Clinical profile of children with lower bowel and terminal ileum diseases

Diganta Saikia; RK Sharma; Niraj Kumar

Volume : IX, Issue : V, May - 2020

Clinical profile of children with lower bowel and terminal ileum diseases

Diganta Saikia, Rk Sharma, Niraj Kumar

Abstract :

Background: IBD in pediatric age group and IBD during adolescent period present in different ways. It is vaguer in children. It may present as failure of the growth, presence of anemia, presence of perianal disease, or it may also present as extraintestinal manifestations. Hence paediatricians should be more aware about these kind of atypical presentation in the children. Objective: To study the clinical profile of children with lower bowel and terminal ileum diseases Methods: A hospital based cross sectional study was carried out for 18 months among 160 eligible children aged 2-12 years of age. Detailed history was taken. All children have undergone per rectal examination and endoscopy. All these findings were properly recorded. Results: 117 (73.1%) were males and only 43 (26.9%) were females. Thus, there was male preponderance. The most common presentation was bleeding per rectum in 98.8% of the cases. Past history of polypectomy was seen only in five cases i.e. 3.1% of the cases. Consanguinity was present in only 12 cases i.e. 7.5% of the cases. In majority of the children i.e. 51.9% of the cases had polyp on per rectal examination. Majority of the children i.e. 53.8% of the cases were found to have single polyp on endoscopy. Conclusion: Males were commonly affected than females. Bleeding per rectum was the most common presenting complaint. Presence on polyp on per rectum examination and endoscopy was the hallmark of children with lower bowel and terminal ileum diseases.