来自SEGHNP运动和功能性胃肠疾病工作组的功能性消化不良管理建议。

Anales de pediatria Pub Date : 2025-05-01 DOI:10.1016/j.anpede.2025.503860

Miguel Ángel Carro Rodríguez , Inmaculada Hidalgo Montes , Carmen Jovani Casano , Aránzazu Recio Linares , Etna Masip Simó , Gloria Rodrigo Garcia , Andrés Bodas Pinedo , en representación del Grupo de Trabajo de Motilidad y Trastornos Gastrointestinales funcionales de la SEGHNP

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引用次数: 0

摘要

简介：功能性消化不良（FD）是一种影响大量患者，尤其是青少年的功能性胃肠道疾病。由于与器质性疾病的鉴别诊断以及与涉及肠-脑轴的其他疾病的重叠，诊断通常具有挑战性。此外，关于不同治疗方法的有效性也缺乏科学证据。因此，有证据表明，这些患者的管理存在很大的异质性，部分原因是缺乏关于这种疾病的临床实践指南。材料和方法：由SEGHNP运动和功能性胃肠疾病（FGIDS）工作组的19名成员组成一个小组。该小组确定了27个关于FD管理的临床问题。在回顾了文献和两轮匿名投票后，该小组制定了一份文件，总结了当前的证据并提出了建议。结果：该小组总结了证据并提出了27项关于FD的建议。结论：我们开发了一种算法，旨在规范FD患者的管理。

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Recommendations for the management of functional dyspepsia from the SEGHNP working group on motility and functional gastrointestinal disorders

Introduction

Functional dyspepsia (FD) is a functional gastrointestinal disorder that affects a significant number of patients, especially adolescents. Diagnosis is often challenging on account of both the differential diagnosis with organic diseases and the overlap with other disorders involving the gut-brain axis. Furthermore, there is a lack of scientific evidence on the effectiveness of the different treatments. As a result, there is evidence of substantial heterogeneity in the management of these patients due, in part, to the absence of clinical practice guidelines on this disease.

Material and methods

A group was formed that consisted of 19 members of the working group on motility and functional gastrointestinal disorders (FGIDS) of the SEGHNP. The group defined 27 clinical questions regarding the management of FD. After a review of the literature and two rounds of anonymous voting, the group elaborated a document summarizing the current evidence and offering recommendations.