28 WORLD GASTROENTEROLOGY NEWS OCTOBER 2014 Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events The Latest News in WGO Global Guidelines and Cascades Looking forward to 2014… WGO is pleased to announce that the Dysphagia Guideline has just been updated – NOW WITH CASCADES - and will soon be ready for release! Be-low is a glimpse into the new cascades: Diagnostic Cascades The following tables 3 and 4 provide alternative diagnostic options for limited, medium, and ‘state of the art’ resources situations: Table 3 - CASCADE diagnostic options - oro-pharyngeal dysphagia Limited resources Medical history and general physical examination Timed water swallow test (complemented by food test) Medium resources Nasoendoscopy for struc-tural problems Pharyngo-esophageal manometry State of the art Videofluoroscopy swallow-ing study Head and neck magnetic resonance Thoracic PET-CT scan High resolution-impedance manometry (AIM) Table 4 - CASCADE diagnostic options - esophageal dysphagia Limited resources Medical history and general physical Barium esophagram (barium suspension and barium tablet test) Medium resources Fiberoptic esophago-gastroscopy (with biopsies to diagnose eosinophilic esophagitis) Esophageal manometry State of the art High resolution esophageal manometry/impedance Radionuclide scintigraphy Thoraco-abdominal CT/PET Esophageal ultrasonography Additionally, a new Guideline – GERD – is currently in its beginning stages of development! Also in 2014 is an update to the Hepatitis B Guide-line. The Hepatitis B Guideline up-date is under the direction of Profes-sors Jordan Feld, Canada, and Harry Janssen, Canada. We look forward to sharing both with you soon! WGO Guidelines Now Available on the JCG Website! The Journal of Clinical Gastroenterol-ogy (JCG), WGO’s official Journal, has published WGO’s three most recently created Guidelines! The first, Diagnosis, management and prevention of Hepatitis C, available here and led by Professor Muhammed Umar, Pakistan, will be of interest to all health professionals in primary and secondary care involved in the man-agement of people with hepatitis C infection in different countries of the world. It covers all stages of the dis-ease management pathway: screening, testing, diagnosis, referral, treatment, care, and follow-up of children and adults with, or exposed to, hepatitis C (HCV) infection. To download this new guideline, click here! The second guideline, Coping with common GI symptoms in the commu-nity; a global perspective on heartburn, constipation, bloating, and abdominal pain/discomfort, led by Professors Eamonn Quigley and Richard Hunt, is the first to take four key gastroin-testinal (GI) symptoms as its starting-point: heartburn, abdominal pain/ discomfort, bloating, and constipa-tion. It is also unique in featuring four levels of care in a cascade approach: self-care and “over-the-counter” aids; the pharmacist’s view; the perspective of the primary care doctor—where symptoms play a primary role in pa-tient presentation; and the specialist. The aim is to provide another unique and globally useful guideline that helps in the management of common, troubling but not disabling GI com-plaints. Begin viewing the Guideline on the JCG website, or Download this new guideline, now! Thirdly, the Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis (NAFLD-NASH) is now available for download in various languages including French, Span-ish, Portuguese and Mandarin. The Guideline features cascade options for diagnosis in patients with suspected NAFLD-NASH as well as a therapy cascade for extensive, medium, and limited resources. NAFLD-NASH are now the number one cause of liver disease in Western countries, and play an equally important role in the Middle East, Far East, Africa, the Ca-ribbean, and Latin America. Led by Professor Douglas LaBrecque, USA, this guideline was created with a global view with representation from Pakistan, Austria, Malaysia, Russia, Venezuela, Colombia, Mexico, India, Croatia, Canada, France and The Netherlands. To view the guideline on the JCG website, click here! Watch future e-Alerts and issues of e-WGN as more languages of these new Guidelines become available!
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