Consensus for Managing Acute Severe Ulcerative Colitis in Children: A Systematic Review and Joint Statement From ECCO, ESPGHAN, and the Porto IBD Working Group of ESPGHAN. « Medicine JournalFeeds
Consensus for Managing Acute Severe Ulcerative Colitis in Children: A Systematic Review and Joint Statement From ECCO, ESPGHAN, and the Porto IBD Working Group of ESPGHAN.
Am J Gastroenterol. 2011 Jan 11;
Authors: Turner D, Travis SP, Griffiths AM, Ruemmele FM, Levine A, Benchimol EI, Dubinsky M, Alex G, Baldassano RN, Langer JC, Shamberger R, Hyams JS, Cucchiara S, Bousvaros A, Escher JC, Markowitz J, Wilson DC, van Assche G, Russell RK
OBJECTIVES:Acute severe ulcerative colitis (ASC) is a potentially life-threatening disease. We aimed to formulate guidelines for managing ASC in children based on systematic review of the literature and robust consensus process. This manuscript is a product of a joint effort of the ECCO (European Crohn’s and Colitis Organization), the Pediatric Porto Inflammatory Bowel Disease (IBD) Working group of ESPGHAN (European Society of Pediatric Gastroenterology, Hepatology, and Nutrition) and ESPGHAN.METHODS:A group of 19 experts in pediatric IBD participated in an iterative consensus process including two face-to-face meetings. A total of 17 predefined questions were addressed by working subgroups based on a systematic review of the literature.RESULTS:The recommendations and practice points were eventually endorsed with a consensus rate of at least 95% regarding: definitions, initial evaluation, standard therapy, timing of second-line therapy, the role of endoscopic evaluation and heparin prophylaxis, how to administer second-line medical therapy, how to assess response, surgical considerations, and discharge recommendations. A management flowchart is presented based on daily scoring of the Pediatric Ulcerative Colitis Activity Index (PUCAI), along with 28 formal recommendations and 34 practice points.CONCLUSIONS:These guidelines provide clinically useful points to guide the management of ASC in children. Taken together, the recommendations offer a standardized protocol that allows effective monitoring of disease progress and timely treatment escalation when needed.Am J Gastroenterol advance online publication, 11 January 2011; doi:10.1038/ajg.2010.481.
PMID: 21224839 [PubMed - as supplied by publisher]
Tags: Health Medical Pharma, timely treatment, Porto IBD Working Group, digestive disorders
Tremendous things here. I’m very satisfied to peer your post. Thanks a lot and I am having a look ahead to contact you. Will you please drop me a mail?
Fascinating blog! Is your theme custom made or did you download it from somewhere? A design like yours with a few simple adjustements would really make my blog shine. Please let me know where you got your design. Bless you
Heya, I just hopped over to your webpage thru StumbleUpon. Not somthing I would typically read, but I enjoyed your views none the less. Thanks for creating something worthy of reading.
Do you mind if I quote a few of your posts as long as I provide credit and sources back to your blog? My blog site is in the very same niche as yours and my visitors would truly benefit from some of the information you provide here. Please let me know if this ok with you. Appreciate it!
Woah! I’m really enjoying the template/theme of this blog. It’s simple, yet effective. A lot of times it’s very hard to get that “perfect balance” between superb usability and appearance. I must say you have done a very good job with this. Additionally, the blog loads very fast for me on Firefox. Superb Blog!
Thanks, I’ve just been looking for info about this topic for a while and yours is the best I have found out so far. But, what about the conclusion? Are you certain concerning the source?
Wonderful blog! I found it while searching on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! Cheers
I think one of your ads caused my web browser to resize, you might well need to get that on your blacklist.
A lot of of what you point out is astonishingly accurate and it makes me wonder the reason why I had not looked at this with this light previously. This piece truly did switch the light on for me personally as far as this particular topic goes. But there is just one factor I am not necessarily too cozy with so whilst I attempt to reconcile that with the actual core theme of your position, let me see exactly what all the rest of the subscribers have to say.Nicely done.
Hi there everyone, I am sure you will be enjoying here by watching such funny movies.
Have you ever considered publishing an e-book or guest authoring on other blogs? I have a blog centered on the same subjects you discuss and would really like to have you share some stories/information. I know my subscribers would enjoy your work. If you are even remotely interested, feel free to shoot me an e mail.
Great post however I was wanting to know if you could write a litte more on this topic? I’d be very grateful if you could elaborate a little bit more. Cheers!
“I in conclusion determined to create a comment on your weblog. I just wanted to say very right place. I truly take pleasance in learning your posts.”
Nice blog , I really am trying to learn how to make my site this good looking !
I discovered your blog site on google and check a few of your early posts. Continue to keep up the very good operate. I just additional up your RSS feed to my MSN News Reader. Seeking forward to reading more from you later on!…
This will be a fantastic website, will you be interested in doing an interview regarding how you designed it? If so e-mail me!
Can you email me with a few hints & tips on how you made this blog site look like this, Id appreciate it.
Greetings! This is my first visit to your blog! We are a collection of volunteers and starting a new project in a community in the same niche. Your blog provided us useful information to work on. You have done a wonderful job!
Hello this is kind of of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding experience so I wanted to get advice from someone with experience. Any help would be greatly appreciated!
Do you mind if I quote a few of your posts as long as I provide credit and sources back to your website? My website is in the very same area of interest as yours and my users would definitely benefit from a lot of the information you present here. Please let me know if this ok with you. Thank you!
Hi! Would you mind if I share your blog with my twitter group? There’s a lot of folks that I think would really appreciate your content. Please let me know. Thank you
Is it possible to make a living out of actively playing the game regular?
Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You obviously know what youre talking about, why throw away your intelligence on just posting videos to your weblog when you could be giving us something enlightening to read?
I am constantly searching for information like this.
Have you ever thought about writing an ebook or guest authoring on other sites? I have a blog based on the same subjects you discuss and would really like to have you share some stories/information. I know my viewers would value your work. If you’re even remotely interested, feel free to shoot me an e mail.
Neat blog! Is your theme custom made or did you download it from somewhere? A theme like yours with a few simple tweeks would really make my blog shine. Please let me know where you got your theme. Thanks
Have you ever considered writing an e-book or guest authoring on other websites? I have a blog centered on the same information you discuss and would really like to have you share some stories/information. I know my subscribers would value your work. If you are even remotely interested, feel free to send me an email.
Hello there! Do you know if they make any plugins to help with Search Engine Optimization? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good gains. If you know of any please share. Cheers!
Hi there are using WordPress for your blog platform? I’m new to the blog world but I’m trying to get started and create my own. Do you require any html coding knowledge to make your own blog? Any help would be greatly appreciated!
Thanks for making me to acquire new strategies about computer systems. I also have the belief that one of the best ways to keep your laptop in primary condition is by using a hard plastic-type material case, or even shell, which fits over the top of your computer. These types of protective gear will be model unique since they are manufactured to fit perfectly in the natural covering. You can buy these directly from owner, or via third party places if they are for your notebook computer, however not every laptop will have a cover on the market. Once again, thanks for your suggestions.
If you could e mail me with a few ideas on just how you made your blog look this excellent, I would be grateful.
Magnificent items from you, man. I’ve keep in mind your stuff previous to and you’re simply extremely fantastic. I actually like what you have bought here, certainly like what you’re saying and the best way by which you assert it. You make it entertaining and you continue to take care of to stay it sensible. I can not wait to read far more from you. This is really a terrific website.
Awesome writing style!
Wow, awesome blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your site is magnificent, let alone the content!
I believe one of your current ads initiated my web browser to resize, you might well want to place that on your blacklist.
This trap placement can be a walk-through its the details you wanted concerning this and didn’t recall who to ask. Glimpse here, and you’ll definitely conceive of it.
I love what you guys are usually up too. This sort of clever work and coverage! Keep up the terrific works guys I’ve incorporated you guys to my blogroll.
Hmm it looks like your site ate my first comment (it was super long) so I guess I’ll just sum it up what I wrote and say, I’m thoroughly enjoying your blog. I as well am an aspiring blog blogger but I’m still new to the whole thing. Do you have any tips for newbie blog writers? I’d genuinely appreciate it.
I like the valuable info you provide in your articles. I will bookmark your weblog and check again here regularly. I’m quite sure I’ll learn many new stuff right here! Good luck for the next!
Does your site have a contact page? I’m having trouble locating it but, I’d like to shoot you an e-mail. I’ve got some creative ideas for your blog you might be interested in hearing. Either way, great site and I look forward to seeing it grow over time.
This really solved my problem, thank you!
This is a wonderful website, would you be interested in going through an interview regarding just how you created it? If so e-mail me!
Have you given any kind of thought at all with translating your web page in to Spanish? I know a small number of translaters here that would help you do it for free if you want to get in touch with me.
Great site you have here. I’ll be coming by more often. Keep up the awesome work.
Do you mind if I quote a couple of your posts as long as I provide credit and sources back to your website? My website is in the very same niche as yours and my visitors would definitely benefit from a lot of the information you present here. Please let me know if this alright with you. Cheers!
It’s a shame you don’t have a donate button! I’d certainly donate to this outstanding blog! I suppose for now i’ll settle for bookmarking and adding your RSS feed to my Google account. I look forward to fresh updates and will talk about this blog with my Facebook group. Chat soon!
Searching in support of backlinks in behalf of dust cheap? Move to where to find backlinks these guys are the most appropriate at vinculum construction!
Good morning world. My name is Mary and i want to prezint you , my new siteabout vacation rental . To visit that clik here inchiriere apartament vacanta
Hello would you mind letting me know which web host you’re using? I’ve loaded your blog in 3 different web browsers and I must say this blog loads a lot faster then most. Can you recommend a good internet hosting provider at a honest price? Cheers, I appreciate it!
I was very pleased to find this web-site.I wanted to thanks for your time for this wonderful read!! I definitely enjoying every little bit of it and I have you bookmarked to check out new stuff you blog post.