Clinical Advice Guides

ESPGHAN, its sister-societies, its committees and working groups publish and update a range of clinical guidelines and position papers for the treatment of conditions relating to paediatric gastroenterology, hepatology and nutrition. These papers are published in the JPGN and other journals to offer clinicians and healthcare professionals guidance in order to make informed decisions on how to best treat patients. In order to ensure that clinicians receive the most essential information in an easily accessible and quick reference format, ESPGHAN is publishing a range of informative advice guides based on these clinical guidelines and position papers which are available to access and download here.

Advice guide 1: Sugar Intake in Infants, Children and Adolescents

ESPGHAN’s Committee on Nutrition offer advice on sugar intake in infants, children and adolescents. This guide explains what sugar is, current recommendations for sugar intake and outlines the problems of overconsumption that exist. It goes on to explain the taste preference development of children (innate as well as postnatal) and then finally provides recommendations and practical advice on free sugar intake for children as well as the recommended drinks for children of differing ages. It is suitable for sharing with informed patients and parents.

Neurological Impairment - Gastrointestinal problems

Common gastrointestinal problems in children with neurological impairments (NI)

The first advice guide produced by ESPGHAN’s Committee on Gastroenterology discusses the common gastrointestinal problems in children with neurological impairments (NI) and should be read in conjunction with the ESPGHAN Clinical Advice Guides on Common Gastrintestinal Problems in Children with NI: Evaluation, Treatment and Monitoring, and Recommendations for Nutritional Management of Children with NI. This guide considers:

  • Common Problems Contributing to Feeding Difficulties
  • Oropharyngeal Dysfunction (OPD)
  • Gastroesophageal Reflux Disease (GORD)
  • Constipation

The document can be viewed by Clicking Here. 

Dietetic management of children with neurological impairments (NI)

Dietetic management of children with neurological impairments (NI)

The second advice guide created by ESPGHAN’s Committee on Gastroenterology looks at the dietetic management of children with neurological impairments (NI) and should be read in conjunction with the ESPGHAN Clinical Advice Guides on Common Gastrointestinal Problems in Children with NI: Evaluation, Treatment and Monitoring, and Recommendations for Nutritional Management of Children with NI. This guide considers:

  • Type of Diet
  • Whey-based Formulas
  • Enteral Tube Feeding Modality
  • Which Type of Tube to Use?
  • Jejunal Feeding
  • Nissen Fundoplication : When and How?

The document can be viewed by Clicking Here.

Recommendations for nutritional management of children with neurological impairment (NI)

The third advice guide provided by ESPGHAN’s Committee on Gastroenterology looks at recommendations for nutritional management of children with neurological impairment (NI) and should be read in conjunction with the ESPGHAN Clinical Advice Guides on Common Gastrointestinal Problems in Children with NI: Evaluation, Treatment and Monitoring, and the Dietetic Management of Children with NI. This guide considers:

  • Assessing nutritional status and requirements
  • Requirements for energy intake in children with neurological impairment
  • Energy equations for estimating energy requirements
  • Requirements and recommendations for protein & fluids, and micronutrients
  • Recommendations for nutritional assessment 

The document can be viewed by Clicking Here. 

Hepatology Advice Guides - Autoimmune Hepatitis

AIH

ESPGHAN’s Committee on Hepatology provide advice on diagnostic and management issues related to paediatric Autoimmune Hepatitis (AIH) and guidance for complicated clinical scenarios. This guide looks at the diagnostic criteria, pathologic features and clinical features of AIH before explaining the disease severity and associated conditions. Finally, it discusses treatments for AIH, including a flow chart for treatment decision making in children with autoimmune liver disease. This guide is designed for clinicians.

To view the document, please click here

Autoimmune Sclerosing Cholangitis

ASC

In their second advice guide, ESPGHAN’s Committee on Hepatology outline the diagnostic and management issues related to paediatric Autoimmune Sclerosing Cholangitis (ASC) and provide guidance for complicated clinical scenarios. This guide considers the diagnosis and treatment for ASC before providing a comparative look at juvenile ASC vs PSC, highlighting the differences between the two. This guide is designed for clinicians.

To view the document, please click here. 

Liver Transplantation

LT

The third advice guide provided by ESPGHAN’s Committee on Hepatology outline the management issues related to Liver Transplantation (LT), and should be read in conjunction with the ESPGHAN Clinical Advice Guides on Autoimmune Hepatitis (AIH) and Autoimmune Sclerosing Cholangitis (ASC). This guide considers LT as a treatment option for AIH and ASC patients, discussing both the recurrence of Autoimmune Hepatitis (including de novo AIH) and Sclerosing Cholangitis after Liver Transplantation. This guide is designed for clinicians. 

To view the document, please click here

Further advice guides are being developed and will be published on this page in the future.