Diagnosis and treatment of eosinophilic gastrointestinal disorders beyond eosinophilic esophagitis in pediatric: interpretation of joint European and North American guidelines
10.3760/cma.j.cn311367-20240714-00278
- VernacularTitle:儿童非食管嗜酸细胞性胃肠疾病的诊治管理：欧美共识指南的解读
- Author:
Weimei HE
1
;
Jiani SHAN
1
;
Chenmei ZHANG
1
Author Information
1. 浙江大学医学院附属儿童医院儿科重症监护中心 国家儿童健康与疾病临床医学研究中心，杭州 310052
- Publication Type:Journal Article
- Keywords:
Child;
Non-eosinophilic esophagitis;
Eosinophilic gastrointestinal disorders;
Guidelines;
Expert consensus;
Statement
- From:
Chinese Journal of Digestion
2024;44(9):577-585
- CountryChina
- Language:Chinese
-
Abstract:
To interpret the clinical practice guidelines for pediatric and eosinophilic gastrointestinal disorders beyond eosinophilic esophagitis (non-EoE EGID), jointly developed by the European Society for Paediatric Gastroenterology, Hepatology and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. The guidelines provide new standards for the diagnosis and treatment of non-EoE EGID. They include detailed explanations on disease classification, diagnostic and therapeutic challenges, guideline development methodology, epidemiology, etiological mechanisms, symptoms, endoscopic and imaging examinations, other tests, differential diagnosis, and treatment strategies. The paper explores the importance of comprehensive assessment in children with non-EoE EGID. Improvement suggestions are proposed, such as developing symptom assessment tools, conducting quality of life impact studies, standardizing eosinophil density reporting, refining diagnostic criteria, and formulating specific treatment guidelines. These measures aim to enhance the diagnostic and therapeutic accuracy for non-EoE EGID and improve the clinical management of affected children.
