Syria's war rages unabated despite a fall in the number of besieged civilians, a senior U.N. official said on Thursday, warning of a potential worsening of the conflict in the rebel-controlled governorate of Idlib.

U.N. humanitarian adviser Jan Egeland said millions of civilians were still caught up in the seven-year-old conflict and many who escaped battle zones had to seek shelter in overcrowded camps for the displaced in Idlib in the northwest.

Insurgent officials say they fear an offensive against Idlib by Syria's military and its allies Russia and Iran, something humanitarian agencies say could produce civilian suffering on a greater scale than during the siege of Aleppo last year.