Related Experiment Videos
Findings of colonoscopy in children: experience from Kuwait
M Kalaoui1, S Radhakrishnan, M al Shamali
1Gastroenterology Centre, Al Amiri General Hospital, Kuwait.
Journal of Tropical Pediatrics
|February 11, 1999
Summary
Pediatric colonoscopy in Kuwait revealed common colonic pathologies like polyps and inflammatory bowel disease (IBD). Crohn's disease is now more frequent than ulcerative colitis in children, highlighting the need for thorough examinations.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
- Endoscopy
Background:
- Colonic pathology in children is a significant concern.
- Understanding regional disease patterns is crucial for diagnosis and management.
Purpose of the Study:
- To analyze the spectrum of colonic pathologies in children undergoing colonoscopy in Kuwait.
- To identify trends in pediatric inflammatory bowel disease (IBD) within the region.
Main Methods:
- Retrospective analysis of 173 colonoscopic examinations in 159 children over 9 years.
- Indications included rectal bleeding, polyps, and suspected IBD.
- Pathologies were documented, and polyps were removed endoscopically.
Main Results:
- Polyps were the most common finding (42 children), predominantly hamartomatous and located in the rectum/sigmoid.
- Inflammatory bowel disease (IBD) affected 34 children (Crohn's disease 17, ulcerative colitis 11, indeterminate 6).
- Crohn's disease was more prevalent than ulcerative colitis, and 2 cases of ileo-caecal tuberculosis were diagnosed.
Conclusions:
- Colonic pathology is prevalent in Kuwaiti children, with a disease pattern similar to Western countries.
- IBD is common in this pediatric population, with a notable shift towards Crohn's disease over ulcerative colitis.
- Comprehensive colonoscopic evaluation is essential for recognizing IBD and its changing epidemiology in children.