Functional gastro-intestinal disorder algorithms focus on early recognition, parental reassurance and nutritional strategies.

Yvan Vandenplas, Marc Benninga, Ilse Broekaert, Jackie Falconer, Frederic Gottrand, Alfredo Guarino, Carlos Lifschitz, Paolo Lionetti, Rok Orel, Alexandra Papadopoulou, Carmen Ribes-Koninckx, Frank M Ruemmele, Silvia Salvatore, Raanan Shamir, Michela Schäppi, Annamaria Staiano, Hania Szajewska, Nikhil Thapar, Michael Wilschanski

Journal: Acta paediatrica (Oslo, Norway : 1992) 2016;105(3):244-52

PMID: 26584953

Abstract

UNLABELLED

Up to 50% of infants present with symptoms of regurgitation, infantile colic and/or constipation during the first 12 months of life. Although they are often classed as functional disorders, there is an overlap with cows' milk allergy. We present practical algorithms for the management of such disorders, based on existing evidence and general consensus, with a particular focus on primary health care. Management consists of early recognition of warning signs of organic disease, parental reassurance and nutritional strategies.

CONCLUSION

The proposed algorithms aim to help healthcare providers manage frequent gastrointestinal and cows' milk-related symptoms in infants safely and effectively.

©2015 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Address: Department of Paediatrics, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.; Department of Paediatrics, Emma Children's Hospital/AMC, Amsterdam, The Netherlands.; Department of Paediatrics, University Hospital Cologne, Cologne, Germany.; Nutrition and Dietetics Deptartment, Chelsea and Westminster NHS Healthcare Foundation, London, UK.; Department of Paediatrics, Faculty of Medicine, Jeanne de Flandre University Hospital, CHRU Lille, University of Lille, Lille, France.; Department of Translational Medical Science, Section of Paediatrics, University of Naples Federico II, Naples, Italy.; Department of Pediatrics, Section of Gastroenterology, Hepatology and Transplantation, Hospital Italiano, Buenos Aires, Argentina.; Department of Neuroscience, Pharmacology and Child Health, University of Florence-Meyer Children's Hospital, Florence, Italy.; Department of Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Ljubljana, Slovenia.; First Department of Paediatrics, University of Athens, Children's Hospital 'Agia Sofia', Athens, Greece.; Paediatric Gastroenterology and Hepatology Unit, La Fe University Hospital, Valencia, Spain.; APHP-Hôpital Necker Enfants Malades, Service de Gastroenterologie Pédiatrique, Paris, France.; Faculté de Médecine, Université Sorbonne Paris Cité - Paris Descartes, Paris, France.; Paediatric Department, University of Insubria, Varese, Italy.; Sackler Faculty of Medicine, Schneider Children's Medical Centre of Israel, Tel-Aviv University, Tel-Aviv, Israel.; Paediatric Center, Clinique des Grangettes and Centre Médical Universitaire, Geneva, Switzerland.; Department of Paediatrics, The Medical University of Warsaw, Warsaw, Poland.; Gastroenterology Unit, Great Ormond Street Hospital and UCL Institute of Child Health, London, UK.; Paediatric Gastroenterology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
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