Endoscopic assessment and scoring in pediatric inflammatory bowel disease: A consensus from SIGENP

IF 3.8 3区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Digestive and Liver Disease Pub Date : 2025-06-09 DOI:10.1016/j.dld.2025.05.020

Matteo Bramuzzo , Sara Renzo , Flavio Labriola , Serena Arrigo , Sara Lega , Erasmo Miele , Lorenzo Norsa , Salvatore Oliva , Claudio Romano , Paola De Angelis

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引用次数: 0

Abstract

Mucosal healing is the main treatment goal in the management of pediatric inflammatory bowel diseases (IBD), and accurate endoscopic assessment is essential for evaluating disease severity, monitoring progression, and assessing therapeutic responses. However, the wide variability of mucosal lesions, combined with the lack of standardized guidelines and limited training opportunities, complicates the scoring process and contributes to discrepancies in scoring accuracy.

To address these issues, a panel of Italian pediatric endoscopists with expertise in IBD, convened by the Italian Society of Pediatric Gastroenterology, Hepatology, and Nutrition (SIGENP), developed practical recommendations for assessing endoscopic lesions and applying endoscopic scoring systems in pediatric IBD. These guidelines, based on a review of current literature and expert consensus, aim to improve the consistency, reliability, and accuracy of endoscopic evaluations in children with IBD. By providing clear recommendations, the guidelines seek to enhance the reliability of scoring systems, ultimately supporting more effective disease management and treatment outcomes for pediatric patients.

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儿童炎症性肠病的内镜评估和评分：SIGENP的共识。

黏膜愈合是儿童炎症性肠病（IBD）治疗的主要治疗目标，准确的内镜评估对于评估疾病严重程度、监测进展和评估治疗反应至关重要。然而，粘膜病变的广泛可变性，加上缺乏标准化的指南和有限的培训机会，使评分过程复杂化，并导致评分准确性的差异。为了解决这些问题，意大利儿科胃肠病学、肝病学和营养学学会（SIGENP）召集了一个具有IBD专业知识的意大利儿科内窥镜专家小组，制定了评估内窥镜病变和在儿科IBD中应用内窥镜评分系统的实用建议。这些指南基于对当前文献和专家共识的回顾，旨在提高内镜下IBD儿童评估的一致性、可靠性和准确性。通过提供明确的建议，该指南旨在提高评分系统的可靠性，最终支持儿科患者更有效的疾病管理和治疗结果。

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

Digestive and Liver Disease 医学-胃肠肝病学

CiteScore

6.10

自引率

2.20%

发文量

632

审稿时长

19 days

期刊介绍： Digestive and Liver Disease is an international journal of Gastroenterology and Hepatology. It is the official journal of Italian Association for the Study of the Liver (AISF); Italian Association for the Study of the Pancreas (AISP); Italian Association for Digestive Endoscopy (SIED); Italian Association for Hospital Gastroenterologists and Digestive Endoscopists (AIGO); Italian Society of Gastroenterology (SIGE); Italian Society of Pediatric Gastroenterology and Hepatology (SIGENP) and Italian Group for the Study of Inflammatory Bowel Disease (IG-IBD). Digestive and Liver Disease publishes papers on basic and clinical research in the field of gastroenterology and hepatology. Contributions consist of: Original Papers Correspondence to the Editor Editorials, Reviews and Special Articles Progress Reports Image of the Month Congress Proceedings Symposia and Mini-symposia.