ACG Clinical Guideline: Small Intestinal Bacterial Overgrowth
This guideline statement evaluates criteria for diagnosis, defines the optimal methods for diagnostic testing, and summarizes treatment options for small intestinal bacterial overgrowth.
BSPGHAN Motility Working Group consensus statement- Anorectal manometry in children with defecation disorders
Guidance on the use of ARM/HRAM in children with CC and/or FI.
ESPGHAN New Guidelines for the Diagnosis of Paediatric Coeliac Disease
This advice guide provides new and updated summary guidance from the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) on diagnosing children and adolescents with CD.
ESPGHAN Guidelines for Diagnosing Coeliac Disease
The ESPGHAN 2012 coeliac disease (CD) diagnostic guidelines aimed to guide physicians in accurately diagnosing CD and permit omission of duodenal biopsies in selected cases. Here, an updated and expanded evidence-based guideline is presented.
Nutrition Management in Acute Pancreatitis
Acute pancreatitis (AP) is one of the most prevalent gastrointestinal conditions necessitating inpatient care.
Management of Exocrine Pancreatic Insufficiency in Children
The diagnosis of exocrine pancreatic insufficiency (EPI) can be difficult, as symptoms may be nonspecific.
Chronic Pancreatitis and Nutrition Therapy
Chronic pancreatitis is a complex and irreversible disease of the pancreas and is associated with significant morbidity and mortality.
Practical guide to the management of acute pancreatitis
Position paper discussing current diagnostic and management challenges and addressing the common dilemmas in AP.
2019 WSES guidelines for the management of severe acute pancreatitis
The main topics of these guidelines fall under the following topics: Diagnosis, Antibiotic treatment, Management in the Intensive Care Unit, Surgical and operative management, and Open abdomen.
Part 1: Ambulatory Care – An Evidence-based Guideline From European Crohn’s and Colitis Organization and European Society of Paediatric Gastroenterology, Hepatology and Nutrition
These guidelines provide a guide to clinicians managing children with UC and IBD-unclassified management to provide modern management strategies while maintaining vigilance around appropriate outcomes and safety issues.
Part 2: Acute Severe Colitis – An Evidence-based Consensus Guideline From the European Crohn’s and Colitis Organization and the European Society of Paediatric Gastroenterology, Hepatology and Nutrition
These guidelines standardize the management of ASC in children in an attempt to optimize outcomes of this intensive clinical scenario.
ESPGHAN/ESPEN/ESPR/CSPEN guidelines on paediatric parenteral nutrition: Complications
The search was conducted in Ovid Medline using both MeSH terms and text words for “parenteral nutrition complications”. In parallel an expert search was conducted focusing on specific subtopics of parenteral nutrition complications.
Assessment, monitoring and management of deliberate and accidental paracetamol overdose in Children
Joint Guideline proposed by the Children’s Specialised Liver Services at King’s, Birmingham, and Leeds.
BSG Position Paper: Green Endoscopy
Green endoscopy: British Society of Gastroenterology (BSG), Joint Accreditation Group (JAG) and Centre for Sustainable Health (CSH) joint consensus on practical measures for environmental sustainability in endoscopy.
Management of Peutz-Jeghers Syndrome in Children and Adolescents: A Position Paper From the ESPGHAN Polyposis Working Group
This position paper provides a guide for diagnosis, assessment, and management of PJS in children and adolescents and guidance on avoiding complications from PJS or from the endoscopic procedures performed on these patients.
Medical Management of Chronic Pancreatitis in Children: A Position Paper by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Pancreas Committee
This position paper summarizes the current understanding of the medical management of chronic pancreatitis (CP) in children in light of the existing medical literature, incorporating recent advances in understanding of nutrition, pain, lifestyle considerations, and sequelae of CP.
North American Society for Pediatric Gastroenterology, Hepatology and Nutrition and the Society for Pediatric Radiology Joint Position Paper on Noninvasive Imaging of Pediatric Pancreatitis: Literature Summary and Recommendations
The reported incidence of pediatric pancreatitis is increasing. Noninvasive imaging, including ultrasound computed tomography (CT), and magnetic resonance imaging (MRI), play important roles in the diagnosis, staging, follow-up, and management of pancreatitis in children.
The Medical Management of Paediatric Crohn’s Disease: an ECCO-ESPGHAN Guideline Update
We present state-of-the-art guidance on the medical treatment and long-term management of children and adolescents with CD.
European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations
ACG Clinical Guideline: Chronic Pancreatitis
This guideline will provide an evidence-based practical approach to the diagnosis and management of CP for the general gastroenterologist.
BSPGHAN Motility Working Group consensus statement- Anorectal manometry in children with defecation disorders
Guidance on the use of ARM/HRAM in children with CC and/or FI.
ACG Clinical Guideline: Small Intestinal Bacterial Overgrowth
This guideline statement evaluates criteria for diagnosis, defines the optimal methods for diagnostic testing, and summarizes treatment options for small intestinal bacterial overgrowth.
ESPGHAN New Guidelines for the Diagnosis of Paediatric Coeliac Disease
This advice guide provides new and updated summary guidance from the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) on diagnosing children and adolescents with CD.
ESPGHAN Guidelines for Diagnosing Coeliac Disease
The ESPGHAN 2012 coeliac disease (CD) diagnostic guidelines aimed to guide physicians in accurately diagnosing CD and permit omission of duodenal biopsies in selected cases. Here, an updated and expanded evidence-based guideline is presented.
Chronic Pancreatitis and Nutrition Therapy
Chronic pancreatitis is a complex and irreversible disease of the pancreas and is associated with significant morbidity and mortality.
Nutrition Management in Acute Pancreatitis
Acute pancreatitis (AP) is one of the most prevalent gastrointestinal conditions necessitating inpatient care.
Acute Liver Failure Guidelines by the The American College of Gastroenterology
Acute liver failure (ALF) is a life-threatening condition that occurs in patients with no preexisting liver disease and is characterized by liver injury (abnormal liver tests), coagulopathy (international normalized ratio [INR] .1.5), and hepatic encephalopathy (HE).
Proposed Prolonged Jaundice Pathway following national audit 2022-2023
UK Multi-center practice and adaptation of Guidelines from NICE and Liver centre conjugated hyperbilirubinemia pathway.
AGA Clinical Practice Update on Diagnosis and Management of Acute Hepatic Porphyrias: Expert Review
The acute hepatic porphyrias (AHP) are rare, inborn errors of heme-metabolism and include acute intermittent porphyria, hereditary coproporphyria, variegate porphyria, and porphyria due to severe deficiency of 5-aminolevulinic acid dehydratase.
Early investigation and management of children with acute non-A-E hepatitis, with and without liver failure
This clinical framework is intended to provide a structure for the investigation, transfer and management of children with novel non-A-E acute hepatitis in the context of an emergence of a novel disease. The recommendations within this guidance are based on existing principles of management of acute hepatitis and acute liver failure and on expert consensus opinion in the absence of high quality evidence around this novel condition.
Assessment and Management of Oesophageal Varices in Children
These guidelines were constructed after a joint audit and review of practice at the three specialised centres in June 2016 and reviewed again in 2021. Although evidence based where possible, where not available they represent consensus. A detailed version of this guideline which includes review of evidence, together with reference to adult evidenced based guidelines is available. Section 4: management of acute variceal bleed: is designed for implementation at any hospital to which a child presents and can be used as a stand-alone guideline.
UK Fatty Liver Guidelines
These guidelines were constructed after a joint audit and review at the three specialised paediatric hepatology centres.
Updated shielding guidance for children with chronic liver disease and those on immunosuppression (autoimmune and liver transplantation
In view of the continuous evidence and increasing knowledge in the COVID-19 pandemic we have undertaken an update on the advice to children and families with chronic liver disease.
NICE and ESPGHAN Guidelines
These guidelines and standards have been published by NICE and ESPGHAN and are available for information. However, please do not hesitate to contact your local Paediatric Hepatology Team to discuss management of a child with any liver disorder.
Investigation of Neonatal Conjugated Jaundice
This guideline aims to advise clinicians on the initial investigations necessary when an infant with conjugated jaundice is identified.
Investigation and treatment of liver disease with acute onset
Defined as EITHER sudden onset of jaundice with evidence of liver aetiology OR incidental discovery of raised transaminases in association with symptoms suggesting acute onset.
ESPEN guideline on Clinical Nutrition in inflammatory bowel disease
The guideline is aimed at professionals working in clinical practice, either in hospitals or in outpatient medicine, and treating patients with IBD. General aspects of care in patients with IBD, and specific aspects during active disease and in remission are addressed.
Enteral Nutrition in Preterm Infants (2022): A Position Paper From the ESPGHAN Committee on Nutrition and Invited Experts
Updated ESPGHAN CoN consensus-based conclusions and recommendations on nutrient intakes and nutritional management for preterm infants.
The Use of Blended Diets in Children With Enteral Feeding Tubes: A Joint Position Paper of the ESPGHAN Committees of Allied Health Professionals and Nutrition
There is little evidence published to formally inform about the potential health benefits or risks of this practice and how to use it in the best way.
Synbiotics in the Management of Paediatric Gastrointestinal Disorders: Position Paper of the ESPGHAN Special Interest Group on Gut Microbiota and Modifications
There is a need for more, well-designed RCTs on the role of synbiotics in gastrointestinal disorders with the same outcome measures to enable the inter-studies comparisons.
ASPEN lipid injectable emulsion safety recommendations part 2: Neonate and paediatric considerations
This paper describes safe-use considerations for ILE products available in the United States in neonatal and paediatric patients, including indications, prescribing, order review, preparation, administration, and monitoring.
Parenteral Nutrition for Critically Ill Term and Preterm Neonates: A Commentary on the 2021 European Society for Paediatric Gastroenterology, Hepatology and Nutrition Position Paper
Most paediatric societies provide nutritional recommendations for preterm infants (1–6), although these do usually not specifically address requirements during additional intermittent critical illness apart from prematurity, such as necrotizing enterocolitis or fulminant sepsis.
Nutritional Management of the Critically Ill Neonate: A Position Paper of the ESPGHAN Committee on Nutrition
Basic research along with adequately powered trials are urgently needed to resolve key uncertainties on metabolism and nutrient requirements in this heterogeneous patient population.
Management of Central Venous Access in Children With Intestinal Failure: A Position Paper From the NASPGHAN Intestinal Rehabilitation Special Interest Group
Pediatric intestinal failure (IF) is characterized by the inability of the gastrointestinal tract to absorb for long-term parenteral nutrition (PN) delivered via a central venous catheter (CVC).
North American Society for Paediatric Gastroenterology, Hepatology, and Nutrition Position Paper: Plant-based Milks
This Position Paper has its origins in a NASPGHAN response to a September 18, 2018 FDA Federal Register Request for Comment regarding the ‘‘Use of the Names of Dairy Foods in the Labeling of Plant-Based Products’’
ESPGHAN/ESPEN/ESPR/CSPEN guidelines on paediatric parenteral nutrition: Complications
The search was conducted in Ovid Medline using both MeSH terms and text words for “parenteral nutrition complications”. In parallel an expert search was conducted focusing on specific subtopics of parenteral nutrition complications.
ESPGHAN/ESPEN/ESPR/CSPEN guidelines on paediatric parenteral nutrition: Venous access
Securing reliable venous access is of paramount importance when considering parenteral nutrition (PN).
ESPGHAN/ESPEN/ESPR/CSPEN guidelines on paediatric parenteral nutrition: Vitamins
A sufficient supply of vitamins is essential for growth and development.
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