40 WORLD GASTROENTEROLOGY NEWS MAY 2016 Editorial | Expert Point of View | Gastro 2016: EGHS-WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events THE LATEST NEWS IN WGO GLOBAL GUIDELINES AND CAS-CADES Here’s what’s happening in 2016… RECENTLY UPDATED & RELEASED GUIDELINES! Irritable Bowel Syndrome (IBS) The IBS Guideline, led by Profes-sor Eamonn Quigley (USA), is now available! This guideline was created with a global representation from Switzerland, Singapore, Russia, United Kingdom, Sweden, Pakistan, Argentina, India, Mexico, Uruguay, and The Netherlands. With this guideline update, WGO aims to guide health providers in the best management of IBS through a concise document with recommen-dations based on the latest evidence and resulting from our global expert consensus process based on best cur-rent practice. A standardized, global approach to the diagnosis and management of IBS may not be feasible, since neither the epidemiology nor the clinical presentation of the condition, nor the availability of diagnostic or therapeu-tic resources, are sufficiently uniform throughout the world to support the provision of a single, gold standard approach. This Global WGO Guideline, therefore, includes a set of “cascades” to provide context-sensitive and resource-sensitive options for the di-agnosis and management of IBS. The WGO cascades are intended to serve as a “global” complement to, rather than a replacement for, the “gold standard” guidelines produced by regional groups and national societies. With their diagnostic and treatment cascades, WGO guidelines provide a resource-sensitive and context-sensi-tive approach. Click here to read more! Inflammatory Bowel Disease (IBD) The IBD guideline is now available for download on the WGO website! Led by Professor Charles Bernstein (Canada), this Guideline features newly updated specific information related to the symptoms, diagnosis of IBD, Cascade for diagnosis, evalua-tion, and management of IBD. Inflammatory bowel disease (IBD) is a group of idiopathic chronic inflammatory intestinal conditions. The two main disease categories are Crohn’s disease (CD) and ulcerative colitis (UC), which have both overlap-ping and distinct clinical and patho-logical features. The pathogenesis of IBD is in-completely understood. Genetic and environmental factors such as altered luminal bacteria and enhanced intes-tinal permeability play a role in the dysregulation of intestinal immunity, leading to gastrointestinal injury. To learn more, click here! Global Perspective on Gastroesophageal Reflux Disease (GERD) Led by Professors Richard Hunt (UK), David Armstrong (Canada), and Peter Katelaris (Australia), this is the second WGO guideline published to complement the World Digestive Health Day (WDHD) themes, the first being From Heartburn to Consti-pation— Commom GI Symptoms in the Community: Impace and Interpretation, 2012, and the second Heartburn: A Global Perspective, 2015. The WGO’s aim in the guideline is to guide health care providers in the best management of GERD through a concise docu-ment that provides recommendations based on the latest evidence and has been drawn up in a global expert consensus process focusing on the best current practice. GERD is now widely prevalent around the world, with clear evidence of increasing prevalence in many developing countries. Practice recom-mendations should be sensitive to context, with the goal of optimizing care in relation to local resources and the availability of health care support systems. The expression of the disease is considered to be similar across regions, with heartburn and regur-gitation as the main symptoms. For initial management, the patient may purchase over-the-counter (OTC) medication for heartburn relief or seek further advice from a pharmacist. When patients perceive that their symptoms are more troublesome, they may seek a doctor’s advice; depend-ing on the patient’s circumstances and the structure of the local health care system, patients may seek advice at the primary care level or they may consult a gastroenterology specialist or surgeon, directly or by referral. The WGO cascade approach aims to optimize the use of available health care resources for individual patients, based on their location and access to various health care providers. Click here to read more about GERD! Watch future issues of the monthly e-Alert as more languages of these guidelines are released! NEW GUIDELINES TO LOOK FOR! Along with the release of these guidelines is the upcoming guideline update on Celiac Disease, which is led by Professors Julio Bai (Argen-
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