To provide updated clinical guidance on the management of children with poor weight gain, termed 'faltering weight', emphasizing its significance in clinical practice.
Approach:
Key Findings:
Routine diagnostic testing has a low yield, identifying underlying etiology in 2.8% to 14% of cases, which suggests a need for careful clinical judgment.
Endoscopy is not recommended for initial evaluation due to low diagnostic yield and potential risks, emphasizing the need for alternative assessment strategies.
Interpretation:
The guidelines aim to standardize the approach to diagnosing and managing faltering weight in children, focusing on nutritional support, careful evaluation, and the importance of a multidisciplinary approach.
Limitations:
Guideline based on studies from high-income countries, limiting generalizability, which may affect applicability in diverse populations.
One diagnostic criterion included without reaching the predefined consensus threshold, indicating potential areas for further research.
Conclusion:
Implementation of these guidelines will require accurate measurements, a multidisciplinary approach to care, and ongoing education for healthcare providers.
