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