Imaging in pediatric disorders of the gut-brain interactions: current best practice and future directions.

IF 3.8 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Expert Review of Gastroenterology & Hepatology Pub Date : 2023-12-01 Epub Date: 2024-01-17 DOI:10.1080/17474124.2023.2288164

Shaman Rajindrajith, Wathsala Hathagoda, Eranga Ganewatte, Niranga Manjuri Devanarayana, Nikhil Thapar, Marc Benninga

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引用次数: 0

Abstract

Introduction: Disorders of Gut-Brain Interactions (DGBI) are a common clinical problem in children and pose significant challenges to the attending pediatrician. Radiological investigations are commonly ordered to evaluate these children.

Area covered: This review focuses on the current best practice of using radiological investigations in DGBIs and how novel radiological investigations could revolutionize the assessment and therapeutic approach of DGBI in children.

Expert opinion: We believe imaging in DGBI is still in its early stages, but it has the potential to revolutionize how we diagnose and treat children with DGBI. As the understanding of the gut-brain axis continues to grow, we can expect to see the disappearance of conventional imaging techniques and the emergence of more sophisticated imaging techniques with less radiation exposure in the future which provide more clinically meaningful information regarding the gut-brain axis and its influence on intestinal function. Some of the novel imaging modalities will be able to broaden our horizon of understanding DGBI in children providing more useful therapeutic options to minimize their suffering.

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儿童脑肠相互作用疾病的影像学:当前最佳实践和未来方向。

肠脑相互作用障碍(DGBI)是儿童常见的临床问题，对儿科医生提出了重大挑战。通常要求进行放射检查来评估这些儿童。涵盖领域:本综述着重于目前在DGBI中使用放射学检查的最佳实践，以及新的放射学检查如何彻底改变儿童DGBI的评估和治疗方法。专家意见:我们认为DGBI的成像仍处于早期阶段，但它有可能彻底改变我们对DGBI儿童的诊断和治疗方式。随着对肠-脑轴的理解不断加深，我们可以期待看到传统成像技术的消失，未来出现更复杂、辐射暴露更少的成像技术，这些技术将为肠-脑轴及其对肠道功能的影响提供更多有临床意义的信息。一些新的成像方式将能够拓宽我们对儿童DGBI的理解，提供更多有用的治疗选择，以尽量减少他们的痛苦。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Gastroenterology & Hepatology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.80

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The enormous health and economic burden of gastrointestinal disease worldwide warrants a sharp focus on the etiology, epidemiology, prevention, diagnosis, treatment and development of new therapies. By the end of the last century we had seen enormous advances, both in technologies to visualize disease and in curative therapies in areas such as gastric ulcer, with the advent first of the H2-antagonists and then the proton pump inhibitors - clear examples of how advances in medicine can massively benefit the patient. Nevertheless, specialists face ongoing challenges from a wide array of diseases of diverse etiology.