Document Detail


BAPS collective review: chronic inflammatory bowel disease.
MedLine Citation:
PMID:  6699759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred fifty-three cases of chronic inflammatory bowel disease (CIBD) presenting in children aged under 15 years in the decade 1970 to 1979 are reviewed. Eighty cases of Crohn's disease (CD) and 73 cases of ulcerative colitis (UC) were diagnosed at mean ages of 10.5 years (CD) and 8.8 years (UC) with mean delay in diagnosis of 16.3 months (CD) and 9.3 months (UC). A wide spectrum of symptoms and signs characterized CIBD but growth failure was prominent in CD. Diagnosis was established by barium contrast radiography, sigmoidoscopy, histology of biopsy material and laparotomy. Despite medical treatment, 57% of CD cases and 26% of UC cases required operation at a mean age of 2 years after diagnosis for a variety of indications. Resection was most commonly performed but further operation was necessary in approximately one third of cases within one year. At follow-up, at a mean of almost 6 years, growth failure (35.7%) was marked in CD and continuing disease was troublesome in both CD (65%) and UC (52%). There was a small mortality (2.5% CD and 4.2% UC) in the course of the review period.
Authors:
P A Raine
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  19     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1984 Feb 
Date Detail:
Created Date:  1984-04-12     Completed Date:  1984-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  18-23     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Colectomy
Colitis, Ulcerative* / diagnosis,  therapy
Crohn Disease* / diagnosis,  therapy
Follow-Up Studies
Growth Disorders / etiology
Humans
Ileostomy
Infant
Male
Methods
Reoperation
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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