A decade of inflammatory bowel disease: a single center experience in Egypt

Abstract Background Inflammatory bowel disease is a chronic inflammatory disorder of the gastrointestinal tract and includes ulcerative colitis and Crohn’s disease. Inflammatory bowel disease has always seemed to be rare in the Middle East and Northern Africa. In this study, we explored the clinical...

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Main Authors: Mostafa Abd Alfattah Shamkh, Mohamed Amin Sakr, Waleed Hamed Abd Alaty, Shimaa Youssef Kamel, Mohamed Mahmoud Eltabbakh, Ahmed Fouad Sherief, Heba Rashad, Safaa Askar
Format: Article
Language:English
Published: SpringerOpen 2022-02-01
Series:The Egyptian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43162-022-00115-x
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author Mostafa Abd Alfattah Shamkh
Mohamed Amin Sakr
Waleed Hamed Abd Alaty
Shimaa Youssef Kamel
Mohamed Mahmoud Eltabbakh
Ahmed Fouad Sherief
Heba Rashad
Safaa Askar
author_facet Mostafa Abd Alfattah Shamkh
Mohamed Amin Sakr
Waleed Hamed Abd Alaty
Shimaa Youssef Kamel
Mohamed Mahmoud Eltabbakh
Ahmed Fouad Sherief
Heba Rashad
Safaa Askar
author_sort Mostafa Abd Alfattah Shamkh
collection DOAJ
description Abstract Background Inflammatory bowel disease is a chronic inflammatory disorder of the gastrointestinal tract and includes ulcerative colitis and Crohn’s disease. Inflammatory bowel disease has always seemed to be rare in the Middle East and Northern Africa. In this study, we explored the clinical characteristics of inflammatory bowel disease patients in our center. Methods This retrospective study was conducted on patients with an established diagnosis of inflammatory bowel disease over 10 years from September 2009 to September 2019 who were referred to our inflammatory bowel disease center. Clinical information was obtained from medical records and patient interviews. We included all patients in whom the diagnosis of ulcerative colitis or Crohn’s disease was confirmed by clinical, laboratory, endoscopic, and histological examination over a 10-year period from 2009 to 2019. Results Our study had one hundred and sixty-nine inflammatory bowel disease patients; one hundred and thirty-six ulcerative colitis patients and the remaining thirty-three patients had Crohn’s disease. The main presenting symptom was bloody diarrhea (78 patients) representing 46.2% of the patients in our study. The majority of ulcerative colitis patients (55.9%) had moderate disease (Truelove & Witts score), while the majority of Crohn’s disease patients (66.7%) had moderate to severe disease (Crohn’s Disease Activity Index). Conclusions The prevalence of inflammatory bowel disease is still low in Egypt despite the rising curve of newly diagnosed cases.
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spelling doaj.art-2f9afe23d5184b698c89db58b63079292022-12-22T00:06:49ZengSpringerOpenThe Egyptian Journal of Internal Medicine1110-77822090-90982022-02-0134111010.1186/s43162-022-00115-xA decade of inflammatory bowel disease: a single center experience in EgyptMostafa Abd Alfattah Shamkh0Mohamed Amin Sakr1Waleed Hamed Abd Alaty2Shimaa Youssef Kamel3Mohamed Mahmoud Eltabbakh4Ahmed Fouad Sherief5Heba Rashad6Safaa Askar7Inflammatory bowel disease unit, Tropical Medicine Department, Faculty of Medicine, Ain Shams UniversityInflammatory bowel disease unit, Tropical Medicine Department, Faculty of Medicine, Ain Shams UniversityInflammatory bowel disease unit, Tropical Medicine Department, Faculty of Medicine, Ain Shams UniversityInflammatory bowel disease unit, Tropical Medicine Department, Faculty of Medicine, Ain Shams UniversityInflammatory bowel disease unit, Tropical Medicine Department, Faculty of Medicine, Ain Shams UniversityInflammatory bowel disease unit, Tropical Medicine Department, Faculty of Medicine, Ain Shams UniversityInflammatory bowel disease unit, Tropical Medicine Department, Faculty of Medicine, Ain Shams UniversityInflammatory bowel disease unit, Tropical Medicine Department, Faculty of Medicine, Ain Shams UniversityAbstract Background Inflammatory bowel disease is a chronic inflammatory disorder of the gastrointestinal tract and includes ulcerative colitis and Crohn’s disease. Inflammatory bowel disease has always seemed to be rare in the Middle East and Northern Africa. In this study, we explored the clinical characteristics of inflammatory bowel disease patients in our center. Methods This retrospective study was conducted on patients with an established diagnosis of inflammatory bowel disease over 10 years from September 2009 to September 2019 who were referred to our inflammatory bowel disease center. Clinical information was obtained from medical records and patient interviews. We included all patients in whom the diagnosis of ulcerative colitis or Crohn’s disease was confirmed by clinical, laboratory, endoscopic, and histological examination over a 10-year period from 2009 to 2019. Results Our study had one hundred and sixty-nine inflammatory bowel disease patients; one hundred and thirty-six ulcerative colitis patients and the remaining thirty-three patients had Crohn’s disease. The main presenting symptom was bloody diarrhea (78 patients) representing 46.2% of the patients in our study. The majority of ulcerative colitis patients (55.9%) had moderate disease (Truelove & Witts score), while the majority of Crohn’s disease patients (66.7%) had moderate to severe disease (Crohn’s Disease Activity Index). Conclusions The prevalence of inflammatory bowel disease is still low in Egypt despite the rising curve of newly diagnosed cases.https://doi.org/10.1186/s43162-022-00115-xInflammatory bowel diseaseUlcerative colitisCrohn’s diseaseEgyptEpidemiology
spellingShingle Mostafa Abd Alfattah Shamkh
Mohamed Amin Sakr
Waleed Hamed Abd Alaty
Shimaa Youssef Kamel
Mohamed Mahmoud Eltabbakh
Ahmed Fouad Sherief
Heba Rashad
Safaa Askar
A decade of inflammatory bowel disease: a single center experience in Egypt
The Egyptian Journal of Internal Medicine
Inflammatory bowel disease
Ulcerative colitis
Crohn’s disease
Egypt
Epidemiology
title A decade of inflammatory bowel disease: a single center experience in Egypt
title_full A decade of inflammatory bowel disease: a single center experience in Egypt
title_fullStr A decade of inflammatory bowel disease: a single center experience in Egypt
title_full_unstemmed A decade of inflammatory bowel disease: a single center experience in Egypt
title_short A decade of inflammatory bowel disease: a single center experience in Egypt
title_sort decade of inflammatory bowel disease a single center experience in egypt
topic Inflammatory bowel disease
Ulcerative colitis
Crohn’s disease
Egypt
Epidemiology
url https://doi.org/10.1186/s43162-022-00115-x
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