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Management of Paediatric Ulcerative Colitis, Part 2: Acute Severe Colitis-An Evidence-based Consensus Guideline From the European Crohn's and Colitis Organization and the European Society of Paediatric Gastroenterology, Hepatology and Nutrition
D. Turner, FM. Ruemmele, E. Orlanski-Meyer, AM. Griffiths, JM. de Carpi, J. Bronsky, G. Veres, M. Aloi, C. Strisciuglio, CP. Braegger, A. Assa, C. Romano, S. Hussey, M. Stanton, M. Pakarinen, L. de Ridder, KH. Katsanos, N. Croft, VM. Navas-López,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu konsensus - konference, časopisecké články, směrnice pro lékařskou praxi
Grantová podpora
G0800675
Medical Research Council - United Kingdom
- MeSH
- dítě MeSH
- fyziologie výživy dětí MeSH
- lidé MeSH
- společnosti lékařské MeSH
- stupeň závažnosti nemoci MeSH
- ulcerózní kolitida diagnóza terapie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- konsensus - konference MeSH
- směrnice pro lékařskou praxi MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND AND AIM: Acute severe colitis (ASC) is one of the few emergencies in pediatric gastroenterology. Tight monitoring and timely medical and surgical interventions may improve outcomes and minimize morbidity and mortality. We aimed to standardize daily treatment of ASC in children through detailed recommendations and practice points which are based on a systematic review of the literature and consensus of experts. METHODS: These guidelines are a joint effort of the European Crohn's and Colitis Organization (ECCO) and the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Fifteen predefined questions were addressed by working subgroups. An iterative consensus process, including 2 face-to-face meetings, was followed by voting of the national representatives of ECCO and all members of the Paediatric Inflammatory Bowel Disease (IBD) Porto group of ESPGHAN (43 voting experts). RESULTS: A total of 24 recommendations and 43 practice points were endorsed with a consensus rate of at least 91% regarding diagnosis, monitoring, and management of ASC in children. A summary flowchart is presented based on daily scoring of the Paediatric Ulcerative Colitis Activity Index. Several topics have been altered since the previous 2011 guidelines and from those published in adults. DISCUSSION: These guidelines standardize the management of ASC in children in an attempt to optimize outcomes of this intensive clinical scenario.
1st Department of Pediatrics Semmelweis University Budapest Hungary
Barts and the London School of Medicine Queen Mary University of London London UK
BC Children's Hospital University of British Columbia Vancouver BC Canada
Child Life and Health University of Edinburgh Edinburgh UK
Department of Paediatrics University Hospital Motol Prague Czech Republic
Erasmus MC Sophia Children's Hospital Rotterdam The Netherlands
Helsinki University Children's Hospital Department of Pediatric Surgery Helsinki Finland
Hospital Sant Joan de Déu Barcelona Spain
Medical School and University Hospital of Ioannina Ioannina Greece
Pediatric Department University of Messina Messina Italy
Pediatric Gastroenterology and Liver Unit Sapienza University of Rome Rome
Pediatric Gastroenterology and Nutrition Unit Hospital Materno IBIMA Málaga Spain
Schneider Children's Hospital Petach Tikva Tel Aviv University Tel Aviv Israel
Shaare Zedek Medical Center The Hebrew University of Jerusalem Jerusalem Israel
Southampton Children's Hospital Southampton UK
The Hospital for Sick Children University of Toronto Toronto Canada
The Royal Hospital for Children Glasgow UK
Université Paris Descartes Sorbonne Paris Cité APHP Hôpital Necker Enfants Malades Paris France
Citace poskytuje Crossref.org
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