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ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents with Celiac Disease

Mearin, Maria Luisa ; Agardh, Daniel LU ; Antunes, Henedina ; Al-Toma, Abdul ; Auricchio, Renata ; Castillejo, Gemma ; Catassi, Carlo ; Ciacci, Carolina ; Discepolo, Valentina and Dolinsek, Jernej , et al. (2022) In Journal of Pediatric Gastroenterology and Nutrition 75(3). p.369-386
Abstract

There is a need for consensus on the recommendations for follow-up of children and adolescents with celiac disease. 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%.... (More)

There is a need for consensus on the recommendations for follow-up of children and adolescents with celiac disease. 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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publishing date
type
Contribution to journal
publication status
published
subject
keywords
celiac disease, children and adolescents, follow-up, position paper European Society of Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN)
in
Journal of Pediatric Gastroenterology and Nutrition
volume
75
issue
3
pages
18 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85136851907
  • pmid:35758521
ISSN
0277-2116
DOI
10.1097/MPG.0000000000003540
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2022 Lippincott Williams and Wilkins. All rights reserved.
id
5e4dfd0e-6ce9-401d-87f0-3e7e3a0a1c06
date added to LUP
2022-11-22 13:52:15
date last changed
2024-04-15 20:35:26
@article{5e4dfd0e-6ce9-401d-87f0-3e7e3a0a1c06,
  abstract     = {{<p>There is a need for consensus on the recommendations for follow-up of children and adolescents with celiac disease. 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.</p>}},
  author       = {{Mearin, Maria Luisa and Agardh, Daniel and Antunes, Henedina and Al-Toma, Abdul and Auricchio, Renata and Castillejo, Gemma and Catassi, Carlo and Ciacci, Carolina and Discepolo, Valentina and Dolinsek, Jernej and Donat, Ester and Gillett, Peter and Guandalini, Steffano and Husby, Md, Dmsc, Steffen and Koletzko, Md, Sibylle and Koltai, Tunde and Korponay-Szabó, Ilma Rita and Kurppa, Kalle and Lionetti, Elena and Mårild, Karl and Martinez Ojinaga, Eva and Meijer, Caroline and Monachesi, Chiara and Polanco, Isabel and Popp, Alina and Roca, Maria and Rodriguez-Herrera, Alfonso and Shamir, Raanan and Stordal, Ketil and Troncone, Riccardo and Valitutti, Francesco and Vreugdenhil, Anita and Wessels, Margreet and Whiting, Penny}},
  issn         = {{0277-2116}},
  keywords     = {{celiac disease; children and adolescents; follow-up; position paper European Society of Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN)}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{3}},
  pages        = {{369--386}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Journal of Pediatric Gastroenterology and Nutrition}},
  title        = {{ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents with Celiac Disease}},
  url          = {{http://dx.doi.org/10.1097/MPG.0000000000003540}},
  doi          = {{10.1097/MPG.0000000000003540}},
  volume       = {{75}},
  year         = {{2022}},
}