JPGN Journal Club: March 2024
JPGN Journal Club is in your ears again! We’re glad to be back and we hope that you’re glad to have us back. Dr Jake Mann has chosen for today from Gut, by Guo et al., early-life diet and risk of inflammatory bowel disease: A pooled study in two Scandinavian birth cohorts. This is the sort of thing that – thanks to the record-keeping in which the Northlands specialise – can’t be duplicated elsewhere but that indicates for us all how we can effectively address an aspect of disease. Fish, veggie and no sweet, sweet fizzy drinks for those babies if you want to reduce risk! It’s open-access so check it out -- you’ll be glad that you did. Closer to ESPGHAN home is Jake’s next selection – from J Pediatr Gastroenterol Nutr – Raghu et al., Impact of early immunosuppression on pediatric liver transplant outcomes within 1 year. This collaborative effort among a double handful of North American centres permits a rather sad compare-and-contrast exercise with states of care in Scandinavia and in the USA (yes, one Canadian participant). Medical provision on a scattershot, pick-and-mix basis is almost by whim in North America, it seems, whilst the Nordic lands offer co-ordinated, well-reasoned, and well-assessed interventions that enable supranational fine-tuning. One wonders what a similar look-back in Europe would discover, nation by nation and centre by centre, and what the discoveries would permit setting right. Not that our bedside tables aren’t already stacked with enough to read, mind you, but at the top of that teetering pile should be the most recent number of JPGN. Please grab it and read the Raghu et al. article. It’s a call to action. May European hepatologists soon answer that call!