İnflamatuvar barsak hastalığı olan çocuk hastalarımızın değerlendirilmesi

Year 2017, , 35 - 39, 29.08.2017

Eylem Sevinç

https://doi.org/10.17940/endoskopi.337911

Cited By: 2

Abstract

Giriş ve Amaç: Görülme sıklığı çocuklarda son yıllarda giderek artan inflamatuvar barsak hastalığı tanısı almış olgularımızın demografik, klinik ve laboratuar bulguları ve izlem sonuçlarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Bu çalışmada Sağlık Bilimleri Üniversitesi Kayseri Eğitim ve Araştırma Hastanesi Çocuk Gastroenteroloji bölümünde, 2014 - 2017 yılları arasındaki süreçte izlenen yaşları 4-18 yaş arasında değişen, 16’sı erkek (%50), 32 inflamatuvar barsak hastalığı olan olguların başvuru şikayetleri, fizik muayene bulguları, laboratuvar ve endoskopik verileri ve aldıkları tedavileri retrospektif olarak değerlendirildi. Bulgular: Çalışmaya alınan 32 olgunun yaş ortalaması 15 yıl ve 16’sı (%50) erkek idi. Olguların 22’sinde ülseratif kolit (%68), 10’nunda Crohn hastalığı (%32) saptandı. Ülseratif kolitli olgularımızın en sık başvuru şikayeti kanlı dışkılama (%95), Crohn hastalıklı olgularımızn ise karın ağrısıydı (%90). Olgularımızda batın hassasiyeti en sık görülen fizik muayene bulgusuydu. İnflamatuvar barsak hastalıklı olgularımızın kolonoskopik bakılarında, Ülseratif kolitli olgularımızın 12’sinde (%55) pankolit, Crohn hastalıklı olgularımızın 6’sında (%60) ileokolonik tutulum gözlendi. İnflamatuvar barsak hastalıklı olgularımızın izlem sırasında 30’nun (%96) mesalazin, 24 (%77)’ünün steroid ve 23’ünün (%72) azatiopurin aldığı saptanırken, diğer taraftan6 (%18) olgumuzun biyolojik ajan aldığı, 1 (%3,1) olgunun da metotreksat aldığı, 3’üne (%9.3) cerrahi girişim uygulandığı saptandı. Sonuç: İnflamatuvar barsak hastalıkları çocukluk çağının önemli kronik hastalıklarından biridir. Uzun dönemli takip gerektiren çocuk olgularda gerek hastalığa gerekse uygulanan tedavilere bağlı olarak gelişen komplikasyonların sıklığı giderek artmaktadır.

Keywords

Ülseratif kolit, Crohn hastalığı, çocuk

Clinical evaluation of children with inflammatory bowel disease

Abstract

Background and Aims: The aim of this study was to evaluate the demographics, clinical, laboratory findings, and results of follow-up of our cases with inflammatory bowel disease increasing incidence of in children. Materials and Methods: This study was carried out in the Department of Pediatric Gastroenterology of Kayseri Education and Research Hospital of Health Sciences University between the years 2014 and 2017 and included 32 cases of Inflammatory bowel disease,16 cases (50%) of men aged between 4 and 18 years. Physical examination findings, laboratory and endoscopic results as well as treatments of our cases, were evaluated retrospectively. Results: The mean age of the 32 cases enrolled in this study was 15 years, and 16 cases (50%) were male. Ulcerative colitis was found in 22 cases (68%), Crohn’s disease was found in 10 cases (32%). The most frequent complaints of our patients with ulcerative colitis were bloody stool (95%), and patients with Crohn’s disease were abdominal pain (90%). In our cases, the most common physical examination finding was the abdominal tenderness. In our colonoscopic assessment, we detected pancolitis in 12 ulcerative colitis cases (55%), and found ileocolonic involvement in 6 Crohn’s disease cases (60%). During the follow-up of our cases with inflammatory bowel disease, we identified 30 (96%) cases received mesalazine, 24 (77%) cases received steroids, and 23 (72%) cases received azathioprine. In addition, we learned 6 (18%) cases received biochemical agents, 1 (3.1%) case received methotrexate, and 3 (9.3%) cases had surgery. Conclusion: Inflammatory bowel disease is one of the most important chronic diseases of childhood. In children who require long-term follow-up, the frequency of complications due to illness or treatment is increasing.

Keywords

Ulcerative colitis, Crohn’s disease, child

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