Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Management of the Most Common Functional Gastrointestinal Disorders in Infancy: The Middle East Expert Consensus

  • Indrio, Flavia (Department of Medical and Surgical Science, University of Foggia) ;
  • Enninger, Axel (Department of General and Special Pediatrics, Olga Hospital (Klinikum Stuttgart)) ;
  • Aldekhail, Wajeeh (Department of Pediatric Gastroenterology, King Faisal Specialist Hospital & Research Centre) ;
  • Al-Ghanem, Ghanem (Department of Neonatal Perinatal Medicine, Adan Hospital) ;
  • Al-Hussaini, Abdulrahman (Division of Pediatric Gastroenterology, Children's Specialized Hospital, King Fahad Medical City, College of Medicine, Alfaisal University) ;
  • Al-Hussaini, Bakr (Department of Pediatric Gastroenterology, King Abdulaziz University Hospital) ;
  • Al-Refaee, Fawaz (Pediatrics Department, Al-Adan Hospital, Ministry of Health) ;
  • Al-Said, Khoula (Department of Child Health, Pediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital) ;
  • Eid, Bassam (Pediatrics/Pediatric Gastroenterology Unit, Hotel Dieu de France) ;
  • Faysal, Wafaa (Pediatric Department, Dr Sulaiman Al Habib Hospital) ;
  • Hijazeen, Ruwaida (Pediatric Department, Istishari Hospital) ;
  • Isa, Hasan M.A. (Pediatric Department, Salmaniya Medical Complex/Arabian Gulf University) ;
  • Onkarappa, Dinesh (Department of Pediatrics, Royal Hospital) ;
  • Rawashdeh, Mohammad (Department of Pediatrics, The University of Jordan) ;
  • Rohani, Pejman (Department of Pediatrics, Mofid Children's Hospital, Pediatric Gastroenterology, Hepatology, and Nutrition Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences) ;
  • Sokhn, Maroun (Pediatric Department, Saint George Hospital)
  • Received : 2020.12.29
  • Accepted : 2021.05.15
  • Published : 2021.07.15
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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.

Keywords

Acknowledgement

Sanjith Soman of INSPIRE HealthScience Dubai compiled the authors' comments and supported the writing of this paper.

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