European Guideline on IgG4-related digestive disease - UEG and SGF evidence-based recommendations
Autor: | Lohr, J. -M., Beuers, U., Vujasinovic, M., Alvaro, D., Frokjaer, J. B., Buttgereit, F., Capurso, G., Culver, E. L., De-Madaria, E., Della-Torre, E., Detlefsen, S., Dominguez-Mu~noz, E., Czubkowski, P., Ewald, N., Frulloni, L., Gubergrits, N., Duman, D. G., Hackert, T., Iglesias-Garcia, J., Kartalis, N., Laghi, A., Lammert, F., Lindgren, F., Okhlobystin, A., Oracz, G., Parniczky, A., Mucelli, R. M. P., Rebours, V., Rosendahl, J., Schleinitz, N., Schneider, A., van Bommel, E. F. H., Verbeke, C. S., Vullierme, M. P., Witt, H., Besselink, M. G., Bruno, M. J., Czako, L., Chiaro, M., Filippova, O., Fukuda, A., Gaujoux, S., Hart, P. A., Hegyi, P., Jonas, E., Kahraman, A., Kleger, A., Kuryata, O., Laukkarinen, J., Lerch, M. M., Marchegiani, G., Marschall, H. -U., Matos, C., Molad, Y., Oguz, D., Pukitis, A., Satoi, S., Stone, J. H., Verheij, J., Vries, N. |
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Přispěvatelé: | Lohr, J-Matthias, Beuers, Ulrich, Vujasinovic, Miroslav, Alvaro, Domenico, Frokjaer, Jens Brondum, Buttgereit, Frank, Capurso, Gabriele, Culver, Emma L., De-Madaria, Enrique, Della-Torre, Emanuel, Detlefsen, Sonke, Dominguez-Munoz, Enrique, Czubkowski, Piotr, Ewald, Nils, Frulloni, Luca, Gubergrits, Natalya, Duman, Deniz Guney, Hackert, Thilo, Iglesias-Garcia, Julio, Kartalis, Nikolaos, Laghi, Andrea, Lammert, Frank, Lindgren, Fredrik, Okhlobystin, Alexey, Oracz, Grzegorz, Parniczky, Andrea, Mucelli, Raffaella Maria Pozzi, Rebours, Vinciane, Rosendahl, Jonas, Schleinitz, Nicolas, Schneider, Alexander, van Bommel, Eric F. H., Verbeke, Caroline Sophie, Vullierme, Marie Pierre, Witt, Heiko, Besselink, Marc G., Bruno, Marco J., Czako, Laszlo, del Chiaro, Marco, Filippova, Oleksandra, Fukuda, Akihisa, Gaujoux, Sebastien, Hart, Phil A., Hegyi, Peter, Jonas, Eduard, Kahraman, Alisan, Kleger, Alexander, Kuryata, Olexander, Laukkarinen, Johanna, Lerch, Markus M., Marchegiani, Giovanni, Marschal, Hanns-Ulrich, Matos, Celso, Molad, Yair, Oguz, Dilek, Pukitis, Aldis, Satoi, Sohei, Stone, John H., Verheij, Joanne, de Vries, Niek, KKÜ, Gastroenterology and Hepatology, Tytgat Institute for Liver and Intestinal Research, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, Löhr, Jm, Beuers, U, Vujasinovic, M, Alvaro, D, Frøkjær, Jb, Buttgereit, F, Capurso, G, Culver, El, de-Madaria, E, DELLA TORRE, E, Detlefsen, S, Dominguez-Muñoz, E, Czubkowski, P, Ewald, N, Frulloni, L, Gubergrits, N, Duman, Dg, Hackert, T, Iglesias-Garcia, J, Kartalis, N, Laghi, A, Lammert, F, Lindgren, F, Okhlobystin, A, Oracz, G, Parniczky, A, Mucelli, Rmp, Rebours, V, Rosendahl, J, Schleinitz, N, Schneider, A, van Bommel, Ef, Verbeke, C, Vullierme, Mp, Witt, H, UEG guideline working, Group. |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Abdominal pain
IMMUNOGLOBULIN G4-RELATED DISEASE SERUM IGG4 LEVELS Medizin Disease RC799-869 Severity of Illness Index immune-related cholangitis Serology 0302 clinical medicine LONG-TERM OUTCOMES Prednisone Drug Dosage Calculations Child other organ involvement STEROID-THERAPY INTERNATIONAL-CONSENSUS Evidence-Based Medicine glucocorticoids Gastroenterology Induction Chemotherapy IgG4-related Diseases of the digestive system. Gastroenterology PRIMARY SCLEROSING CHOLANGITIS TYPE-1 AUTOIMMUNE PANCREATITIS CONSENSUS DIAGNOSTIC-CRITERIA Europe Treatment Outcome Oncology 030220 oncology & carcinogenesis diabetes mellitus 030211 gastroenterology & hepatology medicine.symptom digestive autoimmune pancreatitis type 1 Glucocorticoid Immunosuppressive Agents medicine.drug Adult medicine.medical_specialty Digestive System Diseases biomarkers cancer disease Maintenance Chemotherapy 03 medical and health sciences Internal medicine Diabetes mellitus medicine Humans FINE-NEEDLE-ASPIRATION Dose-Response Relationship Drug business.industry EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY Body Weight Editorials Cancer Guideline medicine.disease business |
Zdroj: | United European Gastroenterol J United European gastroenterology journal, 8(6), 637-666. SAGE Publications Inc. Löhr, J-M, Beuers, U, Vujasinovic, M, Alvaro, D, Frøkjær, J B, Buttgereit, F, Capurso, G, Culver, E L, de-Madaria, E, Della-Torre, E, Detlefsen, S, Dominguez-Muñoz, E, Czubkowski, P, Ewald, N, Frulloni, L, Gubergrits, N, Duman, D G, Hackert, T, Iglesias-Garcia, J, Kartalis, N, Laghi, A, Lammert, F, Lindgren, F, Okhlobystin, A, Oracz, G, Parniczky, A, Mucelli, R M P, Rebours, V, Rosendahl, J, Schleinitz, N, Schneider, A, van Bommel, E F, Verbeke, C S, Vullierme, M P, Witt, H & UEG guideline working group 2020, ' European Guideline on IgG4-related digestive disease-UEG and SGF evidence-based recommendations ', United European Gastroenterology Journal, vol. 8, no. 6, pp. 637-666 . https://doi.org/10.1177/2050640620934911 Российский журнал гастроэнтерологии, гепатологии, колопроктологии, Vol 31, Iss 1, Pp 80-114 (2021) Löhr, J M, Beuers, U, Vujasinovic, M, Alvaro, D, Frøkjær, J B, Buttgereit, F, Capurso, G, Culver, E L, de-Madaria, E, Della-Torre, E, Detlefsen, S, Dominguez-Muñoz, E, Czubkowski, P, Ewald, N, Frulloni, L, Gubergrits, N, Duman, D G, Hackert, T, Iglesias-Garcia, J, Kartalis, N, Laghi, A, Lammert, F, Lindgren, F, Okhlobystin, A, Oracz, G, Parniczky, A, Mucelli, R M P, Rebours, V, Rosendahl, J, Schleinitz, N, Schneider, A, van Bommel, E F H, Verbeke, C S, Vullierme, M P, Witt, H & the UEG guideline working group 2020, ' European Guideline on IgG4-related digestive disease – UEG and SGF evidence-based recommendations ', United European Gastroenterology Journal, vol. 8, no. 6, pp. 637-666 . https://doi.org/10.1177/2050640620934911 |
ISSN: | 2050-6406 |
Popis: | Frulloni, Luca/0000-0001-7417-2655; Hart, Phil/0000-0003-4346-6196; Capurso, Gabriele/0000-0002-0019-8753; de-Madaria, Enrique/0000-0002-2412-9541; Lohr, Matthias/0000-0002-7647-198X; Frokjaer, Jens Brondum/0000-0001-8722-0070 WOS:000542363500001 PubMed: 32552502 The overall objective of these guidelines is to provide evidence-based recommendations for the diagnosis and management of immunoglobulin G4 (IgG4)-related digestive disease in adults and children. IgG4-related digestive disease can be diagnosed only with a comprehensive work-up that includes histology, organ morphology at imaging, serology, search for other organ involvement, and response to glucocorticoid treatment. Indications for treatment are symptomatic patients with obstructive jaundice, abdominal pain, posterior pancreatic pain, and involvement of extra-pancreatic digestive organs, including IgG4-related cholangitis. Treatment with glucocorticoids should be weight-based and initiated at a dose of 0.6-0.8 mg/kg body weight/day orally (typical starting dose 30-40 mg/day prednisone equivalent) for 1 month to induce remission and then be tapered within two additional months. Response to initial treatment should be assessed at week 2-4 with clinical, biochemical and morphological markers. Maintenance treatment with glucocorticoids should be considered in multi-organ disease or history of relapse. If there is no change in disease activity and burden within 3 months, the diagnosis should be reconsidered. If the disease relapsed during the 3 months of treatment, immunosuppressive drugs should be added. National Societies Committee of the United European Gastroenterology (UEG) We gratefully acknowledge the support from the National Societies Committee of the United European Gastroenterology (UEG) for the conduct of these guidelines independent from other sources. No other funding was received. |
Databáze: | OpenAIRE |
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