Pediatr Gastroenterol Hepatol Nutr.
2021 Jul;24(4):325-336. 10.5223/pghn.2021.24.4.325.
Management of the Most Common Functional Gastrointestinal Disorders in Infancy: The Middle East Expert Consensus
- Indrio F
1 - Enninger A2
- Aldekhail W3
- Al-Ghanem G4
- Al-Hussaini A5
- Al-Hussaini B6
- Al-Refaee F7
- Al-Said K8
- Eid B9
- Faysal W10
- Hijazeen R11
- M.A. Isa H12
- Onkarappa D13
- Rawashdeh M14
- Rohani P15
- Sokhn M16
- Affiliations
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- 1Department of Medical and Surgical Science, University of Foggia, Foggia, Italy
- 2Department of General and Special Pediatrics, Olga Hospital (Klinikum Stuttgart), Stuttgart, Germany
- 3Department of Pediatric Gastroenterology, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
- 4Department of Neonatal Perinatal Medicine, Adan Hospital, Ahmadi, Kuwait
- 5Division of Pediatric Gastroenterology, Children's Specialized Hospital, King Fahad Medical City, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
- 6Department of Pediatric Gastroenterology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
- 7Pediatrics Department, Al-Adan Hospital, Ministry of Health, Kuwait City, Kuwait
- 8Department of Child Health, Pediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital, Muscat, Oman
- 9Pediatrics/Pediatric Gastroenterology Unit, Hotel Dieu de France, Beirut, Lebanon
- 10Pediatric Department, Dr Sulaiman Al Habib Hospital, Dubai, UAE
- 11Pediatric Department, Istishari Hospital, Amman, Jordan
- 12Pediatric Department, Salmaniya Medical Complex/Arabian Gulf University, Manama, Bahrain
- 13Department of Pediatrics, Royal Hospital, Abu Dhabi, UAE
- 14Department of Pediatrics, The University of Jordan, Amman, Jordan
- 15Department of Pediatrics, Mofid Children's Hospital, Pediatric Gastroenterology, Hepatology, and Nutrition Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- 16Pediatric Department, Saint George Hospital, Beirut, Lebanon
- KMID: 2518432
- DOI: http://doi.org/10.5223/pghn.2021.24.4.325
Abstract
- The occurrence of functional gastrointestinal disorders (FGIDs) is a formidable challenge for infants, parents, and healthcare professionals. Although data from the Middle East are scarce, experts consider FGIDs a prevalent condition in everyday clinical practice. The new Rome IV criteria revisited the definitions from a clinical perspective to provide a practical and consistent diagnostic protocol for FGIDs. However, the treatment practices for functional disorders vary considerably among Middle Eastern countries, often resulting in mismanagement with unnecessary investigations and treatments. In addition, the role of various treatment modalities, including probiotics such as Lactobacillus reuteri DSM 17938, in FGIDs requires further discussion and evaluation. During a consensus meeting, a locally relevant approach for treating common FGIDs such as infant regurgitation, infant colic, and functional constipation was discussed and approved by regional experts. The participants suggested a simplified treatment plan and protocol for general pediatricians and other primary care physicians managing FGIDs. This easy-to-follow standardized protocol will help streamline the initial management of this complex disorder in the Middle East region and even globally.
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