Inflammatory bowel disease in children, an evolving problem in Kuwait

Wafa'a A Al-Qabandi 1, Eman K Buhamrah, Khaled A Hamadi, Suad A Al-Osaimi, Ahlam A Al-Ruwayeh, JohnPatrick Madda

Affiliations

01 September 2011

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doi: 10.4103/1319-3767.84487

Abstract

Background/aims: Inflammatory bowel disease (IBD) was previously thought a rare disease among children in Kuwait since most diarrhea cases were attributed to infections. In the past few years we observed an increase in the number of patients presenting with IBD. In this study we aimed to determine the epidemiology of IBD among children in the State of Kuwait.

Patients and methods: The charts of all children with IBD who were referred to the pediatric gastroenterology unit during the period February 1998 to January 2008 were retrospectively reviewed.

Results: Out of a total of 130 children with IBD, 92 (71%) had Crohn's disease, 36 (28%) had ulcerative colitis and two (1%) had indeterminate colitis. The estimated annual incidence for IBD was 2.16/10 5 /year. The age range was nine months-15 years (median: 11 years). Fifty-three percent of all patients were females and 77% were Kuwaiti nationals. Positive family history was found in 23%. The commonest presenting symptoms were abdominal pain (87%) and diarrhea (82%). Failure to thrive was detected in 35% and short stature in 20% at presentation. The ileocolonic region was the most common presentation site affected in Crohn's patients and pancolitis was the commonest in ulcerative colitis.

Conclusion: Inflammatory bowel disease is not uncommon in our children. We found no differences regarding disease presentation and clinical features compared to the Western world.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1 Laboratory Results ESR: Erythrocyte sedimentation rate

Figure 1 Laboratory Results ESR: Erythrocyte sedimentation rate

Figure 2 Crohn's disease localization. UGI=upper gastrointestinal tract

Figure 2 Crohn's disease localization. UGI=upper gastrointestinal tract

Figure 3 Ulcerative colitis localization. Lt:=Left colon

Figure 3 Ulcerative colitis localization. Lt:=Left colon

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