Consenso sobre el diagnóstico y el tratamiento de la alergia a las proteínas de la leche de vaca de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición

Toca, María del Carmen; Morais, Mauro Batista de; Vázquez-Frías, R.; Becker-Cuevas, D.J.; Boggio-Marzet, C.; Delgado-Carbajal, L.; Higuera-Carrillo, M.M.; Ladino, Liliana; Marchisone, Silvia; Messere, Gabriela; Ortiz, Gonzalo; Ortiz-Paranza, L.R.; Ortiz-Piedrahita, Catalina; Riveros-López, J.P.; Sosa, Patricia; Villalobos-Palencia, N.C.

doi:10.1016/j.rgmx.2022.03.007

Cited by 6 publications

(1 citation statement)

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“…58 Other guidelines and consensuses have also recommended AAF as a second option or as first line, considering various situations. 8,29,59,60…”

Section: Amino Acid-based Formulas (Aaf)mentioning

confidence: 99%

Mexican consensus on cow’s milk protein allergy

Ramírez Mayans,

Ignorosa Arellano,

Toro Monjaraz

et al. 2024

Allergol Immunopathol

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Background: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow’s Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico. Material and methods: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each). Results: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow’s milk protein were provided. Conclusions: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.

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“…58 Other guidelines and consensuses have also recommended AAF as a second option or as first line, considering various situations. 8,29,59,60…”

Section: Amino Acid-based Formulas (Aaf)mentioning

confidence: 99%

Mexican consensus on cow’s milk protein allergy

Ramírez Mayans,

Ignorosa Arellano,

Toro Monjaraz

et al. 2024

Allergol Immunopathol

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Discrepancy between Mexican paediatricians and ESPGHAN experts regarding cow's milk allergy

Hendricx,

Robert,

Gestels

et al. 2024

JPGN rep.

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ObjectivesCow's milk allergy (CMA) is a common food allergy in infants. Guidelines and recommendations for the diagnosis and management of CMA are based on scientific review of the available evidence. However, real‐world situations may oblige clinicians to adapt a different attitude.MethodsThis paper evaluated the opinion of 42 Mexican paediatricians on the 73 statements presented in the recent position paper of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Voting on the statements and their interpretation were identical for both groups (online and anonymous). Both groups were unaware of the other's outcome at the moment of the voting.ResultsWhile the ESPGHAN group accepted all 73 statements, the Mexican group rejected 19 statements. Two rejections were due to the mean and median being below the predefined and agreed‐upon cut‐off, and 17 were due to over 75% of participants disagreeing with the statements. The greatest discrepancy was observed regarding the role of vitamin D in preventing CMA.ConclusionWhile opinions on the prevalence, diagnosis and management of CMA were comparable between European paediatric gastroenterologists and Mexican general paediatricians for the majority of statements, significant differences were observed. It is essential to gather information from various regions and healthcare levels to enhance the impact of recommendations.

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