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Guidelines

For some rare or complex conditions, there are no clinical guidelines or consensus statements available at present. For some diseases, these are available but some may require review and revision.

ERNICA seeks to endorse, develop or revise existing clinical guidelines and consensus documents to ensure clinical recommendations are made available to clinicians, patients and their families based on research of the highest quality. 

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To safeguard the scientific integrity of our guidelines and consensus statements, ERNICA partners with the specialized professional organization Qualicura in their development. Within Qualicura, we closely collaborate with Willemijn, a methodologist, to ensure thoroughness and accuracy.

For inquiries about the methodology employed in guideline development, please reach out to: w.irvine@erasmusmc.nl

For questions regarding ERNICA guideline development in general, feel free to contact:
ern-ernica@erasmusmc.nl

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Willemijn Irvine 

ERNICA Methodologist 

Guidelines and Consensus Statements produced by ERNICA

Title
Type of Document
Public Access Link
ERNICA evidence based guideline on omphalocele (2026)
Evidence Based Guideline
https://pmc.ncbi.nlm.nih.gov/articles/PMC13162432/
Updated ERNICA guidelines for the management of rectosigmoid Hirschsprung's disease (2025)
Evidence Based Guideline
https://onlinelibrary.wiley.com/doi/10.1002/jpn3.70442
European reference network for rare inherited congenital anomalies (ERNICA) evidence based guideline on the management of gastroschisis (2024)
Evidence Based Guideline
https://pubmed.ncbi.nlm.nih.gov/38347519/
European Reference Network for Inherited and Congenital Anomalies Evidence-Based Guideline on Surgical Aspects of Necrotizing Enterocolitis in Premature Neonates (2024)
Evidence Based Guideline
https://pmc.ncbi.nlm.nih.gov/articles/PMC12129410/
Summary: European Reference Network for Inherited and Congenital Anomalies Evidence-Based Guideline on Surgical Aspects of Necrotizing Enterocolitis in Premature Neonates (2024)
Summary Document
https://karger.com/neo/article-pdf/122/3/376/4302233/000542540.pdf
Ernica Clinical Consensus Statements on Total Colonic and Intestinal Aganglionosis (2024)
Consensus Statement
https://www.sciencedirect.com/science/article/pii/S0022346824002951?via%3Dihub
ERNICA Consensus Conference on the Management of Patients with Long-Gap Esophageal Atresia: Perioperative, Surgical, and Long-Term Management (2021)
Consensus Statement
https://pubmed.ncbi.nlm.nih.gov/32668485/
ERNICA Consensus Conference on the Management of Patients with Esophageal Atresia and Tracheoesophageal Fistula: Diagnostics, Preoperative, Operative, and Postoperative Management (2020)
Consensus Statement
https://pubmed.ncbi.nlm.nih.gov/31266084/
ERNICA Consensus Conference on the Management of Patients with Esophageal Atresia and Tracheoesophageal Fistula: Follow-up and Framework (2020)
Consensus Statement
https://pubmed.ncbi.nlm.nih.gov/31777030/
ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease (2020)
Evidence Based Guideline
https://pmc.ncbi.nlm.nih.gov/articles/PMC7318734/
Translation: ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease (2020) - Ukrainian
Translated Document
https://www.ern-ernica.eu/_files/ugd/c8fbf6_a3c9a557ec0a4cb6b196076c99b16315.pdf
Summary: ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease (2020) - English
Summary Document
https://www.ern-ernica.eu/_files/ugd/c8fbf6_fea59992c6104e97ba70c1b882a72cf3.pdf
Summary: ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease (2020) - Finnish
Summary Document
https://www.ern-ernica.eu/_files/ugd/c8fbf6_d09f8eb6b1dc4d52bc866d4c652d1a13.pdf
Summary: ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease (2020) - Swedish
Summary Document
https://www.ern-ernica.eu/_files/ugd/c8fbf6_e0c88ade3bb34d69a751739cb47191a0.pdf

Guidelines and Consensus Statements endorsed by ERNICA

Title
Type of Document
Public Access Link
Disclaimer
Diagnosis and management of congenital diaphragmatic hernia: a 2023 update from the Canadian Congenital Diaphragmatic Hernia Collaborative
Evidence Based Guideline
https://pubmed.ncbi.nlm.nih.gov/37879884/

Unclear if patient values and preferences were considered

Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition
Evidence Based Guideline
https://pubmed.ncbi.nlm.nih.gov/29470322/

Unclear if patient values and preferences were considered

Care Recommendations for the Respiratory Complications of Esophageal Atresia– Tracheoesophageal Fistula
Summary document
https://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2377-2834.pdf?articleLanguage=en

This document is endorsed by EAT, ERNICA, ERN-LUNG and INoEA.

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ERNICA is funded by the European Union. The content of this website represents the views of the author only and it his/her sole responsibility; it cannot be considered to reflect the views of the European Commission and/or the Health and Digital Executive Agency (HaDEA) or any other body of the European Union. The European Commission and the agency do not accept any responsibility for use that may be made of the information it contains. 

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