JPGN reports最新文献_第2页

Discrepancy between Mexican paediatricians and ESPGHAN experts regarding cow's milk allergy.

JPGN reports Pub Date : 2024-11-20 eCollection Date: 2025-02-01 DOI: 10.1002/jpr3.12147

Fabian Hendricx, Emma Robert, Thomas Gestels, Hanne Delcourt, Benjamin Suarez Negroe, Rodrigo Vázquez-Frias, Erick Manuel Toro Monjaraz, Josefina Monserrat Cazares Méndez, Carmen Ribes-Koninckx, K Huysentruyt, Yvan Vandenplas

{"title":"Discrepancy between Mexican paediatricians and ESPGHAN experts regarding cow's milk allergy.","authors":"Fabian Hendricx, Emma Robert, Thomas Gestels, Hanne Delcourt, Benjamin Suarez Negroe, Rodrigo Vázquez-Frias, Erick Manuel Toro Monjaraz, Josefina Monserrat Cazares Méndez, Carmen Ribes-Koninckx, K Huysentruyt, Yvan Vandenplas","doi":"10.1002/jpr3.12147","DOIUrl":"10.1002/jpr3.12147","url":null,"abstract":"Objectives: Cow's milk allergy (CMA) is a common food allergy in infants. Guidelines and recommendations for the diagnosis and management of CMA are based on scientific review of the available evidence. However, real-world situations may oblige clinicians to adapt a different attitude.Methods: This paper evaluated the opinion of 42 Mexican paediatricians on the 73 statements presented in the recent position paper of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Voting on the statements and their interpretation were identical for both groups (online and anonymous). Both groups were unaware of the other's outcome at the moment of the voting.Results: While the ESPGHAN group accepted all 73 statements, the Mexican group rejected 19 statements. Two rejections were due to the mean and median being below the predefined and agreed-upon cut-off, and 17 were due to over 75% of participants disagreeing with the statements. The greatest discrepancy was observed regarding the role of vitamin D in preventing CMA.Conclusion: While opinions on the prevalence, diagnosis and management of CMA were comparable between European paediatric gastroenterologists and Mexican general paediatricians for the majority of statements, significant differences were observed. It is essential to gather information from various regions and healthcare levels to enhance the impact of recommendations.","PeriodicalId":501015,"journal":{"name":"JPGN reports","volume":"6 1","pages":"27-38"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Colonic phytobezoar in a child.

JPGN reports Pub Date : 2024-11-11 eCollection Date: 2025-02-01 DOI: 10.1002/jpr3.12146

Alexandra Oxford, Carine Stearman, John F Pohl

引用次数: 0

Gastrostomy tube placement for children with autism spectrum disorders and functional constipation.

JPGN reports Pub Date : 2024-11-07 eCollection Date: 2025-02-01 DOI: 10.1002/jpr3.12138

Shruthi Srinivas, Ihab Halaweish, Kristine L Griffin, Cameron Rodriguez, Liese C C Pruitt, Kevin G Stephenson, Lina Yossef, Richard J Wood, Kent C Williams

{"title":"Gastrostomy tube placement for children with autism spectrum disorders and functional constipation.","authors":"Shruthi Srinivas, Ihab Halaweish, Kristine L Griffin, Cameron Rodriguez, Liese C C Pruitt, Kevin G Stephenson, Lina Yossef, Richard J Wood, Kent C Williams","doi":"10.1002/jpr3.12138","DOIUrl":"10.1002/jpr3.12138","url":null,"abstract":"Objectives: Children with functional constipation (FC) and autism spectrum disorder (ASD) often face sensory and behavioral conditions that prevent giving oral medical therapy to improve constipation and incontinence. We aimed to assess whether children with ASD and FC who had difficulty in taking oral medications could benefit from gastrostomy tube (GT) placement.Methods: A single-institution retrospective review was performed in children diagnosed with ASD and FC from 2020 to 2023. Children were considered candidates for GT if they suffered from constipation that adversely affected daily function and refused adequate oral medical therapy. Data were collected on ASD severity and FC symptoms before GT and after GT placement.Results: There were nine patients who underwent GT placement. Median age was 7.4 years (interquartile range [IQR]: 4.8-9.7). Of the five with available ASD evaluations, four had extremely low intelligence quotient and extremely low adaptive skills; only one child of the nine was verbal. Before GT placement, most patients had Bristol 1 or 2 consistency stool (66.7%); following placement, most had Bristol 5 or 6 consistency stool (66.7%). Seven children strained with bowel movements before GT; only one child strained after GT. There were no tube dislodgements or site infections. Gastrointestinal quality of life scores improved for both constipation (+38.5, IQR: 27.5-54.3) and medication administration (+31.5, IQR: 0.0-75.0).Conclusions: GT placement may be a viable option in children with FC and ASD with minimal complications, improvement in constipation, and improvement in quality of life. Further prospective study will ensure generalizability of these results.","PeriodicalId":501015,"journal":{"name":"JPGN reports","volume":"6 1","pages":"5-10"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Where are the magnets?-A case of misleading radiology. 磁铁在哪里？

JPGN reports Pub Date : 2024-10-29 eCollection Date: 2025-02-01 DOI: 10.1002/jpr3.12144

Apoorva Nanagiri, Samantha Pravder, Dylan Stewart, Howard Bostwick

引用次数: 0

Malnutrition-related cardiomyopathy in a pediatric patient with autism spectrum disorder.

JPGN reports Pub Date : 2024-10-25 eCollection Date: 2025-02-01 DOI: 10.1002/jpr3.12142

Alexandria Speakman, Ajay Kaul, Clifford Chin, Stavra Xanthakos, Marialena Mouzaki

引用次数: 0

Meckel's diverticulum: A challenging diagnosis. 梅克尔憩室：一个具有挑战性的诊断。

JPGN reports Pub Date : 2024-10-20 eCollection Date: 2024-11-01 DOI: 10.1002/jpr3.12140

Kathryn Kaihlanen, Claudia Phen, Anita Sengupta, Diana Diesen, Neil J Fernandes, Isabel Rojas

{"title":"Meckel's diverticulum: A challenging diagnosis.","authors":"Kathryn Kaihlanen, Claudia Phen, Anita Sengupta, Diana Diesen, Neil J Fernandes, Isabel Rojas","doi":"10.1002/jpr3.12140","DOIUrl":"10.1002/jpr3.12140","url":null,"abstract":"Objectives: This single-center, cross-sectional study aims to elucidate the clinical presentation, diagnostic evaluation, and outcomes in a subset of pediatric patients with atypical and/or challenging presentations of Meckel's diverticulum.Methods: We conducted a single-center cross-sectional study on children diagnosed with Meckel's diverticulum at Children's Health in Dallas, Texas between 2010 and 2022. We identified 11 patients aged 0-17-years-old with confirmed Meckel's diverticulum who presented with atypical symptoms and/or a challenging diagnostic course. Patient demographics, symptoms at presentation, diagnostic workup, time to diagnosis, management, and outcomes were collected. Descriptive statistics were utilized.Results: Eleven patients (n = 8, 73% male) were included in the study with an average age of 10.5 years (range: 1-17 years). The mean time interval from initial presentation of symptoms to diagnosis was 8 months (range: 0-33 months). Barriers to diagnosis of Meckel's diverticulum identified in our study included atypical presentations, negative or nonconfirmatory Meckel scan results, negative surgical findings, and competing differential diagnoses.Conclusion: Meckel's diverticulum is a challenging diagnosis and should be considered even if initial evaluation is negative as certain patients exhibit atypical presentations that necessitate surgical intervention for diagnosis.","PeriodicalId":501015,"journal":{"name":"JPGN reports","volume":"5 4","pages":"423-432"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of gastric ultrasound in pediatric Menetrier's disease: Report of two cases. 胃超声在小儿美涅耳病中的作用：附2例报告。

JPGN reports Pub Date : 2024-10-20 eCollection Date: 2024-11-01 DOI: 10.1002/jpr3.12143

Francesco Pellegrino, Anna Opramolla, Antonio Pizzol, Caterina Rigazio, Laura Giugliano, Michele Pinon, Pier Luigi Calvo

引用次数: 0

Identifying parentally perceived barriers for children with celiac disease to participate in elementary school meal programs. 确定父母认为患有乳糜泻的儿童参加小学膳食计划的障碍。

JPGN reports Pub Date : 2024-10-20 eCollection Date: 2024-11-01 DOI: 10.1002/jpr3.12141

Nan Du, Elsa R Treffeisen, Vanessa Weisbrod, Frances Kelley, Jocelyn Silvester

引用次数: 0

A novel variant BCL11B mutation in a pediatric patient with difficult-to-treat eosinophilic esophagitis. 难治性嗜酸性食管炎患儿的新变异BCL11B突变

JPGN reports Pub Date : 2024-10-20 eCollection Date: 2024-11-01 DOI: 10.1002/jpr3.12139

Nikita Lalchandani Day, Lauren P Carlson, Matthew A Buendia, Girish Hiremath

{"title":"A novel variant BCL11B mutation in a pediatric patient with difficult-to-treat eosinophilic esophagitis.","authors":"Nikita Lalchandani Day, Lauren P Carlson, Matthew A Buendia, Girish Hiremath","doi":"10.1002/jpr3.12139","DOIUrl":"10.1002/jpr3.12139","url":null,"abstract":"Eosinophilic esophagitis (EoE) is an immunoinflammatory disease of the esophagus attributable to a complex interaction between genetic and environmental factors. While several genetic risk variants have been linked with EoE, we report a novel association between B-cell lymphoma/leukemia 11B genetic mutation in a child with dysmorphic facies, developmental delays, atopic comorbidities, and difficult-to-treat EoE. After a prolonged course of EoE and multiple esophagogastroduodenoscopies with biopsies, this patient achieved clinical and histologic remission on a combination of swallowed topical steroids and high-dose proton pump inhibitor (PPI) therapy. However, her EoE relapsed when we attempted to wean her off PPI, and it was finally controlled after adding PPI back to her regimen. This report underscores the importance of genetic testing in patients with unusual clinical features and difficult-to-treat EoE. Relevant to real-world clinical practice, this case also raises the question of the treatment goals in children with EoE and underlying genetic mutation(s).","PeriodicalId":501015,"journal":{"name":"JPGN reports","volume":"5 4","pages":"525-527"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feeding difficulties, food intake, and growth in children with esophageal atresia. 食道闭锁患儿的喂养困难、食物摄入和生长发育。

JPGN reports Pub Date : 2024-10-17 eCollection Date: 2024-11-01 DOI: 10.1002/jpr3.12136

Kjersti Birketvedt, Audun Mikkelsen, Ragnhild Hanssen, Helle Schiørbeck, Hanneke IJsselstijn, Christine Henriksen, Ragnhild Emblem

{"title":"Feeding difficulties, food intake, and growth in children with esophageal atresia.","authors":"Kjersti Birketvedt, Audun Mikkelsen, Ragnhild Hanssen, Helle Schiørbeck, Hanneke IJsselstijn, Christine Henriksen, Ragnhild Emblem","doi":"10.1002/jpr3.12136","DOIUrl":"10.1002/jpr3.12136","url":null,"abstract":"Objectives: Challenges regarding feeding difficulties and nutrition in children with esophageal atresia (EA) have been sparsely studied. The aim of this study was to explore parent-reported feeding difficulties in children with EA by applying Montreal Children's Hospital-Feeding Scale (MCH-FS), and to further explore associations between feeding difficulties and clinical factors, growth and nutritional intake.Methods: Parents of EA children born between 2012 and 2017 were invited. Clinical data were collected from medical records. In a prospective cohort-study parent-reported feeding difficulties (by MCH-FS) were reported at two assessments, and at the second assessment, dietary data were collected by using the 24-h food-recall method.Results: Out of 55 eligible participants, we evaluated 53 children at median age of 1.6 years (Q1:Q3 1.0:2.9) (first assessment) and 38 at median age of 4.2 years (Q1:Q3 1.0:2.9) (second assessment). Feeding difficulties were reported by 34% and 31% of the parents, respectively, but no particular profile of concerns could be identified. Children's energy intake and weight-for-age were correlated with feeding difficulties (MCH-FS total score) (p < 0.02).Conclusion: Parent-reported feeding difficulties were identified in one-third of children with EA and related to low energy intake and low weight-for-age, but not to clinical factors. This implies that feeding difficulties must be screened for during follow-up in all EA children and may facilitate early detection of challenges and intervention if needed.","PeriodicalId":501015,"journal":{"name":"JPGN reports","volume":"5 4","pages":"462-469"},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0