Gastrointestinal involvement in juvenile systemic sclerosis: development of recommendations for screening and investigation

Table 1

Gastrointestinal	Baseline
	All patients should have a barium swallow to assess for dysmotility or stricture and 24 hour pH monitoring for GORD and progress to upper GI endoscopy if any abnormality detected
	Follow-up
	Every 3 years or sooner if worsening lung involvement and/or worsening GI symptoms	Upper GI endoscopy Barium swallow 24 hours pH monitoring

*screening guidelines are based on asymptomatic patients. However, children may need more frequent monitoring depending on clinical status and abnormalities detected on previous investigation.

ISSN: 1546-0096