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Esophageal Dilation in Children: A State of the Art Review.
Shahein, Abdul R. MD, MSc *; Krasaelap, Amornluck MD +; Ng, Kenneth DO ++; Bitton, Samuel MD [S]; Khan, Muhammad MD ||; Manfredi, Michael A. MD [P]; Lerner, Diana G. MD #
doi : 10.1097/MPG.0000000000003614
AB Esophageal dilations in children are performed by several pediatric and adult professionals. We aim to summarize improvements in safety and new technology used for the treatment of complex and refractory strictures, including triamcinolone injection, endoscopic electro-incisional therapy, topical mitomycin-C application, stent placement, functional lumen imaging probe assisted dilation, and endoscopic vacuum-assisted closure in the pediatric population. (C) 2023 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,
Examining the Psychosocial Well-Being of Children and Adolescents With Coeliac Disease: A Systematic Review.
Ho, Wing Huen Jamie BSc *,+; Atkinson, Emily L. BSc *,++; David, Annabel L. DClinPsych *
doi : 10.1097/MPG.0000000000003652
AB This review aimed to synthesize the available literature regarding the psychosocial well-being of children and adolescents with coeliac disease (CD). Research on psychosocial well-being outcomes in children and adolescents with CD under the age of 18 were identified through a systematic search in the PsychInfo, Medline, Embase, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases in July 2021.
Hypnotherapy in Pediatric Gastroenterology.
Vlieger, Arine M. MD, PhD *; Assa, Amit MD, MHA +; Borrelli, Osvaldo MD, PhD ++; Broekaert, Ilse MD [S]; Deganello Saccomani, Marco MD, PhD ||; Dolinsek, Jernej MD, PhD [P]; Carpi de, Javier-Martin MD, PhD #; Mas, Emmanuel MD, PhD **; Miele, Erasmo MD, PhD ++; Thomson, Mike MD, PhD ++++; Tzivinikos, Christos MD, MSc [S][S]; Benninga, Marc A. MD, PhD ||||; Gastroenterology Committee of ESPGHAN
doi : 10.1097/MPG.0000000000003617
AB In several countries, gut-directed hypnotherapy is becoming an established and evidence-based treatment in pediatric gastroenterology. This article describes what hypnotherapy is, offers an overview of its effect in gut-brain disorders and explains its potential mode of action.
Efficacy of Oral Psyllium in Pediatric Irritable Bowel Syndrome: A Double-Blind Randomized Control Trial.
Menon, Jagadeesh DM *; Thapa, Babu Ram MD *; Kumari, Rajni PhD +; Puttaiah Kadyada, Srikanth DM *; Rana, Satyavati MD ++; Lal, Sadhna B. DM *
doi : 10.1097/MPG.0000000000003622
Pediatric irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder with variable response to various therapeutic agents. Psyllium has been proven to be effective in adults; however, there is no study in children.
Effect of Caffeine on Colonic Manometry in Children.
Mehta, Vijay DO *; Hopson, Puanani DO +; Irastorza, Laura MD ++; Rizvi, Syed Ahsan MD *; Fernandez, Jenelle MD *; Thomas, Jessina MD *; Nabar, Shruti MD *; Safder, Shaista MD *,[S],||
doi : 10.1097/MPG.0000000000003627
Coffee and caffeinated products have been widely consumed for many centuries. Previous adult studies have suggested that both coffee and decaffeinated beverages induce colonic motility. However, no study has been conducted in pediatrics, and the role of caffeine alone in pediatric colonic motility needs to be explored.
Physician Burnout in Pediatric Gastroenterology.
Chien, Kimberley A. MD *; Thomas, Charlene MS +; Cooley, Victoria MS +; Weinstein, Toba MD ++; Murray, Karen F. MD [S]; Muir, Linda MD ||; Hayes, Christopher MD [P]; Gold, Benjamin D. MD #; Gerber, Linda M. PhD +; Sauer, Cary G. MD **; Tomer, Gitit MD ++
doi : 10.1097/MPG.0000000000003635
Physicians are prone to burnout which can negatively affect the quality of patient care and lead to medical errors. Burnout can also affect physicians by impacting their personal relationships, their sense of career fulfillment, and job satisfaction.
Pediatric Patient and Caregiver Satisfaction With the Use of Transabdominal Bowel Ultrasound in the Assessment of Inflammatory Bowel Diseases.
Hudson, Alexandra S. MD, FRCPC *; Huynh, Hien Q. MBBS, FRCPC *; Novak, Kerri L. MD, FRCPC +; Ma, Henry BSc *; Kuc, Anna BSc *; Kim, Justin BSc *; Almeida, Patricia MD *; Carroll, Matthew W. BMed, MHsc, FRACP *; Wine, Eytan MD, PhD, FRCPC *; Isaac, Daniela M. MD, FRCPC *
doi : 10.1097/MPG.0000000000003618
Transabdominal bowel ultrasound (TABUS) is emerging as an attractive, noninvasive tool in inflammatory bowel disease (IBD). Patient and caregiver experience with TABUS is not well described.
Digital Therapeutic Self-Management Intervention in Adolescents With Inflammatory Bowel Disease.
Hommel, Kevin A. PhD *,+; Ramsey, Rachelle R. PhD *,+; Gray, Wendy N. PhD ++; Denson, Lee A. MD *,[S]
doi : 10.1097/MPG.0000000000003623
AB The objective of this study was to design, code, and test the feasibility, acceptability, and preliminary efficacy of a digital therapeutic self-management tool for pediatric inflammatory bowel disease (IBD).
Celiac Disease Frequency Is Increased in IgE-Mediated Food Allergy and Could Affect Allergy Severity and Resolution.
Lega, Sara MD *; Badina, Laura MD *; De Leo, Luigina PhD *; Andrade, Stefanny MD +; Ziberna, Fabiana PhD *; Gaita, Bartolomea BSc +; Di Leo, Grazia MD *; Bramuzzo, Matteo MD *; Barbi, Egidio MD *,+; Not, Tarcisio MD *,+; Berti, Irene MD *
doi : 10.1097/MPG.0000000000003629
An increased frequency of celiac disease (CeD) has been reported in severe Immunoglobulin E (IgE) -mediated food allergy (FA). This observation requires confirmation, and whether CeD affects FA severity and resolution is unknown.
Characteristics of Pediatric Patients With Celiac Disease Identified Due to an Affected First-Degree Family Member.
Gould, Michelle J. MD, MSc, FRCPC *; Dowhaniuk, Jenna MD, MSc, FRCPC +,++; Arredondo, Jorge MD, FRCPC [S]; Azzopardi, Paul MSc ||; Hu, Tina MD [P]; Mileski, Heather RD +; Carpenter, Andrea RD #; Pai, Nikhil MD, CNSC, FRCPC +,**; Brill, Herbert MD, MBA, FRCPC *,+,++,++
doi : 10.1097/MPG.0000000000003626
AB The incidence of celiac disease in first-degree relatives of affected individuals is higher than in the general population, yet the clinical characteristics of this unique subset of patients has not been well described.
Oral Immunotherapy and Risk of Eosinophilic Esophagitis in Children: 15 Years' Experience.
Morales-Cabeza, Cristina MD *,+; Infante, Sonsoles MD, PhD *,+; Cabrera-Freitag, Paula MD, PhD *,+; Fuentes-Aparicio, Victoria MD, PhD *,+; Zubeldia, Jose Manuel MD, PhD +,++,[S]; Alvarez-Perea, Alberto MD, PhD *,+
doi : 10.1097/MPG.0000000000003631
Oral immunotherapy (OIT) is an effective treatment for children with persistent food allergy, and has concerns about its safety, including eosinophilic esophagitis (EoE). The aim of this study was to evaluate the prevalence of EoE in a large cohort of children who underwent OIT in our center, and to determine if there were any clinical, endoscopic, or histologic differences depending on the food employed for the OIT.
Plasma Biomarkers and Fractional Exhaled Nitric Oxide in the Diagnosis of Eosinophilic Esophagitis.
Josyabhatla, Rohit MD *,+; Abrenica, Cristoniel MD *,+,++; Mai, Tu MD *,+; Hashmi, Syed Shahrukh MD, PhD [S]; Liu, Yuying Med, PhD *; Mosquera, Ricardo MD +,||; Van Arsdall, Melissa MD *,+; Navarro, Fernando MD *,+; Tchakarov, Amanda MD [P]; Tatevian, Nina MD [P]; Wu, Guoyao MS, PhD #; Rhoads, Jon Marc MD *,+
doi : 10.1097/MPG.0000000000003634
Eosinophilic esophagitis (EoE) is a chronic disease which requires endoscopy with biopsies for diagnosis and monitoring. We aimed to identify a panel of non-invasive markers that could help identify patients with active EoE.
What Makes A "Successful" Kasai Portoenterostomy "Unsuccessful"?.
Matcovici, Melania MD, FEBPS, FRCS (Paeds) *; Stoica, Ionica MD, FEBPS *; Smith, Kristy MRCS *; Davenport, Mark ChM, FRCS (Paeds) *
doi : 10.1097/MPG.0000000000003638
Clearance of jaundice (CoJ) is the first key objective of Kasai portoenterostomy (KPE) for biliary atresia (BA) and its achievement is by far the best index of long-term prognosis.
Pediatric Endoscopy Blocks: Enhanced Efficiency and Endoscopist Satisfaction.
Barakat, Monique T. MD, PhD *,+; Pei, Francesca PhD +; Gugig, Roberto MD +
doi : 10.1097/MPG.0000000000003624
Endoscopic procedures are increasingly performed for children and adolescents and these interventions represent a central element of both pediatric gastroenterology (GI) care and revenues.
Measurement of Stricture Dimensions Using a Visual Comparative Estimation Method With Biopsy Forceps During Endoscopy.
Yasuda, Jessica L. MD *; Staffa, Steven J. MS +; Taslitksy, Gabriela BS *; Ngo, Peter D. MD *; Manfredi, Michael A. MD *
doi : 10.1097/MPG.0000000000003625
Estimation of the dimensions of endoscopic findings such as stricture diameter is largely subjective. Accurate assessment of stricture dimensions has multiple benefits including facilitating the choice of appropriately sized endoscopic therapies for treating stricture, properly tracking response to endoscopic therapies between procedures, and potentially even predicting outcomes of endoscopic therapy.
The COVID-19 Pandemic and the Prevalence of Childhood Obesity in Turkiye.
Salman, Hakan MD; Issi Irlayici, Fatma MD; Akcam, Mustafa MD
doi : 10.1097/MPG.0000000000003641
To examine the prevalence of overweight and obesity in school-age children in Isparta Province, Turkiye, during the coronavirus disease 2019 (COVID-19) pandemic, and to compare the results with those of previous studies conducted in Isparta in 2005, 2009, and 2014.
Routine Elective Gastrojejunostomy Tube Changes Are Associated With Reduced Tube Complications and Radiation Exposure.
Hoang, Thomas T. BSc *; Maroo, Sanjay MD +; Lee, Esther J. MD ++,[S],||; Dewan, Tammie MD [P]; Heran, Manraj MD +; Avinashi, Vishal MD *
doi : 10.1097/MPG.0000000000003615
AB Gastrojejunostomy tubes (GJTs) can be a long-term solution for patients with intragastric feeding intolerance. Our retrospective study of 101 patients correlates the frequency of routine and urgent GJT changes, as well as complications and radiation exposure.
Health Care Transition for Adolescents and Young Adults With Pediatric-Onset Liver Disease and Transplantation: A Position Paper by the North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition.
Vittorio, Jennifer MD *; Kosmach-Park, Beverly DNP +; King, Lindsay Y. MD, MPH ++; Fischer, Ryan MD [S]; Fredericks, Emily M. PhD ||; Ng, Vicky L. MD [P]; Narang, Amrita MD #; Rasmussen, Sara MD **; Bucuvalas, John MD ++
doi : 10.1097/MPG.0000000000003560
AB Advances in medical therapies and liver transplantation have resulted in a greater number of pediatric patients reaching young adulthood. However, there is an increased risk for medical complications and morbidity surrounding transfer from pediatric to adult hepatology and transplant services.
Synbiotics in the Management of Pediatric Gastrointestinal Disorders: Position Paper of the ESPGHAN Special Interest Group on Gut Microbiota and Modifications.
Hojsak, Iva *; Kolacek, Sanja *; Mihatsch, Walter +; Mosca, Alexis ++; Shamir, Raanan [S]; Szajewska, Hania [//]; Vandenplas, Yvan [P]; on behalf of the Working Group on Probiotics and Prebiotics of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition; van den Akker, Chris H. P.; Berni Canani, Roberto; Dinleyici, Ener Cagri; Domellof, Magnus; van Goudoever, Johannes B.; Guarino, Alfredo; Gutierrez-Castrellon, Pedro; Indrio, Flavia; Orel, Rok; Salvatore, Silvia; Weizman, Zvi
doi : 10.1097/MPG.0000000000003568
Synbiotics are a mixture comprising of live microorganisms and substrate(s) selectively utilized by host microorganisms that confers a health benefit on the host. There is an increasing number of studies investigating their role in different diseases and disorders.
The Use of Blended Diets in Children With Enteral Feeding Tubes: A Joint Position Paper of the ESPGHAN Committees of Allied Health Professionals and Nutrition.
Koglmeier, Jutta *; Assecaira, Ines +; Banci, Elena ++; De Koning, Barbara [S]; Haiden, Nadja [//]; Indrio, Flavia [P]; Kastelijn, Wendy #,**; Kennedy, Denise ++; Luque, Veronica ++++; Norsa, Lorenzo [S][S]; Verduci, Elvira [//][//]; Sugar, Analou [P][P]
doi : 10.1097/MPG.0000000000003601
This joint position paper of the Committees of Allied Health Professionals (CAHP) and Nutrition (CON) of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) provides a comprehensive guide for health professionals to manage blended diets in children via gastrostomy tubes.
Upper Digestive Tract Bleeding as Presentation of Diffuse Large B-Cell Lymphoma.
Reis, Gabriela *,+; Nunes, Joana *; Gaspar, Nelia *,++; Teixeira, Susana *,[S]; Espinheira, Maria do Ceu ||; Trindade, Eunice ||
Pancreatic Fluid Leak Causing Mediastinal Shift.
Herdes, Rachel E. DO *; Syed, Ali B. MD +; Gugig, Roberto MD *
