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WORLD GASTROENTEROLOGY NEWS APRIL 2018
Editorial | Expert Point of View | WCOG at ACG 2017 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
WGO Global Guidelines
and Cascades
A highlight of the World Congress of
Gastroenterology at ACG2017 was
a symposium on 18 October 2017
which focused on WGO’s Global Education
programs, entitled “Meeting
Today’s Needs & Looking Forward:
A Global Education Network.” This
included presentations and discussion
on the WGO Training Center
program, WGO Train the Trainers
and the WGO Guidelines.
The WGO Guidelines portion
of the symposium — “Why Cascades?”
— was presented by Prof.
Greger Lindberg, Chair of the WGO
Global Guidelines Committee. Prof.
Lindberg’s presentation described the
use of the Guidelines Cascades Model
and the application of WGO Guidelines
in regions of variable resources.
To read more please see the main
article on this session on page 19 of
this issue.
Guidelines News for 2018
The updated “Management of
Strongyloidiasis” Guideline has just
been published, under the leadership
of Professor Michael Farthing (UK).
Strongyloidiasis is an infection with
Strongyloides stercoralis, a round worm
occurring widely in tropical and subtropical
areas. Strongyloidiasis is an
infection with Strongyloides stercoralis,
a roundworm that occurs widely
in tropical and subtropical areas, but
also in countries with temperate climates.
Strongyloidiasis is frequently
underdiagnosed, because many cases
are asymptomatic; moreover, commonly
used diagnostic methods lack
sensitivity. An estimated 370 million
people are infected worldwide.
This updated WGO Guideline
includes cascades: a hierarchical set of
diagnostic, therapeutic, and management
options for dealing with risk
and disease, ranked by the resources
available. WGO guidelines and
cascades are intended to highlight
appropriate, context-sensitive, and
resource-sensitive management options
for all geographical areas, regardless
of whether they are “developing,”
“semi-developed,” or “developed.”
WGO cascades are context-sensitive,
and the context is not necessarily
defined solely by resource availability.
Cascade options both for diagnosis
and management of strongyloidiasis
are key, and represent the most important
part of this document.
It can be accessed at http://www.
worldgastroenterology.org/guidelines/
global-guidelines/management-ofstrongyloidiasis/
management-ofstrongyloidiasis
english.
Work continues on the new Diet and
the Gut Guideline, which is being
led by Professors Govind Makharia
(India) and Peter Gibson (Australia).
This Guideline complements the
2016 World Digestive Health Day
campaign theme of Diet and the Gut –
‘Your Diet and Gut Health.’
Also brand new will be the Pancreas
Cystic Lesions Guideline. Led
by Professors Juan Malagelada (Spain)
and Nalini Guda (USA), work on this
guideline is currently underway.
As for updates of existing Guidelines,
the Endoscope Disinfection
Guideline, which is chaired by Professor
Tony Speer (Australia) as well as
the World Endoscopy Organization’s
Professor Jean-François Rey (France) is
currently being updated from its 2011
version. This guideline is a collaboration
of the World Gastroenterology
Organisation and the World Endoscopy
Organization.
Translations of the updated Hepatitis
C as well as the updated Probiotics
and prebiotics guidelines are
now available in French, Mandarin,
Portuguese, Russian and Spanish.
Please continue to watch upcoming
issues of e-WGN as well as our e-Alert
for news on the creation of these very
important guidelines.
Prof. Greger Lindberg presenting during the
symposium.