Inflammatory bowel disease in Kuwait


Abstract

Inflammatory bowel disease is considered to be rare or nonexistent in some Arab countries. During a period of 6 years, 91 patients with ulcerative colitis and 17 with Crohn's disease were seen for initial diagnosis in the Gastroenterology Department of Amiri Hospital, which serves 55% of the population of Kuwait. From this group, 43 patients with ulcerative colitis and 14 patients with Crohn's disease were followed up for an average of 30.9 months. In the remaining 51 patients, the diagnosis was established in the same manner as in this series, but these patients were sent back to the referring physicians and therefore were not available for follow-up. The severity of the disease in the majority of patients with ulcerative colitis was mild to moderate. Nine of 14 patients with Crohn's disease underwent surgery as a diagnostic procedure in an acute abdominal emergency or for treatment of complications. The duodenum was involved in two patients with Crohn's disease and the endoscopic picture and histology of these were initially interpreted as immunoproliferative small intestinal disease which is highly prevalent in this area. We suggest that the assumption that inflammatory bowel disease is uncommon in our population is wrong.


Cited by

Incidence and Prevalence of Inflammatory Bowel Disease across Asia.

Park J, Cheon JH.Yonsei Med J. 2021 Feb;62(2):99-108. doi: 10.3349/ymj.2021.62.2.99.PMID: 33527789 Free PMC article. Review.

Epidemiological studies of migration and environmental risk factors in the inflammatory bowel diseases.

Ko Y, Butcher R, Leong RW.World J Gastroenterol. 2014 Feb 7;20(5):1238-47. doi: 10.3748/wjg.v20.i5.1238.PMID: 24574798 Free PMC article. Review.

Inflammatory bowel disease register: Steps towards Crohn's & colitis foundation of Saudi Arabia (CCFSA).

Masoodi I, Alsayari K, Albishri J.Int J Health Sci (Qassim). 2012 Jun;6(2):232-6. doi: 10.12816/0006002.PMID: 23580900 Free PMC article.

Emerging inflammatory bowel disease in saudi outpatients: a report of 693 cases.

Al-Mofarreh MA, Al-Mofleh IA.Saudi J Gastroenterol. 2013 Jan-Feb;19(1):16-22. doi: 10.4103/1319-3767.105915.PMID: 23319033 Free PMC article.

Inflammatory bowel disease in Saudi Arabia: a hospital-based clinical study of 312 patients.

Fadda MA, Peedikayil MC, Kagevi I, Kahtani KA, Ben AA, Al HI, Sohaibani FA, Quaiz MA, Abdulla M, Khan MQ, Helmy A.Ann Saudi Med. 2012 May-Jun;32(3):276-82. doi: 10.5144/0256-4947.2012.276.PMID: 22588439 Free PMC article.


References

https://pubmed.ncbi.nlm.nih.gov/