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Incidence of Inflammatory Bowel Disease in a Tertiary Centre of Eastern India
Bhaswati C Acharyya1*, Saumyabrata Acharyya2 and Hema Chakrabarty3
1Consultant Paediatric Gastroenterologist, AMRI Hospitals, India
2 Consultant Paediatrician, AMRI Hospitals, India
3 Consultant Histopathologist, AMRI Hospitals, India
Submission: June 11, 2018; Published: June 26, 2018
*Corresponding author: Bhaswati C Acharyya, Consultant Paediatric Gastroenterologist, AMRI Hospitals, Kolkata, India, Email: bukuli2@hotmail.com
How to cite this article: Bhaswati C Acharyya, Saumyabrata Acharyya, Hema Chakrabarty. Incidence of Inflammatory Bowel Disease in a Tertiary Centre of Eastern India. Adv Res Gastroentero Hepatol 2018; 9(5): 555774. DOI: 10.19080/ARGH.2018.09.555774.
Mini Review
Inflammatory Bowel disease is rising all over the world. India is no exception. Recently all the tertiary referral centres of India are diagnosing Inflammatory Bowel Disease (IBD) specially Crohn’s Disease at an increased rate compared to yester years. The following study is carried out to see the incidence and prevalence of Inflammatory Bowel disease in Children in a tertiary centre of Eastern India.
Methods
A retrospective analysis of the case records of children, aged 1 year to 18 years attending the Paediatric Gastroenterology department of a tertiary centre of Kolkata was done from January 2017 to December 2017. All these children attended the outpatients department or were admitted as inpatient due to various gastrointestinal symptoms such as abdominal pain, diarrhoea, bloody diarrhoea, weight loss, loss of energy and poor appetite, deranged liver functions etc. All the case records were carefully analysed to find out all the children who after all the investigations were diagnosed to have Inflammatory Bowel disease. Inflammatory Bowel disease was diagnosed (using Porto criteria) after carrying out Endoscopies and looking at the Histopathology from the biopsies taken from Ileum, colon, rectum, stomach & duodenum. MR enterogram or CT enteroclysis was done in all cases to evaluate the small bowel.
Results
Total of 933 patients attended the GI care. Among those children investigations revealed new Inflammatory Bowel Disease in 13 children- 7 girls and 6 boys. Distribution of Ulcerative colitis, Crohn’s Disease and IBD Unclassified were as follows
The study was approved by the Ethics Committee of Saga University (reference number: 29-15 and 29-56) in accordance with the Declaration of Helsinki. The study received ethical approval for the use of an opt-out methodology, based on unbiased information.
Discussion
IBD is occurring much more commonly in India than previously thought of [1]. This is a hospital based statistics of a crude incidence of IBD in children. The first national prospective survey of childhood IBD from the British Isles documented an incidence of 5.2/100,000 children aged less than 16 years per year [2]. There is lack of community based studies in India involving children. But this tertiary centre based study reflects clearly the increased incidence of IBD in children and an incidence of 13.9/1000 children is comparable with the west.
Conclusion
IBD specially Crohn’s Disease in children is increasing all over the world. India is not an exception. Paediatricians should be well aware of this fact and should have high index of suspicion to diagnose IBD early to avoid future complications.
