EN
TÜRKÇE
Oral Presentation - 8
Inflammatory Bowel Disease among Children in Egypt: Observational Increase in Incidence in the Last Decade
SM Shehata
Section of Pediatric Surgery, Tanta University, Tanta, Egypt
Introduction and Aim:
There is limited information about inflammatory bowel disease (IBD) in Arab children. IBD was believed to be infrequent in our area; however, unofficial reports have confessed the continuing rise in IBD in our country. The aim of this study was to highlight the problem of IBD in our community.
Methods:
Along a period of 5 years (2005 - 2009), 21 cases of IBD were diagnosed among children in TUH and other hospitals. Clinical features, extension of disease and complications of 16 patients with ulcerative colitis (UC) and 5 with Crohn's disease (CD) in age below 15 years were assessed prospectively.
Results:
Median pediatric UC age was 8 years (range 4-14). Seven of the 16 UC had proctitis, while 6 had left colitis and 3 had extensive pancolitis. 3 presented with bleeding per rectum and anemia that necessitate ICU admission and blood transfusion. Only one has extra intestinal manifestation. In CD, age ranged between 8 and 15 years with a median of 13 years. 2 presented at laparotomy for complication and one with peril anal manifestations. 2 out of 5 had involvement of terminal ileum and colon, while inflammation was limited to the colon in 3 cases. All improved under conservative treatment. All confirmed by histopathology examination.
Conclusions:
Among Inflammatory bowel diseases, UC and CD are important diseases in our society among children. Although the true epidemiologic profile of IBD in Egypt is still unknown, it is not as rare as previously thought, and it seems as if gradual adoption of a Western lifestyle and junk meals may be associated with the continuing rise in IBD. We recommend a broad based epidemiological study, simultaneously involving clinicians, and pathologists, to document the characteristics of this disease in Egypt.
Inflammatory Bowel Disease among Children in Egypt: Observational Increase in Incidence in the Last Decade
SM Shehata
Section of Pediatric Surgery, Tanta University, Tanta, Egypt
Introduction and Aim:
There is limited information about inflammatory bowel disease (IBD) in Arab children. IBD was believed to be infrequent in our area; however, unofficial reports have confessed the continuing rise in IBD in our country. The aim of this study was to highlight the problem of IBD in our community.
Methods:
Along a period of 5 years (2005 - 2009), 21 cases of IBD were diagnosed among children in TUH and other hospitals. Clinical features, extension of disease and complications of 16 patients with ulcerative colitis (UC) and 5 with Crohn's disease (CD) in age below 15 years were assessed prospectively.
Results:
Median pediatric UC age was 8 years (range 4-14). Seven of the 16 UC had proctitis, while 6 had left colitis and 3 had extensive pancolitis. 3 presented with bleeding per rectum and anemia that necessitate ICU admission and blood transfusion. Only one has extra intestinal manifestation. In CD, age ranged between 8 and 15 years with a median of 13 years. 2 presented at laparotomy for complication and one with peril anal manifestations. 2 out of 5 had involvement of terminal ileum and colon, while inflammation was limited to the colon in 3 cases. All improved under conservative treatment. All confirmed by histopathology examination.
Conclusions:
Among Inflammatory bowel diseases, UC and CD are important diseases in our society among children. Although the true epidemiologic profile of IBD in Egypt is still unknown, it is not as rare as previously thought, and it seems as if gradual adoption of a Western lifestyle and junk meals may be associated with the continuing rise in IBD. We recommend a broad based epidemiological study, simultaneously involving clinicians, and pathologists, to document the characteristics of this disease in Egypt.