Pediatric crohn’s disease in Bahrain
Joint Authors
al-Juwdir, Halimah E.
Matruk, Khadijah A.
al-Thawadi, Haya H.
Isa, Hasan M.
Muhammad, Afaf M.
Source
Issue
Vol. 33, Issue 4 (31 Jul. 2018), pp.299-308, 10 p.
Publisher
Publication Date
2018-07-31
Country of Publication
Oman
No. of Pages
10
Main Subjects
Abstract EN
Objectives: Our study aimed to report the epidemiology, clinical presentations, diagnostic and therapeutic approaches, and outcomes of Crohn’s disease (CD) in pediatric patients in Bahrain.
Methods: We conducted a retrospective review of the medical records of patients with CD diagnosed in the pediatric department, Salmaniya Medical Complex, Bahrain, between 1984 and 2017.
We used the data to calculate the annual incidence and cumulative prevalence.
Data about gender, nationality, clinical presentation, age at presentation and diagnosis, duration of illness, consanguinity, family history, contact with smokers, and comorbidities were gathered.
Results of hematological, biochemical, and serological tests were also collected.
All radiological, endoscopic, and histopathological findings were reviewed.
Data about medical therapy, relapse episodes, hospital admissions, complications, and outcomes were collected.
Results: Of 108 pediatric patients diagnosed with inflammatory bowel disease (IBD), 51 (47.2%) patients had CD.
The annual incidence was 1 in 100 000 per year (range = 0–5 patients/year) with significant rise on comparing the three decades (p = 0.0001).
Prevalence was 9.32 patients per 100 000 pediatric populations.
Thirty-four patients (66.7%) were males, and the median age was 18.5 years (range = 6.4–35.0).
Common clinical presentations were recurrent abdominal pain and weight loss.
Family history of IBD was found in 10 patients.
One patient had positive antineutrophil cytoplasmic antibody.
The terminal ileum was involved in 68.1%, colon in 63.8%, and perianal area in 17.0% patients.
Biological therapy was used in five patients.
Surgical intervention was required in six patients.
The mean follow-up period was 9.2±5.6 years.
Conclusions: The clinical characteristics of our population
American Psychological Association (APA)
Isa, Hasan M.& Muhammad, Afaf M.& al-Juwdir, Halimah E.& Matruk, Khadijah A.& al-Thawadi, Haya H.. 2018. Pediatric crohn’s disease in Bahrain. Oman Medical Journal،Vol. 33, no. 4, pp.299-308.
https://search.emarefa.net/detail/BIM-838236
Modern Language Association (MLA)
Muhammad, Afaf M.…[et al.]. Pediatric crohn’s disease in Bahrain. Oman Medical Journal Vol. 33, no. 4 (Jul. 2018), pp.299-308.
https://search.emarefa.net/detail/BIM-838236
American Medical Association (AMA)
Isa, Hasan M.& Muhammad, Afaf M.& al-Juwdir, Halimah E.& Matruk, Khadijah A.& al-Thawadi, Haya H.. Pediatric crohn’s disease in Bahrain. Oman Medical Journal. 2018. Vol. 33, no. 4, pp.299-308.
https://search.emarefa.net/detail/BIM-838236
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 307-308
Record ID
BIM-838236