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ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease.
Mearin, Maria Luisa; Agardh, Daniel; Antunes, Henedina; Al-Toma, Abdul; Auricchio, Renata; Castillejo, Gemma; Catassi, Carlo; Ciacci, Carolina; Discepolo, Valentina; Dolinsek, Jernej; Donat, Ester; Gillett, Peter; Guandalini, Steffano; Husby Md DMSc, Steffen; Koletzko Md, Sibylle; Koltai, Tunde; Korponay-Szabó, Ilma Rita; Kurppa, Kalle; Lionetti, Elena; Mårild, Karl; Martinez Ojinaga, Eva; Meijer, Caroline; Monachesi, Chiara; Polanco, Isabel; Popp, Alina; Roca, Maria; Rodriguez-Herrera, Alfonso; Shamir, Raanan; Stordal, Ketil; Troncone, Riccardo; Valitutti, Francesco; Vreugdenhil, Anita; Wessels, Margreet; Whiting, Penny.
  • Mearin ML; From the Willem-Alexander Children's Hospital, Leiden University Medical Centre, Leiden, The Netherlands.
  • Agardh D; the Unit of Celiac Disease and Diabetes, Department of Clinical Sciences, Lund University, Lund, Sweden and Unit of Pediatric Gastroenterology, Department. of Pediatrics, Skåne University Hospital, Malmö, Sweden.
  • Antunes H; the Unit of Pediatric Gastroenterology, Department of Pediatrics, Skåne University Hospital, Malmö, Sweden.
  • Al-Toma A; the Paediatric Gastroenterology Hepatology and Nutrition Unit, Academic Clinical Center (2CA Braga), Hospital de Braga.
  • Auricchio R; the Life and Health Sciences Research Institute (ICVS).
  • Castillejo G; the ICVS/3B's Associate Laboratory and School of Medicine, University of Minho, Braga, Portugal.
  • Catassi C; the Department of Internal Medicine and Gastroenterology, St. Antonius Hospital, Nieuwegein, The Netherlands.
  • Ciacci C; the Department of Translational Medical Sciences, European Laboratory for the Investigation of Food-Induced Diseases, University of Naples Federico II, Naples, Italy.
  • Discepolo V; the Pediatric Gastroenterology Unit, Hospital Universitario Sant Joan de Reus, Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, Reus, Tarragona, Spain.
  • Dolinsek J; the Department of Specialized Clinical Sciences and Odontostomathology, Polytechnic University of Marche, Ancona, Italy.
  • Donat E; the Center for Celiac Disease, Gastrointestinal Unit, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Salerno, Italy.
  • Gillett P; the Department of Translational Medical Sciences, European Laboratory for the Investigation of Food-Induced Diseases, University of Naples Federico II, Naples, Italy.
  • Guandalini S; the Gastroenterology, Hepatology and Nutrition Unit, Department of Pediatrics, University Medical Centre Maribor, Maribor, Slovenia.
  • Husby Md DMSc S; the Pediatric Gastroenterology and Hepatology Unit, Hospital Universitari i Politècnic La Fe.
  • Koletzko Md S; the Celiac Disease and Digestive Immunopathology Unit, Instituto de Investigación Sanitaria La Fe, Valencia, Spain.
  • Koltai T; the Department of Paediatric Gastroenterology, Royal Hospital for Children and Young People, Edinburgh, United Kingdom.
  • Korponay-Szabó IR; the Department of Pediatrics, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, IL.
  • Kurppa K; the Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.
  • Lionetti E; the Department of Pediatrics, Division of Gastroenterology and Hepatology, Dr. von Hauner Children's Hospital, University Hospital, LMU Klinikum Munich, Munich, Germany.
  • Mårild K; the Department of Pediatrics, Gastroenterology and Nutrition, School of Medicine Collegium Medicum University of Warmia and Mazury, Olsztyn, Poland.
  • Martinez Ojinaga E; the Association of European Coeliac Societies (AOECS).
  • Meijer C; the Heim Pál National Paediatric Institute, Budapest, Coeliac Disease Center.
  • Monachesi C; the Department of Paediatrics, University of Debrecen, Debrecen, Hungary.
  • Polanco I; the Tampere Center for Child, Adolescent and Maternal Health Research, Tampere University.
  • Popp A; the Department of Pediatrics, Tampere University Hospital, Tampere, Finland.
  • Roca M; the University Consortium of Seinäjoki, Seinäjoki, Finland.
  • Rodriguez-Herrera A; the Department of Specialized Clinical Sciences and Odontostomathology, Polytechnic University of Marche, Ancona, Italy.
  • Shamir R; the Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
  • Stordal K; the Department of Pediatric Gastroenterology, Queen Silvia Children's Hospital, Gothenburg, Sweden.
  • Troncone R; the Department of Pediatric Gastroenterology and Nutrition, La Paz University Hospital, Madrid, Spain.
  • Valitutti F; From the Willem-Alexander Children's Hospital, Leiden University Medical Centre, Leiden, The Netherlands.
  • Vreugdenhil A; the Department of Specialized Clinical Sciences and Odontostomathology, Polytechnic University of Marche, Ancona, Italy.
  • Wessels M; the Department of Pediatric Gastroenterology and Nutrition, La Paz University Hospital, Madrid, Spain.
  • Whiting P; the University of Medicine and Pharmacy "Carol Davila," National Institute for Mother and Child Health, Bucharest, Romania.
J Pediatr Gastroenterol Nutr ; 75(3): 369-386, 2022 09 01.
Article en En | MEDLINE | ID: mdl-35758521
ABSTRACT

OBJECTIVES:

To gather the current evidence and to offer recommendations for follow-up and management.

METHODS:

The Special Interest Group on Celiac Diseases of the European Society of Paediatric Gastroenterology Hepatology and Nutrition formulated ten questions considered to be essential for follow-up care. A literature search (January 2010-March 2020) was performed in PubMed or Medline. Relevant publications were identified and potentially eligible studies were assessed. Statements and recommendations were developed and discussed by all coauthors. Recommendations were voted upon joint agreement was set as at least 85%.

RESULTS:

Publications (n = 2775) were identified and 164 were included. Using evidence or expert opinion, 37 recommendations were formulated on The need to perform follow-up, its frequency and what should be assessed, how to assess adherence to the gluten-free diet, when to expect catch-up growth, how to treat anemia, how to approach persistent high serum levels of antibodies against tissue-transglutaminase, the indication to perform biopsies, assessment of quality of life, management of children with unclear diagnosis for which a gluten-challenge is indicated, children with associated type 1 diabetes or IgA deficiency, cases of potential celiac disease, which professionals should perform follow-up, how to improve the communication to patients and their parents/caregivers and transition from pediatric to adult health care.

CONCLUSIONS:

We offer recommendations to improve follow-up of children and adolescents with celiac disease and highlight gaps that should be investigated to further improve management.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Enfermedad Celíaca Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Adolescent / Child / Humans Idioma: En Año: 2022 Tipo del documento: Article
Texto completo
Imprimir
XML
PubMed Links
Search on Google

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Enfermedad Celíaca Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Adolescent / Child / Humans Idioma: En Año: 2022 Tipo del documento: Article