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논문 기본 정보

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Katsuhiro Arai (National Center for Child Health and Development) Reiko Kunisaki (IBD Center Yokohama City University Medical Center Yokohama Japan) Fumihiko Kakuta (Miyagi Children’s Hospital) Shin-ichiro Hagiwara (Saitama Children’s Medical Center) Takatsugu Murakoshi (Tokyo Metropolitan Children’s Medical Center) Tadahiro Yanagi (Kurume University School of Medicine) Toshiaki Shimizu (Juntendo University Graduate School of Medicine) Sawako Kato (Department of Pediatrics Shinshu University School of Medicine) Takashi Ishige (Gunma University Graduate School of Medicine) Tomoki Aomatsu (Osaka Medical College) Mikihiro Inoue (Mie University Graduate School of Medicine) Takeshi Saito (Chiba University Graduate School of Medicine) Itaru Iwama (Okinawa Prefectural Chubu Hospital) Hisashi Kawashima (Tokyo Medical University) Hideki Kumagai (Jichi Medical University) Hitoshi Tajiri (Osaka General Medical Center) Naomi Iwata (Aichi Children’s Health and Medical Center) Takahiro Mochizuki (Osaka Police Hospital) Atsuko Noguchi (Akita University Graduate School of Medicine) Toshihiko Kashiwabara (Yamagata Prefectural Central Hospital) Hirotaka Shimizu (National Center for Child Health and Development) Yasuo Suzuki (Toho University Sakura Medical Center) Yuri Hirano (National Center for Child Health and Development) Takeo Fujiwara (Tokyo Medical and Dental University)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.18 No.4
발행연도
2020.1
수록면
412 - 420 (9page)

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Background/Aims: There are few published registry studies from Asia on pediatric inflammatory bowel disease (IBD). Registry network data enable comparisons among ethnic groups. This study examined the characteristics of IBD in Japanese children and compared them with those in European children.Methods: This was a cross-sectional multicenter registry study of newly diagnosed Japanese pediatric IBD patients. The Paris classification was used to categorize IBD features, and results were compared with published EUROKIDS data.Results: A total of 265 pediatric IBD patients were initially registered, with 22 later excluded for having incomplete demographic data. For the analysis, 91 Crohn’s disease (CD), 146 ulcerative colitis (UC), and 6 IBD-unclassified cases were eligible. For age at diagnosis, 20.9% of CD, 21.9% of UC, and 83.3% of IBD-unclassified cases were diagnosed before age 10 years. For CD location, 18.7%, 13.2%, 64.8%, 47.3%, and 20.9% were classified as involving L1 (ileocecum), L2 (colon), L3 (ileocolon), L4a (esophagus/stomach/duodenum), and L4b (jejunum/proximal ileum), respectively. For UC extent, 76% were classified as E4 (pancolitis). For CD behavior, B1 (non-stricturing/non-penetrating), B2 (stricturing), B3 (penetrating), and B2B3 were seen in 83.5%, 11.0%, 3.3%, and 2.2%, respectively. A comparison between Japanese and European children showed less L2 involvement (13.2% vs. 27.3%, <i>P</i>< 0.01) but more L4a (47.3% vs. 29.6%, <i>P</i>< 0.01) and L3 (64.8% vs. 52.7%, <i>P</i>< 0.05) involvement in Japanese CD children. Pediatric perianal CD was more prevalent in Japanese children (34.1% vs. 9.7%, <i>P</i>< 0.01).Conclusions: Upper gastrointestinal and perianal CD lesions are more common in Japanese children than in European children.
#Inflammatory bowel disease #Children #Japan #Registry #Perianal Crohn disease

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참고문헌 신청
Baumgart DC / 2012 / Crohn’s disease / Lancet 380:1590~1605 google schola Jelenova D / 2015 / Quality of life in adolescents with inflammatory bowel disease and their parents : comparison with healthy controls / Neuro Endocrinol Lett 36:787~792 google schola Nicholas DB / 2007 / Challenges and strategies of children and adolescents with inflammatory bowel disease : a qualitative examination / Health Qual Life Outcomes 5:28 google schola Ordás I / 2012 / Ulcerative colitis / Lancet 380:1606~1619 google schola Otley AR / 2006 / Health-related quality of life in the first year after a diagnosis of pediatric inflammatory bowel disease / Inflamm Bowel Dis 12:684~691 google schola

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