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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 398 - 407 (10page)
- DOI
- 10.5217/ir.2020.00107
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초록· 키워드
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Background/Aims: Information on pediatric inflammatory bowel disease (PIBD) and very early onset IBD (VEOIBD) are sparse in India, where IBD is emerging. We aimed to evaluate characteristics of VEOIBD and later onset PIBD (LO-PIBD) in India.Methods: We performed retrospective analysis of a large, prospectively maintained IBD registry. PIBD was divided in to VEOIBD ( < 6 years) and LO-PIBD (6?17 years). Demographic data, disease characteristics and treatment were compared between the PIBD groups and with other Asian/Western studies as well as the adult patients of the registry.Results: Of 3,752 IBD patients, 292 (7.8%) had PIBD (0?17 years) (175 Crohn’s disease [CD], 113 ulcerative colitis [UC], 4 IBD-undifferentiated; 22 VEOIBD [7.5%], and 270 LO-PIBD [92.5%]). VEOIBD patients had more severe disease compared to LO-PIBD in both UC (P= 0.003) and CD (P< 0.001). Familial IBD was more common in VEOIBD (13.6%) compared to LO-PIBD (9.2%). Ileal disease (L1) was an independent risk factor for diagnostic delay in pediatric CD. Diagnostic delay ( > 6 months) was significantly lower in VEOIBD (40.9%) than in LO-PIBD (78.8%) (P< 0.001). Compared to other Asian and Western studies, extensive UC (72.5%) and complicated CD (stricturing/penetrating: 42.7%) were relatively more common. Perianal CD was relatively less frequent (7.4%). PIBD had a significantly higher number of complicated and ileal CD and extensive UC comparison to adult cohort of the registry.Conclusions: VEOIBD has more aggressive phenotype than LO-PIBD. Disease appears distinct from other Asian and Western studies and adult onset disease, with more complicated CD and extensive UC.
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참고문헌 (49)
참고문헌 신청
Conrad MA / 2017 / Pediatric inflammatory bowel disease / Pediatr Clin North Am 64:577~591
Benchimol EI / 2011 / Epidemiology of pediatric inflammatory bowel disease : a systematic review of international trends / Inflamm Bowel Dis 17:423~439
Roberts SE / 2020 / A systematic review and meta-analysis of paediatric inflammatory bowel disease incidence and prevalence across Europe / J Crohns Colitis 14:1119~1148
Huang JG / 2020 / Pediatric inflammatory bowel disease in Asia : epidemiology and natural history / Pediatr Neonatol 61:263~271
Ong C / 2018 / Rapid rise in the incidence and clinical characteristics of pediatric inflammatory bowel disease in a South-East Asian cohort in Singapore, 1994-2015 / J Dig Dis 19:395~403
Benchimol EI / 2011 / Epidemiology of pediatric inflammatory bowel disease : a systematic review of international trends / Inflamm Bowel Dis 17:423~439
Roberts SE / 2020 / A systematic review and meta-analysis of paediatric inflammatory bowel disease incidence and prevalence across Europe / J Crohns Colitis 14:1119~1148
Huang JG / 2020 / Pediatric inflammatory bowel disease in Asia : epidemiology and natural history / Pediatr Neonatol 61:263~271
Ong C / 2018 / Rapid rise in the incidence and clinical characteristics of pediatric inflammatory bowel disease in a South-East Asian cohort in Singapore, 1994-2015 / J Dig Dis 19:395~403
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