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  • Title: Epidemiology of pediatric chronic inflammatory bowel disease in central and western Slovenia, 1994-2005.
    Author: Orel R, Kamhi T, Vidmar G, Mamula P.
    Journal: J Pediatr Gastroenterol Nutr; 2009 May; 48(5):579-86. PubMed ID: 19367184.
    Abstract:
    BACKGROUND: The aim of this study was to determine the epidemiological and clinical characteristics of inflammatory bowel disease (IBD) in children in central and western Slovenia during a 12-year period (1994-2005). MATERIALS AND METHODS: The medical records of patients with newly diagnosed IBD during the period of 1994-2005 were retrospectively reviewed. RESULTS: In the 12-year study period, 137 children received new diagnoses of IBD, 60% had Crohn disease (CD), 28% had ulcerative colitis (UC), and 12% had indeterminate colitis (IC). The mean annual incidence of IBD for the whole 12-year period was 4.03/100,000 children; for CD 2.42, for UC 1.14, and for IC 0.47. The annual incidence of IBD rose from 3.04 in the period 1994-1999 to 5.14 in the period 2000-2005. The incidences of CD, UC, and IC rose from 1.99, 0.77, and 0.28, respectively, in the first 6 years to 2.88, 1.57, and 0.69, respectively, in the second 6-year period. The most common type of CD at presentation was inflammatory. Pancolitis was the most frequent form of UC. Almost half of the patients had a severe form of CD at its onset. CONCLUSIONS: The incidence of total pediatric IBD in central and western Slovenia is high and seems to be still rising. CD is the most prevalent form of IBD; its incidence is comparable with that reported in other central and western European countries. The incidences of UC and IC are rising more rapidly than the incidence of CD.
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