Department of Paediatric Gastroenterology, Pakistan Kidney and Liver Institute and Research Centre, Lahore, Pakistan.
Department of Histopathology, Pakistan Kidney and Liver institute and Research Center, Lahore, Pakistan.
J Pak Med Assoc. 2022 Jun;72(6):1188-1192. doi: 10.47391/JPMA.3546.
Chronic gastrointestinal (GI) diseases in children present with a wide range of symptoms. Limited resources in Paediatric Gastroenterology in developing countries like Pakistan cause considerable difficulties in managing children with chronic GI diseases in a timely fashion. This retrospective descriptive study aimed to determine the spectrum and outcomes of chronic GI diseases in children. The study was conducted at the Paediatric Gastroenterology and Hepatology Department, Pakistan Kidney and Liver Institute & Research Centre (PKLI &RC) in Lahore. The duration of the study was from August 2019 to August 2020. A total of 40 children below the age of 15 years with chronic GI diseases were included. The diagnosis was principally established with the assistance of esophagogastroduodenoscopy and ileo-colonoscopy. Coeliac disease was the most common chronic GI disease. Our systematic approach, in addition to an extensive workup, assisted in the diagnosis and management of the illness, which resulted in a more optimal outcome. Prompt referrals to tertiary centres are recommended where facilities and expertise are available to decrease morbidity and mortality.
儿童慢性胃肠道（GI）疾病表现出多种症状。在巴基斯坦等发展中国家，儿科胃肠病学资源有限，这给及时管理患有慢性胃肠道疾病的儿童带来了相当大的困难。本回顾性描述性研究旨在确定儿童慢性胃肠道疾病的范围和结果。该研究在拉合尔的巴基斯坦肾脏和肝脏研究所及研究中心（PKLI &RC）儿科胃肠病学和肝脏科进行。研究时间为 2019 年 8 月至 2020 年 8 月。共纳入 40 名年龄在 15 岁以下的慢性胃肠道疾病儿童。诊断主要是在食管胃十二指肠镜和回结肠镜的协助下确定的。乳糜泻是最常见的慢性胃肠道疾病。我们的系统方法，除了广泛的检查，有助于诊断和管理疾病，从而获得更理想的结果。建议在有设施和专业知识的情况下，及时向三级中心转介，以降低发病率和死亡率。
