Khan Hamza Hassan, Kumar Sanjay, Lyons Hernando
Division of Pediatric Gastroenterology, Department of Pediatrics Arkansas Children's Hospital-University of Arkansas for Medical Sciences Little Rock Arkansas USA.
Department of Pediatrics Henry Ford St. John Children's Hospital Detroit Michigan USA.
JPGN Rep. 2025 Mar 10;6(2):137-145. doi: 10.1002/jpr3.12166. eCollection 2025 May.
Celiac disease (CD) is a common autoimmune disorder characterized by an immune-mediated reaction to gluten. We conducted a survey study of the pediatric gastroenterology list server to assess the practices of North American pediatric gastroenterologists in the management of CD. Overall, 160 out of 2400 respondents participated in the study, of which 52.5% of the respondents were females and 72.5% were practicing in university hospitals. Overall, respondents were practicing in adherence to the latest guidelines, except only 36% were screening for hepatitis B virus immunization at diagnosis on most of the visits, and 25% were utilizing human leukocyte antigens typing on most visits if serologies were negative. In addition, female respondents screened for vitamin D deficiency more often than males with a value < 0.05.
乳糜泻（CD）是一种常见的自身免疫性疾病，其特征为对麸质产生免疫介导反应。我们对儿科胃肠病学列表服务器进行了一项调查研究，以评估北美儿科胃肠病学家在乳糜泻管理方面的做法。总体而言，2400名受访者中有160人参与了该研究，其中52.5%的受访者为女性，72.5%在大学医院执业。总体而言，受访者遵循最新指南进行诊疗，不过在大多数就诊时，只有36%的人在诊断时筛查乙肝病毒免疫接种情况，且如果血清学检查结果为阴性，25%的人在大多数就诊时进行人类白细胞抗原分型。此外，女性受访者比男性受访者更常筛查维生素D缺乏情况，P值<0.05。
