Childhood Inflammatory Bowel Disease in Libya: Epidemiological and Clinical Features

Background et Aims: Inflammatory bowel disease is thought to be rare in Libya. The aim is to determine the prevalence of juvenile onset inflammatory bowel disease in Libya. Setting: Al-Fateh childrens' hospital; Benghazi; Libya. Methods: This is a retrospective study of all cases diagnosed over 10 years (1997-2006) with either ulcerative colitis; Crohn's disease or indeterminate colitis. Inclusion criteria were age 15 years at time of presentation who were resident in the eastern part of the country and who diagnosed with inflammatory bowel disease. Clinical features were outlined using a proforma. Results: Sixteen cases were diagnosed with inflammatory bowel disease; of whom 11 were males (M:F ratio of 1.5:1). The prevalence and incidence rates in the year 2006 were 3.6 and 0.9 per 100;000 children; respectively. The incidence rate increased from 0.2 in 2002 to 0.9 in 2006 (Z score of 39.87; p); abdominal pain; anorexia and weight loss in 9 (56.2); anemia in 7 (43.75) and vomiting in 6 (37). Ileopancolitis was found in 3 patients whereas 6 patients had ileocecal disease. Conclusions: Childhood inflammatory bowel disease in this population is not so rare and it is increasing. The clinical pattern is similar to that reported by others

Contribution endoscopique a l'etude de la pathologie recto-colique en milieu tropical : a propos de 80 colonoscopies realisees a l'hopital national du point G de Bamako

Cette etude perspective; qui a porte sur 80 colonoscopies de janvier 1989 a fevrier 1990; interessant 53 hommes et 27 femmes a l'hopital national du point G de Bamako; a permis d'abord de preciser les indications qui sont les douleurs abdominales; les rectorragies et les diarrhees. Elle montre aussi que les lesions siegent le plus souvent au niveau du rectum et du sigmoide dans 69;81 pour cent des cas et puis repertorie les principales etiologies representees par les colites non specifiques; la rectocolite hemorragique et les cancers colorectaux. Cette etude permet enfin de proposer un suivi des colites non specifiques qui est d'un interet majeur pour la recherche etiologique