which is held in collaboration with the European Society of Coloproctology at the time of the ECCO Congress and this year attracted more than 169 surgeons, gastroenterologists and other professionals. In addition, S-ECCO is involved in numerous activities, including S-ECCO International IBD Workshops around the globe, active participation in practice guidelines for the treatment of IBD and research projects. These activities have already made S-ECCO one of the most significant surgical committees in Europe.

Jaroslaw Kierkus © ECCO

The 13^th Congress of ECCO is behind us: So many thoughts, and important new targets for research into therapy, diagnosis and management. Everything in one place, in wonderful Vienna.

From the point of view of the paediatrician, the Congress offered insights into numerous new predictive tools. It is not surprising that research is heading in this direction, for ultimately “to know” is halfway towards “to treat”. Looking more closely at this topic: What can we predict and by what means can we predict it?

David Wilson © ECCO

The first International Symposium on Paediatric Inflammatory Bowel Disease (PIBD) took place in Rome in 2006 and was hosted by Salvatore Cucchiara. It was followed by the second PIBD Symposium in 2009 in Paris, hosted by Frank Ruemmele. Both were private initiatives. After a pause while plans to alternate PIBD Symposia between venues in Europe and North America were considered, the paediatric IBD Porto group of ESPGHAN took over all organisation. This resulted in the 3^rd Symposium in Rotterdam in 2014, hosted by Hankje Escher.

Roger Feakins © ECCO

The 3^rd Histopathologists of ECCO (H-ECCO) Masterclass took place in Vienna on February 15–16, 2018.

Since its formation in 2016, the Histology Working Group of ECCO (H-ECCO) has organised a successful annual educational Masterclass. The 3rd H-ECCO Masterclass at the 2018 ECCO Congress in Vienna ran on Thursday afternoon and Friday morning. It coincided with an important event: The official conversion of the H-ECCO Working Group to a full committee on the Thursday evening.  Attendance at the Masterclass was good (over 70 registrants) and the audience comprised a mixture of histopathologists and gastroenterologists from Europe and further afield.

Nuha Yassin © ECCO

Dear Y-ECCO Friends,

This is my first Members’ Address as the newly elected Y-ECCO Chair after being a Committee Member for the past 3 years. I have succeeded Isabelle Cleynen (Leuven), who was a fantastic chair and a great friend. I had the pleasure of previously working with Tim Raine and Pieter Hindryckx, who were also exemplary in their leadership of Y-ECCO, and I am delighted to be able to keep in touch with them. Y-ECCO truly creates solid bonds and I am honoured to have been given the opportunity to work with past Committee Members and Chairs as well as the current fantastic Committee.

Isabelle Cleynen © ECCO

With the Y-ECCO Basic Science Workshop, Y-ECCO aims to give basic science, and young clinicians doing basic science or full-time researchers, a more visible platform within ECCO and the ECCO Congress. We also want to promote scientific exchange and networking among (young) basic scientists. Each edition of the workshop features two top-notch speakers and experts in their field who give state of the art overviews on the session topics and are then invited to join the discussions following oral abstract presentations by Y-ECCO Members. The two sessions of this year’s workshop focussed on “In vivo perils in IBD” and “Ex vivo promises in IBD”. 

Nuha Yassin © ECCO

Dear Y-ECCO Friends,

In our series of Y-ECCO corner interviews, we are adding a new flavour for 2018 by conducting a tandem interview with the IBD giants. Today, I am delighted to be joined by Ailsa Hart and Willem Bemelman, who are respectively a leading gastroenterologist and leading surgeon in the world of IBD. We have all heard them give tandem talks and look forward to finding out more about them in this tandem interview. Many thanks for agreeing to be interviewed, Ailsa and Willem. We’ll ask you similar questions and see if the answers are similar or different.

Nuha Yassin
Y-ECCO Interview Corner Coordinator

Dear ECCO Friends,

We would like to express our gratitude and appreciation to all of you who stopped by at the UR-CARE Training Centre to familiarise yourselves with your potential own new patient registry for the future.  

Johan Burisch © ECCO

The “United Registries for Clinical Assessment and Research” (UR-CARE) database is an IBDIM (IBD in Motion, the research unit of ECCO) initiative to facilitate daily patient care and research studies in IBD in centres and/or research groups across Europe. The UR-CARE database [1] offers comprehensive data collection, including data on disease characteristics, diagnostic procedures (such as endoscopy or imaging), medical and surgical treatments, and laboratory tests. Several databases developed for use in IBD already exist, but usually these have been implemented in clinical practice or research studies without validation. 

Laurence J. Egan © ECCO

Dear ECCO Friends,

As with every year, the ECCO Congress in Vienna was the occasion for the Editorial Team of the Journal of Crohn’s and Colitis (JCC) – including the Associate Editors (AE) and the Editorial Board Members – to meet in order to evaluate the achievements of the previous year and to discuss new projects and ideas with the aim of keeping JCC at a high level of quality in the field of gastroenterology and hepatology journals with a focus on Inflammatory Bowel Diseases. I would like to seize this opportunity to introduce you to the new Associate Editors and Editorial Board Members who joined the JCC team at the ECCO Congress and over the past few months.

Pieter Hindryckx © ECCO

Willem Bemelman

Position: Secretary 2018–2020

Nationality: Dutch

Born: December 17, 1958

Past ECCO Positions: 
     • Co-founder of S-ECCO
     • S-ECCO Chair
     • Chair, Surgical ECCO Guidelines on Crohn’s Disease