Evidence map›Paper›PMID 40439169›Full record

ReviewJournal of pediatric gastroenterology and nutrition2025

Intestinal involvement in graft versus host disease in children: An overview by the ESPGHAN Gastroenterology Committee.

Marina Vincent, Amit Assa, Osvaldo Borrelli, Matjaž Homan, Javier Martin-de-Carpi, Zrinjka Misak, Maria Giovanna Puoti, Isabelle Scheers, Sara Sila, Caterina Strisciuglio and 3 more

Abstract readReview
In one paragraph

Review in Journal of pediatric gastroenterology and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Marina VincentDepartment of Paediatric, University Hospital Center, Limoges, France.
Amit AssaThe Juliet Keidan Institute of Paediatric Gastroenterology and Nutrition, Shaare Zedek Medical Centre, The Hebrew University, Jerusalem, Israel.
Osvaldo BorrelliDivision of Neurogastroenterology & Motility, Department of Paediatric Gastroenterology, Great Ormond Street Hospital, London, UK.
Matjaž HomanDepartment of Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Javier Martin-de-CarpiDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Hospital Sant Joan de Déu, Barcelona, Spain.
Zrinjka MisakReferral Centre for Paediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia.
Maria Giovanna PuotiDepartment of Paediatric Gastroenterology and Hepatology, Santobono-Pausilipon Hospital, Naples, Italy.
Isabelle ScheersPediatric Gastroenterology and Hepatology, Department of Pediatrics, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.
Sara SilaReferral Centre for Paediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia.
Caterina StrisciuglioDepartment of Woman, Child and General and Specialist Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Christos TzivinikosPaediatric Gastroenterology Department, Al Jalila Children's Specialty Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Jernej DolinsekDepartment of Pediatrics, University Medical Centre Maribor, and Department of Pediatrics, Medical Faculty, University of Maribor, Maribor, Slovenia.
Emmanuel MasService de Gastroentérologie, Hépatologie, Nutrition et Maladies Héréditaires du Métabolisme, Hôpital des Enfants, and IRSD, Université de Toulouse, INSERM, INRAE, ENVT, UPS, Toulouse, France.ORCID https://orcid.org/0000-0001-5425-7352

Funding

None
6 · The paper itself

Abstract

Graft versus host disease (GVHD) is a complication that frequently occurs after haematopoietic stem cell transplantation and concerns many children in paediatric haematology-oncology and bone marrow transplantation departments. It can affect various organs, with the skin, gastrointestinal tract and liver being the most commonly involved. To confirm intestinal GVHD and to rule out differential diagnoses endoscopy is frequently needed. Currently, there are no specific consensus recommendations concerning the best method for endoscopic exploration and medical management of this disease in children, with limited studies available, including a low number of patients. Sigmoidoscopy could be initially proposed under sedation. If sigmoidoscopy is normal or if a general anaesthesia is required, colonoscopy and upper endoscopy should be planned, avoiding duodenal biopsy because of the risk of duodenal haematoma. Regarding therapeutic options, corticosteroids are the first-line treatment for GVHD. Ruxolitinib, a Janus kinase inhibitor, is indicated for children aged 12 years and older with acute or chronic GVHD who have an inadequate response to corticosteroids or other systemic therapies. Nutritional support has a key role in the management of intestinal GVHD and should be considered to guarantee the best possible evolution of intestinal GVHD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationIntestinal DiseasesChildEndoscopy, GastrointestinalGastroenterologyHumansendoscopyhaematopoietic stem cell transplantationintestine

Identifiers

PMID40439169
PMCPMC12314575

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.