Clinical analysis and identification of pediatric patients with colonic ulceration

A wide variety of diseases mimic inflammatory bowel disease (IBD). This study aimed to reduce the misdiagnosis among children with colonic ulcers. Eighty-six pediatric patients with colonic ulcers detected by colonoscopy were enrolled in the retrospective study. Children were divided into different...

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Bibliographic Details
Published in:BMC pediatrics 2024-11, Vol.24 (1), p.697-11, Article 697
Main Authors: You, Yaying, Tao, Yijing, Xu, Yanwen, Cao, Yi, Feng, Haixia, Wu, Qingqing, Wang, Ying, Yan, Weihui
Format: Article
Language:English
Subjects:
Adolescent
Blood
Care and treatment
Child
Child, Preschool
Colon
Colonic Diseases - diagnosis
Colonoscopy
Diagnosis
Diagnosis, Differential
Diagnostic Errors
Female
Humans
Infant
Inflammatory bowel disease
Inflammatory Bowel Diseases - diagnosis
Male
Medical examination
Patient outcomes
Pediatrics
Practice
Retrospective Studies
Stomach ulcer
Ulcer
Ulcer - diagnosis
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Summary:A wide variety of diseases mimic inflammatory bowel disease (IBD). This study aimed to reduce the misdiagnosis among children with colonic ulcers. Eighty-six pediatric patients with colonic ulcers detected by colonoscopy were enrolled in the retrospective study. Children were divided into different groups according to the final diagnosis. The clinical characteristics, laboratory examinations, endoscopic findings, and histopathological results were compared. IBD (n = 37) was just responsible for 43% of patients with colonic ulceration. Other diagnosis included autoimmune diseases (n = 9), infectious enteritis (n = 13), gastrointestinal allergy (n = 8), and other diseases (n = 19). Comparing IBD and non-IBD groups, children with IBD had a higher frequency of symptoms like weight loss/failure to thrive (P 
ISSN:1471-2431
1471-2431
DOI:10.1186/s12887-024-05174-3