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Updated: Aug 18, 2026

Chronic Salmonella Infection Induced Intestinal Fibrosis
Published on: September 22, 2019
[Inflammatory bowel disease in childhood]
Insights
Childhood inflammatory bowel disease (IBD) incidence is rising. Early diagnosis and multidisciplinary care, including nutrition and psychosocial support, improve outcomes for pediatric Crohn's disease and ulcerative colitis patients.
Area of Science:
- Pediatric Gastroenterology
- Inflammatory Bowel Disease (IBD) Research
Context:
- Increasing incidence of pediatric inflammatory bowel disease (IBD) over the last two decades.
- Insidious onset of Crohn's disease symptoms, like growth failure, can delay diagnosis.
Purpose:
- To review the diagnosis and management of pediatric IBD, focusing on Crohn's disease and ulcerative colitis.
- To discuss the role of pediatric colonoscopy, drug therapy, nutritional support, and surgical indications.
Summary:
- Paediatric colonoscopy aids in diagnosing IBD, with characteristic macroscopic and microscopic findings.
- Effective management includes drug therapy, nutritional support for growth failure, and timely surgical intervention when necessary.
- A multidisciplinary approach is crucial, especially for severe colitis requiring early surgery.
Impact:
- Optimized management strategies can lead to favorable outcomes for most children with IBD.
- Successful adaptation to stoma therapy is achievable with adequate psychosocial preparation and support post-proctocolectomy.
Abstract:
Inflammatory bowel disease in childhood is becoming increasingly important as a result of a marked increase in incidence occurring over the past 20 years. In Crohn's disease the onset is commonly insidious, with symptoms such as growth failure, which do not immediately suggest intestinal disease. This may result in a correct diagnosis being delayed for several years. The role of paediatric colonoscopy is discussed, together with the macroscopic and microscopic appearances of the lesions. The indications and efficacy of drug therapy in Crohn's disease and ulcerative colitis are outlined and the importance of nutritional support, particularly in children with growth failure, is discussed. The indications for surgery are summarised and the need for a multidisciplinary approach, particularly in cases of fulminating colitis where early surgery is indicated, is emphasised. Most children with inflammatory bowel disease do reasonably well and even those children undergoing proctocolectomy adapt to a stoma provided they receive optimal psycho-social preparation and support.
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