There is an increasing incidence of paediatric inflammatory bowel disease, and the disease is associated with significant physical and psychosocial morbidity. This article, based upon a fictional clinical case scenario, highlights the role of primary care in the recognition, referral and ongoing holistic care of paediatric patients with inflammatory bowel disease.
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References
1.
AdamiakTWalkiewicz-JedrzejczakDFishD, et al. (2013)
Incidence, clinical characteristics, and natural history of pediatric IBD in Wisconsin: A population-based epidemiological study. Inflammatory Bowel Diseases19(6): 1218–1223. DOI: 10.1097/MIB.0b013e318280b13e.
2.
AshtonJBeattieRM (2024)
Inflammatory bowel disease: Recent developments. Archives of Disease in Childhood109(5): 370–376. DOI: 10.1136/archdischild-2023-325668.
3.
AshtonJJBarakatFMBarnesC, et al. (2022)
Incidence and prevalence of paediatric inflammatory bowel disease continues to increase in the south of England. Journal of Pediatric Gastroenterology and Nutrition75(2): e20–e24. DOI: 10.1097/MPG.0000000000003511.
4.
BeeseSEHarrisIMMooreD, et al. (2018)
Body image dissatisfaction in patients with inflammatory bowel disease: A systematic review protocol. Systematic Reviews7(1): 184. DOI: 10.1186/s13643-018-0844-0.
ElmahdiRLemserCEThomsenSB, et al. (2022)
Development of cancer among patients with pediatric-onset inflammatory bowel disease: A meta-analysis of population-based studies. JAMA Network Open5(3): e220595. DOI: 10.1001/jamanetworkopen.2022.0595.
8.
GroverZAlexG (2020)
Management of inflammatory bowel disease in children: It is time for an individualised approach. Journal of Paediatrics and Child Health56(11): 1677–1684. DOI: 10.1111/jpc.14652.
9.
HendersonPAndersonNHWilsonDC (2014)
The diagnostic accuracy of fecal calprotectin during the investigation of suspected pediatric inflammatory bowel disease: A systematic review and meta-analysis. The American Journal of Gastroenterology109(5): 637–645. DOI: 10.1038/ajg.2013.131.
10.
HendersonPHansenRCameronFL, et al. (2012)
Rising incidence of pediatric inflammatory bowel disease in Scotland. Inflammatory Bowel Diseases18(6): 999–1005. DOI: 10.1002/ibd.21797.
11.
HerzogDFournierNBuehrP, et al. (2017)
Prevalence of intestinal complications in inflammatory bowel disease: A comparison between paediatric-onset and adult-onset patients. European Journal of Gastroenterology & Hepatology29(8): 926–931. DOI: 10.1097/MEG.0000000000000896.
12.
KaplanGG (2015)
The global burden of IBD: From 2015 to 2025. Nature Reviews. Gastroenterology & Hepatology12(12): 720–727. DOI: 10.1038/nrgastro.2015.150.
13.
KappelRKBisgaardTHPoulsenG, et al. (2024)
Risk of anxiety, depression, and attention-deficit/hyperactivity disorder in pediatric patients with inflammatory bowel disease: A population-based cohort study. Clinical and Translational Gastroenterology15(4): e00657. DOI: 10.14309/ctg.0000000000000657.
14.
LongMDCrandallWVLeibowitzIH, et al. (2011)
Prevalence and epidemiology of overweight and obesity in children with inflammatory bowel disease. Inflammatory Bowel Diseases17(10): 2162–2168. DOI: 10.1002/ibd.21585.
OliveiraSBMonteiroIM (2017)
Diagnosis and management of inflammatory bowel disease in children. BMJ (Clinical research ed.)357: j2083. DOI: 10.1136/bmj.j2083.
18.
PigneurBSeksikPViolaS, et al. (2010)
Natural history of Crohn's disease: Comparison between childhood- and adult-onset disease. Inflammatory Bowel Diseases16(6): 953–961. DOI: 10.1002/ibd.21152.
RobertsSEThorneKThaparN, et al. (2020)
A systematic review and meta-analysis of paediatric inflammatory bowel disease incidence and prevalence across Europe. Journal of Crohn's & Colitis14(8): 1119–1148. DOI: 10.1093/ecco-jcc/jjaa037.
21.
RosenMJDhawanASaeedSA (2015)
Inflammatory bowel disease in children and adolescents. JAMA Pediatrics169(11): 1053–1060. DOI: 10.1001/jamapediatrics.2015.1982.
22.
RubalcavaNSGadepalliSK (2021)
Inflammatory bowel disease in children and adolescents. Advances in Pediatrics68: 121–142. DOI: 10.1016/j.yapd.2021.05.005.
23.
SoubieresAShandroBMathurJ, et al. (2019)
PTH-125. The clinical utility and diagnostic accuracy of faecal calprotectin for IBD in paediatric patientsGut68: A97. DOI: 10.1136/gutjnl-2019-BSGAbstracts.184.
24.
van RheenenPFAloiMAssaA, et al. (2020)
The medical management of paediatric Crohn's disease: An ECCO-ESPGHAN guideline update. Journal of Crohn's & Colitis, jjaa161. DOI: 10.1093/ecco-jcc/jjaa161.
