Epidemiology of Inflammatory Bowel Disease (IBD) in Mansoura University Children's Hospital

Background: Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), is a chronic inflammatory disorder that mostly affect young adults. Its incidence is increasing globally, especially in countries with a previous history of low frequencies. Objectives: To assess the epidemiology of patients with IBD in Mansoura University Children's Hospital. Patients and Methods: This was prospective observational study included 36 cases of pediatric patients with IBD in Mansoura University Children Hospital for duration of one year. All cases were subjected to history taking. History of IBD (Crohn's or ulcerative colitis), which includes age of onset of symptoms, presenting symptoms, and course of the disease were conducted. Results: The mean age of the cases was 13.50±2.32 years. There were 55.6% males and 44.4% females. The mean age at presentation was 10.78±2.16 years. The mean age at diagnosis was 11.03±2.10 years. The prevalence of UC was 75% while the prevalence of CD was 25%, with percentage of 3:1. There were 69.4% with inactive disease and 30.6% with active disease. The disease duration ranged between 1 and 7 years. Conclusion: In conclusion, IBD is common in children in Egypt, with male predominance. The mean age of children was 13 years, and the mean age of presentation was 10 years old. UC is more prevalent than CD at a ratio of 3:1. About 1/3 of the studied children displayed an active disease condition. The disease activity score was 10 for both diseases.