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The Indian Journal of Pediatrics

, Volume 85, Issue 11, pp 959–960 | Cite as

Pediatric Inflammatory Bowel Disease in India: Time to Prepare for Challenges and Opportunities

  • Rohan Malik
Editorial Commentary
  • 36 Downloads

Inflammatory bowel diseases (IBD) are a group of chronic inflammatory disorders affecting the gut and are phenotypically classified as Crohn’s disease (CD) and Ulcerative colitis (UC). They can occur at any age though incidence peaks in the late teens and early 20s. The incidence of IBD is increasing overall worldwide and in children as a subgroup [1, 2]. India is projected to have one of the highest burdens of IBD globally with a predicted surge in incidence of cases [3]. As 10 to 25% of all cases globally are in the pediatric age group we should expect the emergence of pediatric IBD as a significant entity in the next decade.

In the current issue Sonavane et al. [4] describe and compare the phenotype of 65 pediatric cases accumulated over 12 y and 216 adult cases seen over 2 y in a single adult gastroenterology service. All patients were followed for atleast 12 mo. The authors demonstrate a phenotypic difference between pediatric and adult diseases. Pediatric IBD had a higher...

Notes

Compliance with Ethical Standards

Conflict of Interest

None.

References

  1. 1.
    Turunen P, Kolho KL, Auvinen A, Iltanen S, Huhtala H, Ashorn M. Incidence of inflammatory bowel disease in finnish children, 1987-2003. Inflamm Bowel Dis. 2006;12:677–83.CrossRefGoogle Scholar
  2. 2.
    Vind I, Riis L, Jess T, et al. Increasing incidences of inflammatory bowel disease and decreasing surgery rates in Copenhagen city and county, 2003-2005: a population-based study from the danish crohn colitis database. Am J Gastroenterol. 2006;101:1274–82.CrossRefGoogle Scholar
  3. 3.
    Kedia S, Ahuja V. Epidemiology of inflammatory bowel disease in India: the great shift east. Inflamm Intest Dis. 2017;2:102–15.CrossRefGoogle Scholar
  4. 4.
    Sonavane AD, Sonawane P, Amarapurkar DN. Inflammatory bowel disease across the age continuum: similarity and disparity. Indian J Pediatr. 2018;  https://doi.org/10.1007/s12098-018-2665-5.
  5. 5.
    Sathiyasekaran M, Bavanandam S, Sankaranarayanan S, et al. A questionnaire survey of pediatric inflammatory bowel disease in India. Indian J Gastroenterol. 2014;33:543–9.CrossRefGoogle Scholar
  6. 6.
    Avinash B, Dutta AK, Chacko A. Pediatric inflammatory bowel disease in South India. Indian Pediatr. 2009;46:639–40.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Heyman MB, Kirschner BS, Gold BD, et al. Children with early-onset inflammatory bowel disease (IBD): analysis of a pediatric IBD consortium registry. J Pediatr. 2005;146:35–40.CrossRefGoogle Scholar
  8. 8.
    Van Limbergen J, Russell RK, Drummond HE, et al. Definition of phenotypic characteristics of childhood-onset inflammatory bowel disease. Gastroenterology. 2008;135:1114–22.CrossRefGoogle Scholar
  9. 9.
    Vernier-Massouille G, Balde M, Salleron J, et al. Natural history of pediatric crohn's disease: a population-based cohort study. Gastroenterology. 2008;135:1106–13.CrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  1. 1.Division of Pediatric Gastroenterology, Hepatology and Clinical Nutrition, Department of PediatricsAll India Institute of Medical SciencesNew DelhiIndia

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