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Published on: September 10, 2021
Congenital Diarrhoeas and Enteropathies
Jutta Köglmeier1, Keith James Lindley1
1Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London WC1N 3JH, UK.
Congenital diarrhoeas and enteropathies (CODE) are rare infant disorders. Improved diagnostics and nutrition support allow survival, but further research is vital for new therapies and cures.
Area of Science:
- Pediatric Gastroenterology
- Rare Diseases
- Genetics
Background:
- Congenital diarrhoeas and enteropathies (CODE) represent a diverse group of rare pediatric disorders.
- Infants often present with severe dehydration early in life, though clinical presentations vary.
- Recent advancements in understanding genetic causes and improved management, including parenteral nutrition, have increased survival rates.
Purpose of the Study:
- To review current literature on congenital diarrhoeas and enteropathies (CODE).
- To outline a diagnostic and therapeutic approach for these rare conditions.
- To emphasize the need for increased awareness among healthcare professionals.
Main Methods:
- Comprehensive literature review of congenital diarrhoeas and enteropathies (CODE).
- Analysis of diagnostic criteria and therapeutic strategies.
- Synthesis of current knowledge on pathomechanisms and genetic underpinnings.
Main Results:
- CODE encompasses various subtypes, many requiring long-term or lifelong parenteral nutrition.
- Advances in genetic testing and supportive care have significantly improved patient outcomes.
- Recognition and management strategies are evolving, but challenges remain.
Conclusions:
- Increased awareness and understanding of CODE are crucial for both pediatric and adult physicians.
- Further research is essential to identify novel CODE subtypes and develop targeted therapies.
- The ultimate goal is to improve management and work towards potential long-term cures for affected children.
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