Life · 8 authors, 5 centres
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This is a narrative review describing the historical development and current scope of pediatric gastroenterology as a subspecialty. It reviews the evolution of knowledge and techniques, highlighting key conditions like gastroesophageal reflux, Helicobacter pylori infection, celiac disease, and inflammatory bowel disease in children.
This narrative review traces the separation of pediatrics from adult medicine and the subsequent development of pediatric gastroenterology as a distinct subspecialty. It discusses how advances in technology, particularly endoscopy, have transformed the understanding and management of digestive disorders in children. The review covers major entities including gastroesophageal reflux (GER) and its extra-digestive manifestations, the epidemiology and implications of Helicobacter pylori infection, the diagnostic evolution of celiac disease, and the challenges of managing inflammatory bowel disease (IBD) in pediatric patients. The authors emphasize the importance of multidisciplinary collaboration and note that while significant progress has been made, ongoing research is needed to further elucidate disease mechanisms and improve clinical pathways.
