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An ESPGHAN Position Paper on the Use of Breath Testing in Paediatric Gastroenterology
- Source :
- JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu, instname, r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu, Fundació Sant Joan de Déu, Journal of Pediatric Gastroenterology and Nutrition, Journal of Pediatric Gastroenterology and Nutrition, 2021, 74 (1), pp.123-137. ⟨10.1097/MPG.0000000000003245⟩, r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe, Broekaert, I J, Borrelli, O, Dolinsek, J, Martin-de-Carpi, J, Mas, E, Miele, E, Pienar, C, Ribes-Koninckx, C, Thomassen, R, Thomson, M, Tzivinikos, C & Benninga, M 2022, ' An ESPGHAN Position Paper on the Use of Breath Testing in Paediatric Gastroenterology ', Journal of Pediatric Gastroenterology and Nutrition, vol. 74, no. 1, pp. 123-137 . https://doi.org/10.1097/MPG.0000000000003245, Journal of Pediatric Gastroenterology and Nutrition, Lippincott, Williams & Wilkins, 2021, 74 (1), pp.123-137. ⟨10.1097/MPG.0000000000003245⟩
- Publication Year :
- 2021
-
Abstract
- International audience; Objectives: Given a lack of a systematic approach to the use of breath testing in paediatric patients, the aim of this position paper is to provide expert guidance regarding the indications for its use and practical considerations to optimise its utility and safety. Methods: Nine clinical questions regarding methodology, interpretation, and specific indications of breath testing and treatment of carbohydrate malabsorption were addressed by members of the Gastroenterology Committee (GIC) of the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN). A systematic literature search was performed from 1983 to 2020 using PubMed, the MEDLINE and Cochrane Database of Systematic Reviews. Grading of Recommendations, Assessment, Development, and Evaluation was applied to evaluate the outcomes. During a consensus meeting, all recommendations were discussed and finalised. In the absence of evidence from randomised controlled trials, recommendations reflect the expert opinion of the authors. Results: A total of 22 recommendations were voted on using the nominal voting technique. At first, recommendations on prerequisites and preparation for as well as on interpretation of breath tests are given. Then, recommendations on the usefulness of H2-lactose breath testing, H2-fructose breath testing as well as of breath tests for other types of carbohydrate malabsorption are provided. Furthermore, breath testing is recommended to diagnose small intestinal bacterial overgrowth (SIBO), to control for success of Helicobacter pylori eradication therapy and to diagnose and monitor therapy of exocrine pancreatic insufficiency, but not to estimate oro-caecal transit time (OCTT) or to diagnose and follow-up on celiac disease. Conclusions: Breath tests are frequently used in paediatric gastroenterology mainly assessing carbohydrate malabsorption, but also in the diagnosis of small intestinal overgrowth, fat malabsorption, H. pylori infection as well as for measuring gastrointestinal transit times. Interpretation of the results can be challenging and in addition, pertinent symptoms should be considered to evaluate clinical tolerance.
- Subjects :
- medicine.medical_specialty
Malabsorption
Consensus
Carbohydrate malabsorption
030309 nutrition & dietetics
MEDLINE
carbohydrate malabsorption
small intestinal bacterial overgrowth
Helicobacter pylori infection
Helicobacter Infections
03 medical and health sciences
0302 clinical medicine
[SDV.MHEP.PED] Life Sciences [q-bio]/Human health and pathology/Pediatrics
children
Internal medicine
Small intestinal bacterial overgrowth
medicine
breath testing
Humans
Intensive care medicine
Exocrine pancreatic insufficiency
Child
Children
0303 health sciences
[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics
[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology
business.industry
Gastroenterology
[SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology
Hepatology
medicine.disease
[SDV.MHEP.HEG] Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology
3. Good health
Fat malabsorption
Breath testing
Systematic review
Breath Tests
Pediatrics, Perinatology and Child Health
Position paper
030211 gastroenterology & hepatology
business
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Systematic Reviews as Topic
Subjects
Details
- ISSN :
- 15364801 and 02772116
- Volume :
- 74
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric gastroenterology and nutrition
- Accession number :
- edsair.doi.dedup.....4b401b27492a0d38b2e1fc760be167d2