Department of Paediatrics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Expert Rev Gastroenterol Hepatol. 2023 Dec;17(12):1255-1266. doi: 10.1080/17474124.2023.2288164. Epub 2024 Jan 17.
Disorders of Gut-Brain Interactions (DGBI) are a common clinical problem in children and pose significant challenges to the attending pediatrician. Radiological investigations are commonly ordered to evaluate these children.
This review focuses on the current best practice of using radiological investigations in DGBIs and how novel radiological investigations could revolutionize the assessment and therapeutic approach of DGBI in children.
We believe imaging in DGBI is still in its early stages, but it has the potential to revolutionize how we diagnose and treat children with DGBI. As the understanding of the gut-brain axis continues to grow, we can expect to see the disappearance of conventional imaging techniques and the emergence of more sophisticated imaging techniques with less radiation exposure in the future which provide more clinically meaningful information regarding the gut-brain axis and its influence on intestinal function. Some of the novel imaging modalities will be able to broaden our horizon of understanding DGBI in children providing more useful therapeutic options to minimize their suffering.
肠道-大脑相互作用障碍(DGBI)是儿童常见的临床问题,给主治儿科医生带来了巨大挑战。通常会进行影像学检查来评估这些儿童。
本篇综述重点关注 DGBI 中使用影像学检查的当前最佳实践,以及新型影像学检查如何彻底改变儿童 DGBI 的评估和治疗方法。
我们认为 DGBI 中的影像学检查仍处于早期阶段,但它有可能彻底改变我们诊断和治疗 DGBI 儿童的方式。随着对肠道-大脑轴的理解不断深入,我们可以预期在未来会看到传统影像学技术的消失,以及更复杂、辐射暴露更少的影像学技术的出现,这些技术将提供更有临床意义的关于肠道-大脑轴及其对肠道功能影响的信息。一些新型影像学方式将能够拓宽我们对儿童 DGBI 的理解,提供更多有用的治疗选择,最大程度减少他们的痛苦。