Management of Juvenile Polyposis Syndromes in Children and Adolescents: A Position Paper from the ESPGHAN Polyposis Working Group

The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Polyposis Working Group developed recommendations to assist clinicians and health care providers with appropriate management of patients with juvenile polyposis. This is the first juvenile polyposis Position Paper published by ESPGHAN with invited experts. Many of the published studies were descriptive and/or retrospective in nature, consequently after incorporating a modified version of the GRADE system many of the recommendations are based on expert opinion. This ESPGHAN Position Paper provides a guide for diagnosis, assessment and management of Juvenile polyposis syndrome (JPS) in children and adolescents, and will be helpful in the appropriate management and timing of procedures in children and adolescents. The formation of international collaboration and consortia is proposed in order to monitor patients prospectively to advance our understanding of juvenile polyposis conditions. Address correspondence and reprint requests to Shlomi Cohen, MD, Pediatric Gastroenterology Unit, "Dana-Dwek" Children's Hospital, Tel Aviv Medical Center, 6 Weizmann Street, Tel Aviv, Israel 6423906 (e-mail: shlomico@tlvmc.gov.il). Accepted 12 July, 2018 Conflict of interest: None of the authors nor the ESPGHAN Polyposis Working group have any conflicts of interest to declare. Support and financial interest: None to declare. SC and WH received support in training in EBM learning by ESPGHAN 2016. CD supported by the Zane Cohen Centre for Digestive Diseases. No external funding sought nor obtained © 2018 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,

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