Diagnosis and management of anemia in pediatric inflammatory bowel diseases: Clinical practice guidelines on behalf of the SIGENP IBD Working group.

Autor: Martinelli M; Department of Translational Medical Science, Section of Pediatrics, University of Naples 'Federico II'., Fioretti MT; Department of Translational Medical Science, Section of Pediatrics, University of Naples 'Federico II'., Aloi M; Women's and Children's Health Department, Pediatric Gastroenterology and Hepatology Unit, Sapienza University of Rome, Rome, Italy., Alvisi P; Pediatric Gastroenterology Unit, Maggiore Hospital, Bologna, Italy., Arrigo S; Pediatric Gastroenterology and Endoscopy Unit, IRCCS Giannina Gaslini, Genova, Italy., Banzato C; Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy., Bramuzzo M; Institute for Maternal and Child Health, IRCCS 'Burlo Garofolo', Trieste, Italy., Campanozzi A; Department of Medical and Surgical Sciences, Section of Pediatrics, University of Foggia, Italy., Civitelli F; Department of Gender diseases, Child and Adolescent health, Pediatric unit, Sant' Eugenio Hospital, Rome, Italy., Knafelz D; Hepatology and Gastroenterology Unit, Bambino Gesù Hospital, Rome, Italy., Lionetti P; University of Florence-Gastroenterology and Nutrition Unit, Meyer Children's Hospital, IRCCS, Florence., Marseglia A; Fondazione IRCCS Casa Sollievo della Sofferenza, Division of Pediatrics, San Giovanni Rotondo, Italy., Musto F; Women's and Children's Health Department, Pediatric Gastroenterology and Hepatology Unit, Sapienza University of Rome, Rome, Italy., Norsa L; Pediatric Department Vittore Buzzi Children's Hospital, University of Milan, Italy., Palumbo G; Department of Haematology, Bambino Gesù Hospital, 00165 Rome, Italy., Renzo S; University of Florence-Gastroenterology and Nutrition Unit, Meyer Children's Hospital, IRCCS, Florence., Romano C; Pediatric Gastroenterology and Cystic Fibrosis Unit, University of Messina, Messina, Italy., Sansotta N; Paediatric Hepatology Gastroenterology and Transplantation, Papa Giovanni XXIII Hospital, Bergamo, Italy., Strisciuglio C; Department of Woman, Child and General and Specialistic Surgery, University of Campania 'Luigi Vanvitelli', Naples, Italy., Miele E; Department of Translational Medical Science, Section of Pediatrics, University of Naples 'Federico II'. Electronic address: erasmo.miele@unina.it.
Jazyk: angličtina
Zdroj: Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver [Dig Liver Dis] 2024 Aug; Vol. 56 (8), pp. 1257-1269. Date of Electronic Publication: 2024 Mar 19.
DOI: 10.1016/j.dld.2024.02.016
Abstrakt: Anemia is one of the most frequent extra-intestinal manifestations of inflammatory bowel disease. Insidious onset, variability of symptoms and lack of standardized screening practices may increase the risk of underestimating its burden in children with IBD. Despite its relevance and peculiarity in everyday clinical practice, this topic is only dealt with in a few documents specifically for the pediatric field. The aim of the current guidelines is therefore to provide pediatric gastroenterologists with a practical update to support the clinical and therapeutic management of children with IBD and anemia. A panel of 19 pediatric gastroenterologists and 1 pediatric hematologist with experience in the field of pediatric IBD was agreed by IBD Working group of the Italian Society of Gastroenterology, Hepatology and Nutrition (SIGENP) to produce the present article outlining practical clinical approaches to the pediatric patient with IBD and anemia. The levels of evidence and recommendations have been defined for each part of the statement according to the GRADE system.
Competing Interests: Declaration of competing interest The authors have no conflict of interests to declare with regards to this manuscript.
(Copyright © 2024 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE