European guideline on indications, performance, and clinical impact of hydrogen and methane breath tests in adult and pediatric patients: European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Neurogastroenterology and Motility, and European Society for Paediatric Gastroenterology Hepatology and Nutrition consensus.


Journal

United European gastroenterology journal
ISSN: 2050-6414
Titre abrégé: United European Gastroenterol J
Pays: England
ID NLM: 101606807

Informations de publication

Date de publication:
02 2022
Historique:
received: 08 02 2021
accepted: 18 06 2021
pubmed: 26 8 2021
medline: 3 3 2022
entrez: 25 8 2021
Statut: ppublish

Résumé

Measurement of breath hydrogen (H This consensus-based clinical practice guideline defines the clinical indications, performance, and interpretation of H The guideline incorporates new insights into the role of symptom assessment to diagnose carbohydrate (e.g., lactose) intolerances and recommends that breath tests for carbohydrate malabsorption require additional validated concurrent symptom evaluation to establish carbohydrate intolerance. Regarding the use of breath tests for the evaluation of oro-cecal transit time and suspected small bowel bacterial overgrowth, this guideline highlights confounding factors associated with the interpretation of H This clinical practice guideline should facilitate pan-European harmonization of diagnostic approaches to symptoms and disorders, which are very common in specialist and primary care gastroenterology practice, both in adult and pediatric patients. In addition, it identifies areas of future research needs to clarify diagnostic and therapeutic approaches.

Identifiants

pubmed: 34431620
doi: 10.1002/ueg2.12133
pmc: PMC8830282
doi:

Substances chimiques

Dietary Carbohydrates 0
Hydrogen 7YNJ3PO35Z
Methane OP0UW79H66

Types de publication

Journal Article Practice Guideline Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

15-40

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

© 2021 The Authors. United European Gastroenterology Journal published by Wiley Periodicals LLC. on behalf of United European Gastroenterology.

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Auteurs

Heinz F Hammer (HF)

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University, Graz, Austria.

Mark R Fox (MR)

Centre for Integrative Gastroenterology, Digestive Function: Basel, Laboratory and Clinic for Motility Disorders and Functional Gastrointestinal Diseases, Klinik Arlesheim, Arlesheim, Switzerland.
Division of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.

Jutta Keller (J)

Department of Internal Medicine, Israelitic Hospital, Academic Hospital of the University of Hamburg, Hamburg, Germany.

Silvia Salvatore (S)

Pediatric Department, Hospital "F. Del Ponte", University of Insubria, Varese, Italy.

Guido Basilisco (G)

Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.

Johann Hammer (J)

Department of Gastroenterology and Hepatology, University Hospital of Internal Medicine 3, Medical University of Vienna, Vienna, Austria.

Loris Lopetuso (L)

UOC Medicina Interna e Gastroenterologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italia.
Department of Medicine and Ageing Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.

Marc Benninga (M)

Department of Pediatric Gastroenterology, Hepatology and Nutrition, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Osvaldo Borrelli (O)

UCL Great Ormond Street Institute of Child Health and Department of Gastroenterology, Neurogastroenterology and Motility, Great Ormond Street Hospital, London, UK.

Dan Dumitrascu (D)

Department of Gastroenterology, Clinica Medicala 2, Cluj-Napoca, Romania.

Bruno Hauser (B)

Department of Paediatric Gastroenterology, Hepatology and Nutrition, KidZ Health Castle UZ Brussel, Brussels, Belgium.

Laszlo Herszenyi (L)

Department of Gastroenterology, Medical Centre, Hungarian Defence Forces, Budapest, Hungary.

Radislav Nakov (R)

Clinic of Gastroenterology, Tsaritsa Yoanna University Hospital, Medical University of Sofia, Sofia, Bulgaria.

Daniel Pohl (D)

Division of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.

Nikhil Thapar (N)

UCL Great Ormond Street Institute of Child Health and Department of Gastroenterology, Neurogastroenterology and Motility, Great Ormond Street Hospital, London, UK.
Gastroenterology, Hepatology and Liver Transplant, Queensland Children's Hospital, Brisbane, Australia.

Marc Sonyi (M)

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University, Graz, Austria.
Clinic for General Medicine, Gastroenterology, and Infectious Diseases, Augustinerinnen Hospital, Cologne, Germany.

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