OBJECTIVE: In early infancy, various gastrointestinal symptoms (e.g., constipation, regurgitation, crying/fussiness, infantile colic, and excessive gas) are common problems and may result in numerous visits to pediatricians. Worldwide, this often results in switching infant formulas because parents (and sometimes doctors) believe these symptoms reflect a formula intolerance. However, in many cases, these infants are growing and developing normally. This study was performed to offer family pediatricians consensus-based algorithms on the management of the most common gastrointestinal symptoms in infants. METHODS: A group of pediatric gastroenterologists and pediatric allergists from Europe, USA, Latin America, and Asia developed guidelines and practical algorithms to assist general pediatricians in addressing this challenge. RESULTS: Five such practice recommendations were developed after a thorough literature review. These algorithms should not be considered as an "evidence-based guideline"; on the contrary, the authors are convinced that challenging these proposals will result in updated and improved versions. CONCLUSION: To date, these algorithms, based on the published literature, are the result of a broad consensus of pediatric gastroenterologists from different continents.
OBJECTIVE: In early infancy, various gastrointestinal symptoms (e.g., constipation, regurgitation, crying/fussiness, infantile colic, and excessive gas) are common problems and may result in numerous visits to pediatricians. Worldwide, this often results in switching infant formulas because parents (and sometimes doctors) believe these symptoms reflect a formula intolerance. However, in many cases, these infants are growing and developing normally. This study was performed to offer family pediatricians consensus-based algorithms on the management of the most common gastrointestinal symptoms in infants. METHODS: A group of pediatric gastroenterologists and pediatric allergists from Europe, USA, Latin America, and Asia developed guidelines and practical algorithms to assist general pediatricians in addressing this challenge. RESULTS: Five such practice recommendations were developed after a thorough literature review. These algorithms should not be considered as an "evidence-based guideline"; on the contrary, the authors are convinced that challenging these proposals will result in updated and improved versions. CONCLUSION: To date, these algorithms, based on the published literature, are the result of a broad consensus of pediatric gastroenterologists from different continents.
Authors: Rita Nocerino; Vincenza Pezzella; Linda Cosenza; Antonio Amoroso; Carmen Di Scala; Francesco Amato; Giuseppe Iacono; Roberto Berni Canani Journal: Nutrients Date: 2015-03-19 Impact factor: 5.717
Authors: Julie Glanville; Thomas Ludwig; Carlos Lifschitz; James Mahon; Mohamad Miqdady; Miguel Saps; Seng Hock Quak; Irene Lenoir-Wijnkoop; Mary Edwards; Hannah Wood; Hania Szajewska Journal: BMJ Open Date: 2016-08-24 Impact factor: 2.692