ESPGHAN revised porto criteria for the diagnosis of inflammatory bowel disease in children and adolescents
Arie Levine,Sibylle Koletzko,Dan Turner,Johanna C. Escher,Salvatore Cucchiara,Lissy de Ridder,Kaija-Leena Kolho,Gábor Veres,Richard K Russell,Anders Paerregaard,Stephan Buderus,Mary-Louise C. Greer,Jorge Amil Dias,Gigi Veereman-Wauters,Paolo Lionetti,Malgorzata Sladek,Javier Martín de Carpi,Annamaria Staiano,Frank M. Ruemmele,David C. Wilson +19 more
TLDR
These revised Porto criteria for the diagnosis of P IBD have been developed to meet present challenges and developments in PIBD and provide up-to-date guidelines for the definition and diagnosis of the IBD spectrum.Abstract:
Background: The diagnosis of pediatric-onset inflammatory bowel disease (PIBD) can be challenging in choosing the most informative diagnostic tests and correctly classifying PIBD into its different subtypes. Recent advances in our understanding of the natural history and phenotype of PIBD, increasing availability of serological and fecal biomarkers, and the emergence of novel endoscopic and imaging technologies taken together have made the previous Porto criteria for the diagnosis of PIBD obsolete. Methods: We aimed to revise the original Porto criteria using an evidencebased approach and consensus process to yield specific practice recommendations for the diagnosis of PIBD. These revised criteria are based on the Paris classification of PIBD and the original Porto criteria while incorporating novel data, such as for serum and fecal biomarkers. A consensus of at least 80% of participants was achieved for all recommendations and the summary algorithm. Results: The revised criteria depart from existing criteria by defining 2 categories of ulcerative colitis (UC, typical and atypical); atypical phenotypes of UC should be treated as UC. A novel approach based on multiple criteria for diagnosing IBD-unclassified (IBD-U) is proposed. Specifically, these revised criteria recommend upper gastrointestinal endoscopy and ileocolonscopy for all suspected patients with PIBD, with small bowel imaging (unless typical UC after endoscopy and histology) by magnetic resonance enterography or wireless capsule endoscopy.read more
Citations
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Journal ArticleDOI
Consensus guidelines of ECCO/ESPGHAN on the medical management of pediatric Crohn's disease.
Frank M. Ruemmele,Frank M. Ruemmele,Frank M. Ruemmele,Gábor Veres,Kaija-Leena Kolho,Anne Griffiths,Arie Levine,Johanna C. Escher,J. Amil Dias,Arrigo Barabino,Christian Braegger,Jiri Bronsky,Stephan Buderus,Javier Martín-de-Carpi,L. de Ridder,Ulrika L. Fagerberg,Jean-Pierre Hugot,Jaroslaw Kierkus,Sanja Kolaček,Sibylle Koletzko,Paolo Lionetti,Erasmo Miele,V.M. Navas Lopez,Anders Paerregaard,Richard K Russell,Daniela Elena Serban,Ron Shaoul,P. van Rheenen,Gigi Veereman,B Weiss,David Wilson,Axel Dignass,A Eliakim,Harland S. Winter,Dan Turner +34 more
TL;DR: These guidelines are intended to give practical (whenever possible evidence-based) answers to (pediatric) gastroenterologists who take care of children and adolescents with CD, since many different clinical scenario exist requiring treatment strategies not covered by or different from these guidelines.
Journal ArticleDOI
The diagnostic approach to monogenic very early onset inflammatory bowel disease.
Holm H. Uhlig,Tobias Schwerd,Sibylle Koletzko,Neil Shah,Neil Shah,Jochen Kammermeier,Abdul Elkadri,Jodie Ouahed,Jodie Ouahed,David C. Wilson,David C. Wilson,Simon Travis,Dan Turner,Christoph Klein,Scott B. Snapper,Scott B. Snapper,Aleixo M. Muise +16 more
TL;DR: Key intestinal, extraintestinal, and laboratory features of 50 genetic variants associated with IBD-like intestinal inflammation are described and approaches for identifying patients likely to have these disorders are provided.
Journal ArticleDOI
Management of Paediatric Ulcerative Colitis, Part 1: Ambulatory Care-An Evidence-based Guideline From European Crohn's and Colitis Organization and European Society of Paediatric Gastroenterology, Hepatology and Nutrition.
Dan Turner,Frank M. Ruemmele,Esther Orlanski-Meyer,Anne M. Griffiths,Javier Martín de Carpi,Jiri Bronsky,Gábor Veres,Marina Aloi,Caterina Strisciuglio,Christian Braegger,Amit Assa,Claudio Romano,Seamus Hussey,Michael Stanton,Mikko P. Pakarinen,Lissy de Ridder,Konstantinos H. Katsanos,Nicholas M. Croft,Víctor Manuel Navas-López,David C. Wilson,Sally Lawrence,Richard K. Russell +21 more
TL;DR: These guidelines provide a guide to clinicians managing children with UC and IBD-unclassified management to provide modern management strategies while maintaining vigilance around appropriate outcomes and safety issues.
Journal ArticleDOI
ECCO-ESCP Consensus on Surgery for Crohn's Disease.
Willem A. Bemelman,Janindra Warusavitarne,Gianluca M. Sampietro,Zuzana Serclova,Oded Zmora,Gaetano Luglio,Anthony de Buck van Overstraeten,John P. Burke,Christianne J. Buskens,Francesco Colombo,Jorge Amil Dias,Rami Eliakim,Tomás Elosua,I. Ethem Gecim,Sanja Kolaček,Jaroslaw Kierkus,Kaija-Leena Kolho,Jérémie H. Lefevre,Monica Millan,Yves Panis,Thomas Pinkney,Richard K. Russell,Chaya Shwaartz,Carolynne J. Vaizey,Nuha A. Yassin,André D'Hoore +25 more
TL;DR: Willem A. Bemelman, a Janindra Warusavitarne,b Gianluca M. Sampietro,c Zuzana Serclova,d Oded Zmora,e Gaetano Luglio,f Anthony de Buck van Overstraeten,g John P. Burke,h Christianne J. Burke; on behalf of the European Crohn’s and Colitis Organisation and the European Society of Colo-Proctology.
Journal ArticleDOI
The Medical Management of Paediatric Crohn's Disease: an ECCO-ESPGHAN Guideline Update.
Patrick F. van Rheenen,Marina Aloi,Amit Assa,Jiri Bronsky,Johanna C. Escher,Ulrika L. Fagerberg,Marco Gasparetto,Konstantinos Gerasimidis,Anne M. Griffiths,Paul Henderson,Sibylle Koletzko,Sibylle Koletzko,Kaija-Leena Kolho,Arie Levine,Johan Van Limbergen,Francisco Javier Martin de Carpi,Víctor Manuel Navas-López,Salvatore Oliva,Lissy de Ridder,Richard K Russell,Dror S. Shouval,Dror S. Shouval,Antonino Spinelli,Dan Turner,David C. Wilson,Eytan Wine,Frank M. Ruemmele,Frank M. Ruemmele +27 more
TL;DR: An evidence-supported update of the ECCO-ESPGHAN guideline on the medical management of paediatric Crohn's disease is provided, establishing that it was key to identify patients at high risk of a complicated disease course at the earliest opportunity to reduce bowel damage.
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