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225 results on '"Rasschaert, G."'

7. Belgian consensus for Helicobacter pylori management 2023

Author

Garces-Duran, R., Kindt, S., Kotilea, K., Francois, S., Rasschaert, G., Smet, Annemieke, Hauser, B., Driessen, Ann, Nkuize, M., Burette, A., Lamy, V., Bontems, P., Louis, H., Ntounda, R., Deyi, V.Y. Miendje, Mana, F., Clinical sciences, Internal Medicine, Gastroenterology, Growth and Development, Pediatrics, Faculty of Medicine and Pharmacy, and Belgian Helicobacter Pylori

Subjects
Helicobacter Infections/drug therapy, Anti-Bacterial Agents/therapeutic use, Consensus, Helicobacter pylori, Belgium, Humans, Human medicine
Abstract

Helicobacter pylori (H. pylori) infection causes chronic gastritis, peptic ulcers and gastric cancer. Although H. pylori prevalence is decreasing worldwide, regional variations exist in Europe, with the lowest infection prevalence in Northern Europe, and the highest in Eastern and Southern Europe (1). Changes in the treatment recommendations and the increasing available evidence have justified the implementation of new recommendations since last Belgian consensus in 1998 (2). Several non-H. pylori Helicobacter species (NH.PYLORI-H), colonizing the stomach of domestic animals, also have the ability to cause gastric disease in humans, although to a lesser extent. These zoonotic NH. PYLORIH are not the subject of the current recommendations.

Published
2023

11. Belgian consensus on irritable bowel syndrome

Author

Kindt, S, Louis, H, Deschepper, H, Arts, J, Caenepeel, P, De Looze, D, Gerkens, A, Holvoet, T, Latour, P, Mahler, T, Mokaddem, F, Nullens, S, Piessevaux, H, Poortmans, P, Rasschaert, G, Surmont, M, Vafa, H, Van Malderen, K, Vanuytsel, T, Wuestenberghs, Fabien, Tack, J, Kindt, S., Louis, H., De Schepper, H., Arts, J., CAENEPEEL, Philip, De Looze, D., Gerkens, A., Holvoet, T., Latour , P., Mahler, T., Mokaddem, F., Nullens, S., Piessevaux, H., Poortmans , P., Rasschaert, G., Surmont, M., Vafa, H., Van Malderen, K., Vanuytsel, T., Wuestenberghs, F., Tack, J., Clinical sciences, Gastroenterology, Pediatrics, UCL - SSS/IREC/GAEN - Pôle d'Hépato-gastro-entérologie, and UCL - (MGD) Service de gastro-entérologie

Subjects
Diarrhea, irritable bowel syndrome, Consensus, Science & Technology, Gastroenterology & Hepatology, treatment, diagnosis, review, BILE-ACID MALABSORPTION, PLACEBO-CONTROLLED TRIAL, CHRONIC CONSTIPATION, OPEN-LABEL, CLINICAL-TRIAL, Delphi consensus, DOUBLE-BLIND, Belgium, ABDOMINAL-PAIN, FECAL MICROBIOTA TRANSPLANTATION, Humans, FUNCTIONAL GASTROINTESTINAL DISORDERS, Human medicine, Constipation, Life Sciences & Biomedicine, CELIAC GLUTEN SENSITIVITY
Abstract

BACKGROUND: Irritable bowel syndrome (IBS) is characterised by recurrent abdominal pain related to defaecation or associated with altered stool frequency or consistency. Despite its prevalence, major uncertainties in the diagnostic and therapeutic management persist in clinical practice. METHODS: A Delphi consensus was conducted by 20 experts from Belgium, and consisted of literature review and voting process on 78 statements. Grading of recommendations, assessment, development and evaluation criteria were applied to evaluate the quality of evidence. Consensus was defined as > 80 % agreement. RESULTS: Consensus was reached for 50 statements. The Belgian consensus agreed as to the multifactorial aetiology of IBS. According to the consensus abdominal discomfort also represents a cardinal symptom, while bloating and abdominal distension often coexist. IBS needs subtyping based on stool pattern. The importance of a positive diagnosis, relying on history and clinical examination is underlined, while additional testing should remain limited, except when alarm features are present. Explanation of IBS represents a crucial part of patient management. Lifestyle modification, spasmolytics and water-solube fibres are considered first-line agents. The low FODMAP diet, selected probiotics, cognitive behavioural therapy and specific treatments targeting diarrhoea and constipation are considered appropriate. There is a consensus to restrict faecal microbiota transplantation and gluten-free diet, while other treatments are strongly discouraged. CONCLUSIONS: A panel of Belgian gastroenterologists summarised the current evidence on the aetiology, symptoms, diagnosis and treatment of IBS with attention for the specificities of the Belgian healthcare system. ispartof: ACTA GASTRO-ENTEROLOGICA BELGICA vol:85 issue:2 pages:360-382 ispartof: location:Belgium status: accepted

Published
2022

13. Belgian consensus on irritable bowel syndrome.

Author

UCL - SSS/IREC/GAEN - Pôle d'Hépato-gastro-entérologie, UCL - (MGD) Service de gastro-entérologie, Kindt, S, Louis, H, Deschepper, H, Arts, J, Caenepeel, P, De Looze, D, Gerkens, A, Holvoet, T, Latour, P, Mahler, T, Mokaddem, F, Nullens, S, Piessevaux, H, Poortmans, P, Rasschaert, G, Surmont, M, Vafa, H, Van Malderen, K, Vanuytsel, T, Wuestenberghs, Fabien, Tack, J, UCL - SSS/IREC/GAEN - Pôle d'Hépato-gastro-entérologie, UCL - (MGD) Service de gastro-entérologie, Kindt, S, Louis, H, Deschepper, H, Arts, J, Caenepeel, P, De Looze, D, Gerkens, A, Holvoet, T, Latour, P, Mahler, T, Mokaddem, F, Nullens, S, Piessevaux, H, Poortmans, P, Rasschaert, G, Surmont, M, Vafa, H, Van Malderen, K, Vanuytsel, T, Wuestenberghs, Fabien, and Tack, J

Abstract

Irritable bowel syndrome (IBS) is characterised by recurrent abdominal pain related to defaecation or associated with altered stool frequency or consistency. Despite its prevalence, major uncertainties in the diagnostic and therapeutic management persist in clinical practice. A Delphi consensus was conducted by 20 experts from Belgium, and consisted of literature review and voting process on 78 statements. Grading of recommendations, assessment, development and evaluation criteria were applied to evaluate the quality of evidence. Consensus was defined as > 80 % agreement. Consensus was reached for 50 statements. The Belgian consensus agreed as to the multifactorial aetiology of IBS. According to the consensus abdominal discomfort also represents a cardinal symptom, while bloating and abdominal distension often coexist. IBS needs subtyping based on stool pattern. The importance of a positive diagnosis, relying on history and clinical examination is underlined, while additional testing should remain limited, except when alarm features are present. Explanation of IBS represents a crucial part of patient management. Lifestyle modification, spasmolytics and water-solube fibres are considered first-line agents. The low FODMAP diet, selected probiotics, cognitive behavioural therapy and specific treatments targeting diarrhoea and constipation are considered appropriate. There is a consensus to restrict faecal microbiota transplantation and gluten-free diet, while other treatments are strongly discouraged. A panel of Belgian gastroenterologists summarised the current evidence on the aetiology, symptoms, diagnosis and treatment of IBS with attention for the specificities of the Belgian healthcare system.

Published
2022

31. Behandel biestmelk en vermijd para-tbc op je bedrijf

Author

Verhegghe, M., Rasschaert, G., Herman, L., Goossens, K., Vandaele, L., De Bleecker, K., Vlaemynck, G., Heyndrickx, M., De Block, J., Verhegghe, M., Rasschaert, G., Herman, L., Goossens, K., Vandaele, L., De Bleecker, K., Vlaemynck, G., Heyndrickx, M., and De Block, J.

Abstract

Paratuberculose is een ongeneeslijke darminfectie, die vooral doorgegeven wordt aan jonge kalveren. Besmetting via biestmelk kan je voorkomen door het colostrum van je koeien eerst te behandelen. ILVO en DGZ ontwikkelden een methode voor lage besmetting die veehouders zelf kunnen toepassen en een methode voor hoge besmettingen die ze kunnen uitbesteden.

Published
2019

32. The effect of partial depopulation on Campylobacterintroduction in broiler houses

Author

Hertogs, K., Heyndrickx, M., Gelaude, P., De Zutter, L., Dewulf, J., and Rasschaert, G.

Abstract

Poultry is seen as the main reservoir for Campylobacter. Control of this zoonotic pathogen in primary production could potentially reduce the colonization in broiler flocks and consequently reduce the number of human infections. In the present study, 20 broiler flocks from 10 farms, were sampled immediately before and 5 to 7 d after partial depopulation (thinning) for the presence of Campylobacterusing cecal droppings and overshoes. At the time of thinning, the catching crew, transportation vehicles, forklift, and transport containers were sampled for the presence of Campylobacter. Samples were cultivated; presumed positive isolates were confirmed by PCR. The isolates were molecularly typed by flaA restriction analysis and pulsed field gel electrophoresis. Results show that all flocks were thinned using Campylobacter-contaminated equipment and materials. One-third of the broiler flocks became colonized after thinning. In 67% of the colonization cases, identical strains were found matching those of container systems, transport trucks, and/or forklifts. This identifies thinning as an important risk factor for Campylobacterintroduction into broiler houses. Setup and compliance with biosecurity practices during thinning is essential to prevent Campylobactercolonization of broiler flocks.

Published
2021
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33. Selection and transfer of an IncI1-tet (A) plasmid of Escherichia coli in an ex vivo model of the porcine caecum at doxycycline concentrations caused by crosscontaminated feed

Author

Peeters, L.E.J., primary, De Mulder, T., additional, Van Coillie, E., additional, Huygens, J., additional, Smet, A., additional, Daeseleire, E., additional, Dewulf, J., additional, Imberechts, H., additional, Butaye, P., additional, Haesebrouck, F., additional, Croubels, S., additional, Heyndrickx, M., additional, and Rasschaert, G., additional

Published
2017
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38. Dossier MRSA in de varkenshouderij

Author

Butaye, P., Crombé, F., Debleecker, Y., De Man, I., Delputte, P., Heyndrickx, M., Pletinckx, L., Rasschaert, G., Verhegghe, M., Butaye, P., Crombé, F., Debleecker, Y., De Man, I., Delputte, P., Heyndrickx, M., Pletinckx, L., Rasschaert, G., and Verhegghe, M.

Abstract

Drie artikelen over MRSA in de varkenshouderij: 1) Situatie op Vlaamse bedrijven. 2) Hoe verloopt de besmetting en verspreiding van MRSA? 3) Helpt reinigen en ontsmetten?

Published
2012

39. Phage and MLVA Typing of Salmonella Enteritidis Isolated from Layers and Humans in Belgium from 2000–2010, A Period in which Vaccination of Laying Hens was Introduced

Author

Dewaele, I., primary, Heyndrickx, M., additional, Rasschaert, G., additional, Bertrand, S., additional, Wildemauwe, C., additional, Wattiau, P., additional, Imberechts, H., additional, Herman, L., additional, Ducatelle, R., additional, Van Weyenberg, S., additional, and De Reu, K., additional

Published
2013
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45. Polyphasic characterization of Salmonella Enteritidis isolates on persistently contaminated layer farms during the implementation of a national control program with obligatory vaccination: A longitudinal study

Author

Dewaele, I., primary, Rasschaert, G., additional, Wildemauwe, C., additional, Van Meirhaeghe, H., additional, Vanrobaeys, M., additional, De Graef, E., additional, Herman, L., additional, Ducatelle, R., additional, Heyndrickx, M., additional, and De Reu, K., additional

Published
2012
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