Abstract
Objectives
To document the frequency at diagnosis and evolution over time of inflammatory bowel disease-unclassified in children.
Methods
Analysis of case records (2004–2011) of patients diagnosed with inflammatory bowel disease-unclassified following uppergastrointestinal endoscopy, ileocolonoscopy and small bowel imaging. Any subsequent diagnostic reclassification by 2016 was recorded.
Results
344 children diagnosed as inflammatory bowel disease: 58% Crohn’s disease, 34.5% ulcerative colitis, and 7.5% (n=26) inflammatory bowel disease-unclassified. 25/26 inflammatory bowel disease-unclassified patients were followed for 4.5–11.5 years. 17 of these patients needed endoscopic reevaluation leading to changed diagnosis in ten (Crohn’s disease 7, ulcerative colitis 3).
Conclusion
7.5% (25/344) of inflammatory bowel disease children had inflammatory bowel disease-unclassified at diagnosis; 10 (40%) evolved into Crohn’s disease or ulcerative colitis.
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Paul, S.P., Sandhu, B.K. Long-term outcome of inflammatory bowel disease—Unclassified in children. Indian Pediatr 54, 742–745 (2017). https://doi.org/10.1007/s13312-017-1166-3
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DOI: https://doi.org/10.1007/s13312-017-1166-3