Spectrum of chronic gastrointestinal diseases with final outcome in children at a tertiary care centre: A

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Iqtadar Seerat1, Muhammad Atique2, Eitzaz Uddin Khan3

  • 1Department of Paediatric Gastroenterology, Pakistan Kidney and Liver Institute and Research Centre, Lahore, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|June 25, 2022
PubMed

Insights

In Pakistan, coeliac disease is the most common chronic gastrointestinal (GI) disease in children. Early diagnosis and management at specialized centers improve outcomes for pediatric GI conditions.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Diseases
  • Clinical Research

Background:

  • Chronic gastrointestinal (GI) diseases in children present with diverse symptoms.
  • Limited pediatric gastroenterology resources in developing nations, such as Pakistan, hinder timely management.
  • Effective diagnosis and treatment are crucial for improving pediatric GI health outcomes.

Purpose of the Study:

  • To determine the spectrum and outcomes of chronic GI diseases in children.
  • To evaluate the effectiveness of a systematic diagnostic and management approach.
  • To highlight the need for specialized care in resource-limited settings.

Main Methods:

  • Retrospective descriptive study conducted at a tertiary care center in Lahore, Pakistan.
  • Inclusion of 40 children under 15 years with chronic GI diseases from August 2019 to August 2020.
  • Diagnosis primarily established via esophagogastroduodenoscopy and ileo-colonoscopy.

Main Results:

  • Coeliac disease was identified as the most prevalent chronic GI disease among the studied pediatric population.
  • A systematic diagnostic and management approach facilitated optimal patient outcomes.
  • The study underscores the importance of timely intervention for pediatric GI conditions.

Conclusions:

  • Prompt referral to specialized pediatric gastroenterology centers is recommended for improved management of chronic GI diseases.
  • Access to advanced diagnostic tools and expertise is vital for reducing morbidity and mortality.
  • Strengthening pediatric gastroenterology services in developing countries is essential.

Keywords:
Children; Chronic gastrointestinal diseases; Coeliac disease.

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