Diagnostic approach to neonatal and infantile cholestasis: A position paper by the SIGENP liver disease working group.

Alagille syndrome Biliary atresia Diagnosis Genetic liver disease Inborn errors of metabolism Jaundice Monogenic liver disease Newborn

Journal

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
ISSN: 1878-3562
Titre abrégé: Dig Liver Dis
Pays: Netherlands
ID NLM: 100958385

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 03 05 2021
revised: 23 08 2021
accepted: 12 09 2021
pubmed: 25 10 2021
medline: 12 2 2022
entrez: 24 10 2021
Statut: ppublish

Résumé

Neonatal and infantile cholestasis (NIC) can represent the onset of a surgically correctable disease and of a genetic or metabolic disorder worthy of medical treatment. Timely recognition of NIC and identification of the underlying etiology are paramount to improve outcomes. Upon invitation by the Italian National Institute of Health (ISS), an expert working grouped was formed to formulate evidence-based positions on current knowledge about the diagnosis of NIC. A systematic literature search was conducted to collect evidence about epidemiology, etiology, clinical aspects and accuracy of available diagnostic tests in NIC. Evidence was scored using the GRADE system. All recommendations were approved by a panel of experts upon agreement of at least 75% of the members. The final document was approved by all the panel components. This position document summarizes the collected statements and defines the best-evidence diagnostic approach to cholestasis in the first year of life.

Identifiants

pubmed: 34688573
pii: S1590-8658(21)00780-5
doi: 10.1016/j.dld.2021.09.011
pii:
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

40-53

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Auteurs

Giusy Ranucci (G)

Department of Pediatrics, Santobono-Pausilipon Children's Hospital AORN, Naples, Italy.

Claudia Della Corte (C)

Hepatology, Gastroenterology, Nutrition and Liver transplantation Unit, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Daniele Alberti (D)

Paediatric Surgery, University of Brescia, Brescia, Italy.

Maria Pia Bondioni (MP)

Pediatric Radiology, University of Brescia, ASST Spedali Civili di Brescia, Brescia, Italy.

Giovanni Boroni (G)

Paediatric Surgery, University of Brescia, Brescia, Italy.

Pier Luigi Calvo (PL)

Pediatric Gastroenterology Unit, Regina Margherita Children's Hospital, Azienda Ospedaliera-Universitaria Città della Salute e della Scienza, Turin, Italy.

Mara Cananzi (M)

Unit of Gastroenterology, Digestive Endoscopy, Hepatology and Care of Children with Liver Transplantation, University Hospital of Padova, Padova, Italy.

Manila Candusso (M)

Hepatology, Gastroenterology, Nutrition and Liver transplantation Unit, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Maria Grazia Clemente (MG)

Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy.

Lorenzo D'Antiga (L)

Hepatology, Gastroenterology and Transplantation Unit, Hospital Papa Giovanni XXIII, Bergamo, Italy.

Irene Degrassi (I)

Service of Paediatric Hepatology, Department of Paediatrics, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Jean De Ville De Goyet (J)

Pediatric Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, ISMETT UPMC, Palermo, Italy.

Fabiola Di Dato (F)

Department di Translational Medical Science, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Angelo Di Giorgio (A)

Hepatology, Gastroenterology and Transplantation Unit, Hospital Papa Giovanni XXIII, Bergamo, Italy.

Carlo Dionisi Vici (CD)

Division of Metabolism and Metabolic Diseases Research Unit, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Federica Ferrari (F)

Department of Pediatrics, Sant'Eugenio Hospital, Rome, Italy.

Paola Francalanci (P)

Department of Pathology, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Maurizio Fuoti (M)

Pediatric Gastroenterology and Endoscopy Unit Children's Hospital, ASST Spedali Civili di Brescia, Brescia, Italy.

Fabio Fusaro (F)

Department of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Paola Gaio (P)

Unit of Gastroenterology, Digestive Endoscopy, Hepatology and Care of Children with Liver Transplantation, University Hospital of Padova, Padova, Italy.

Chiara Grimaldi (C)

Division of Abdominal Transplantation and Hepatobiliopancreatic Surgery, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Maria Iascone (M)

Medical Genetics Laboratory, Hospital Papa Giovanni XXIII, Bergamo, Italy.

Giuseppe Indolfi (G)

Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy.

Raffaele Iorio (R)

Department di Translational Medical Science, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Giuseppe Maggiore (G)

Hepatology, Gastroenterology, Nutrition and Liver transplantation Unit, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Claudia Mandato (C)

Department of Pediatrics, Santobono-Pausilipon Children's Hospital AORN, Naples, Italy.

Lorenza Matarazzo (L)

Pediatrics Division, Niguarda Ca' Granda Hospital, Milan, Italy.

Lidia Monti (L)

Department of Radiology, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Fabio Mosca (F)

Neonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Gabriella Nebbia (G)

Service of Paediatric Hepatology, Department of Paediatrics, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Federica Nuti (F)

Service of Paediatric Hepatology, Department of Paediatrics, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Giulia Paolella (G)

Service of Paediatric Hepatology, Department of Paediatrics, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Michele Pinon (M)

Pediatric Gastroenterology Unit, Regina Margherita Children's Hospital, Azienda Ospedaliera-Universitaria Città della Salute e della Scienza, Turin, Italy.

Paola Roggero (P)

Neonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Marco Sciveres (M)

Pediatric Hepatology and Liver Transplantation, ISMETT UPMC, Palermo, Italy.

Daniele Serranti (D)

Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy.

Marco Spada (M)

Division of Abdominal Transplantation and Hepatobiliopancreatic Surgery, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Pietro Vajro (P)

Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana" University of Salerno, Baronissi, Italy.

Emanuele Nicastro (E)

Hepatology, Gastroenterology and Transplantation Unit, Hospital Papa Giovanni XXIII, Bergamo, Italy.

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