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Review
. 2016 Mar;105(3):244-52.
doi: 10.1111/apa.13270. Epub 2015 Dec 21.

Functional gastro-intestinal disorder algorithms focus on early recognition, parental reassurance and nutritional strategies

Yvan Vandenplas  1 , Marc Benninga  2 , Ilse Broekaert  3 , Jackie Falconer  4 , Frederic Gottrand  5 , Alfredo Guarino  6 , Carlos Lifschitz  7 , Paolo Lionetti  8 , Rok Orel  9 , Alexandra Papadopoulou  10 , Carmen Ribes-Koninckx  11 , Frank M Ruemmele  12   13 , Silvia Salvatore  14 , Raanan Shamir  15 , Michela Schäppi  16 , Annamaria Staiano  6 , Hania Szajewska  17 , Nikhil Thapar  18 , Michael Wilschanski  19
Affiliations
Review

Functional gastro-intestinal disorder algorithms focus on early recognition, parental reassurance and nutritional strategies

Yvan Vandenplas et al. Acta Paediatr. 2016 Mar.

Erratum in

  • Erratum.
    [No authors listed] [No authors listed] Acta Paediatr. 2016 Aug;105(8):984. doi: 10.1111/apa.13481. Epub 2016 Jun 10. Acta Paediatr. 2016. PMID: 27383518 No abstract available.

Abstract

Up to 50% of infants present with symptoms of regurgitation, infantile colic and/or constipation during the first 12 months of life. Although they are often classed as functional disorders, there is an overlap with cows' milk allergy. We present practical algorithms for the management of such disorders, based on existing evidence and general consensus, with a particular focus on primary health care. Management consists of early recognition of warning signs of organic disease, parental reassurance and nutritional strategies.

Conclusion: The proposed algorithms aim to help healthcare providers manage frequent gastrointestinal and cows' milk-related symptoms in infants safely and effectively.

Keywords: Colic; Constipation; Cows' milk allergy; Functional disorder; Regurgitation.

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