Inflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices

Abstract Background Inflammatory bowel disease (IBD) is increasingly diagnosed in South Asia. This survey by the Tamil Nadu Chapter of the Indian Society of Gastroenterology (TNISG) documents the demography, clinical profile, and therapeutic practices related to IBD in Tamil Nadu. Methods TNISG memb...

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Autores principales:	Rohan V Yewale, Kartik Natarajan, Jeyaraj Ubal Dhus, Sarojini Ashok Parameswaran, Kallipatti RamaswamyPalaniswamy, Doraisamy Babu Vinish, Aravindh Somasundaram, Arulraj Ramakrishnan, Sibithooran Karmegam, Ramaswamy Saraswathy Arun, Ujjani Shankaraiah Manmohan, Balakrishnan Mahadevan, Baskkaran Harri Prasad, Toguluva Seshadri Chandrasekar, Bollu Janakan Gokul, Amit Dutta, Anjilivelil Joseph Joseph, Jayanthi Venkatraman, Panchapakesan Ganesh, Subramanyam Shanmuganathan, Palaniappan L Alagammai, Ramalingam Ramasubramanian, Leelakrishnan Venkatakrishnan, Ramamoorthi Ganesan, Arunachalam ChandrasekaranArun, Sankaranarayanan Srinivas, Mariappan Kannan, M Shanmugam Revathy, Malathi Sathiyasekaran, Arulprakash Sarangapani, Natrajan Rajesh, Velusamy Arulselvan, Arumugam Aravind, Karunakaran Premkumar, Sampath Kavitha, Hema Vijayalakshmi Varadarajulu, Murugesan Manimaran, Pandurangan Basumani, Ananthavadivelu Murali, Balakrishnan Siddartha Ramakrishna
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	Crohn's disease epidemiology pediatric inflammatory bowel disease ulcerative colitis Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/ad96ea56319f4e35b7c6eb3d64095e18
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spelling	oai:doaj.org-article:ad96ea56319f4e35b7c6eb3d64095e182021-11-18T11:25:44ZInflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices2397-907010.1002/jgh3.12673https://doaj.org/article/ad96ea56319f4e35b7c6eb3d64095e182021-11-01T00:00:00Zhttps://doi.org/10.1002/jgh3.12673https://doaj.org/toc/2397-9070Abstract Background Inflammatory bowel disease (IBD) is increasingly diagnosed in South Asia. This survey by the Tamil Nadu Chapter of the Indian Society of Gastroenterology (TNISG) documents the demography, clinical profile, and therapeutic practices related to IBD in Tamil Nadu. Methods TNISG members from 32 institutions completed an online cross‐sectional questionnaire on IBD patients from March 2020 to January 2021. Results Of 1295 adult IBD patients, 654 had Crohn's disease (CD), 499 ulcerative colitis (UC), and 42 IBD‐unclassified (IBD‐U). CD and UC showed a unimodal age distribution. A total of 55% were graduates or postgraduates. A positive family history was noted in 30, other risk factors were uncommon. In CD, the pattern of involvement was ileocolonic (42.8%), ileal (34.7%), colonic (18.9%), and upper gastrointestinal (3.5%); while in UC, disease was characterized as extensive (44.9%), left‐sided (41.7%), or proctitis (13.4%). Perineal disease, perianal fistulae, and bowel obstruction were noted in 4.3, 14.0, and 23.5%, respectively, of CD. The most widely used drugs were mesalamine, azathioprine, and corticosteroids. Surgery was undertaken in 141 patients with CD and 23 patients with UC. Of the 138 patients with pediatric IBD (≤16 years), 23 were characterized as very early onset IBD (VEO‐IBD), 27 as early‐onset, and 88 as adolescent IBD. VEO‐IBD were more likely to have a positive family history of IBD and were more likely to have perineal disease and to have the IBD‐U phenotype. Among pediatric IBD patients, corticosteroids, mesalamine, and azathioprine were the most commonly used medications, while 25 pediatric patients received biologics. Conclusion This study provides important information on demography, clinical profile, and treatment practices of IBD in India.Rohan V YewaleKartik NatarajanJeyaraj Ubal DhusSarojini Ashok ParameswaranKallipatti RamaswamyPalaniswamyDoraisamy Babu VinishAravindh SomasundaramArulraj RamakrishnanSibithooran KarmegamRamaswamy Saraswathy ArunUjjani Shankaraiah ManmohanBalakrishnan MahadevanBaskkaran Harri PrasadToguluva Seshadri ChandrasekarBollu Janakan GokulAmit DuttaAnjilivelil Joseph JosephJayanthi VenkatramanPanchapakesan GaneshSubramanyam ShanmuganathanPalaniappan L AlagammaiRamalingam RamasubramanianLeelakrishnan VenkatakrishnanRamamoorthi GanesanArunachalam ChandrasekaranArunSankaranarayanan SrinivasMariappan KannanM Shanmugam RevathyMalathi SathiyasekaranArulprakash SarangapaniNatrajan RajeshVelusamy ArulselvanArumugam AravindKarunakaran PremkumarSampath KavithaHema Vijayalakshmi VaradarajuluMurugesan ManimaranPandurangan BasumaniAnanthavadivelu MuraliBalakrishnan Siddartha RamakrishnaWileyarticleCrohn's diseaseepidemiologypediatric inflammatory bowel diseaseulcerative colitisDiseases of the digestive system. GastroenterologyRC799-869ENJGH Open, Vol 5, Iss 11, Pp 1306-1313 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Crohn's disease epidemiology pediatric inflammatory bowel disease ulcerative colitis Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Crohn's disease epidemiology pediatric inflammatory bowel disease ulcerative colitis Diseases of the digestive system. Gastroenterology RC799-869 Rohan V Yewale Kartik Natarajan Jeyaraj Ubal Dhus Sarojini Ashok Parameswaran Kallipatti RamaswamyPalaniswamy Doraisamy Babu Vinish Aravindh Somasundaram Arulraj Ramakrishnan Sibithooran Karmegam Ramaswamy Saraswathy Arun Ujjani Shankaraiah Manmohan Balakrishnan Mahadevan Baskkaran Harri Prasad Toguluva Seshadri Chandrasekar Bollu Janakan Gokul Amit Dutta Anjilivelil Joseph Joseph Jayanthi Venkatraman Panchapakesan Ganesh Subramanyam Shanmuganathan Palaniappan L Alagammai Ramalingam Ramasubramanian Leelakrishnan Venkatakrishnan Ramamoorthi Ganesan Arunachalam ChandrasekaranArun Sankaranarayanan Srinivas Mariappan Kannan M Shanmugam Revathy Malathi Sathiyasekaran Arulprakash Sarangapani Natrajan Rajesh Velusamy Arulselvan Arumugam Aravind Karunakaran Premkumar Sampath Kavitha Hema Vijayalakshmi Varadarajulu Murugesan Manimaran Pandurangan Basumani Ananthavadivelu Murali Balakrishnan Siddartha Ramakrishna Inflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices
description	Abstract Background Inflammatory bowel disease (IBD) is increasingly diagnosed in South Asia. This survey by the Tamil Nadu Chapter of the Indian Society of Gastroenterology (TNISG) documents the demography, clinical profile, and therapeutic practices related to IBD in Tamil Nadu. Methods TNISG members from 32 institutions completed an online cross‐sectional questionnaire on IBD patients from March 2020 to January 2021. Results Of 1295 adult IBD patients, 654 had Crohn's disease (CD), 499 ulcerative colitis (UC), and 42 IBD‐unclassified (IBD‐U). CD and UC showed a unimodal age distribution. A total of 55% were graduates or postgraduates. A positive family history was noted in 30, other risk factors were uncommon. In CD, the pattern of involvement was ileocolonic (42.8%), ileal (34.7%), colonic (18.9%), and upper gastrointestinal (3.5%); while in UC, disease was characterized as extensive (44.9%), left‐sided (41.7%), or proctitis (13.4%). Perineal disease, perianal fistulae, and bowel obstruction were noted in 4.3, 14.0, and 23.5%, respectively, of CD. The most widely used drugs were mesalamine, azathioprine, and corticosteroids. Surgery was undertaken in 141 patients with CD and 23 patients with UC. Of the 138 patients with pediatric IBD (≤16 years), 23 were characterized as very early onset IBD (VEO‐IBD), 27 as early‐onset, and 88 as adolescent IBD. VEO‐IBD were more likely to have a positive family history of IBD and were more likely to have perineal disease and to have the IBD‐U phenotype. Among pediatric IBD patients, corticosteroids, mesalamine, and azathioprine were the most commonly used medications, while 25 pediatric patients received biologics. Conclusion This study provides important information on demography, clinical profile, and treatment practices of IBD in India.
format	article
author	Rohan V Yewale Kartik Natarajan Jeyaraj Ubal Dhus Sarojini Ashok Parameswaran Kallipatti RamaswamyPalaniswamy Doraisamy Babu Vinish Aravindh Somasundaram Arulraj Ramakrishnan Sibithooran Karmegam Ramaswamy Saraswathy Arun Ujjani Shankaraiah Manmohan Balakrishnan Mahadevan Baskkaran Harri Prasad Toguluva Seshadri Chandrasekar Bollu Janakan Gokul Amit Dutta Anjilivelil Joseph Joseph Jayanthi Venkatraman Panchapakesan Ganesh Subramanyam Shanmuganathan Palaniappan L Alagammai Ramalingam Ramasubramanian Leelakrishnan Venkatakrishnan Ramamoorthi Ganesan Arunachalam ChandrasekaranArun Sankaranarayanan Srinivas Mariappan Kannan M Shanmugam Revathy Malathi Sathiyasekaran Arulprakash Sarangapani Natrajan Rajesh Velusamy Arulselvan Arumugam Aravind Karunakaran Premkumar Sampath Kavitha Hema Vijayalakshmi Varadarajulu Murugesan Manimaran Pandurangan Basumani Ananthavadivelu Murali Balakrishnan Siddartha Ramakrishna
author_facet	Rohan V Yewale Kartik Natarajan Jeyaraj Ubal Dhus Sarojini Ashok Parameswaran Kallipatti RamaswamyPalaniswamy Doraisamy Babu Vinish Aravindh Somasundaram Arulraj Ramakrishnan Sibithooran Karmegam Ramaswamy Saraswathy Arun Ujjani Shankaraiah Manmohan Balakrishnan Mahadevan Baskkaran Harri Prasad Toguluva Seshadri Chandrasekar Bollu Janakan Gokul Amit Dutta Anjilivelil Joseph Joseph Jayanthi Venkatraman Panchapakesan Ganesh Subramanyam Shanmuganathan Palaniappan L Alagammai Ramalingam Ramasubramanian Leelakrishnan Venkatakrishnan Ramamoorthi Ganesan Arunachalam ChandrasekaranArun Sankaranarayanan Srinivas Mariappan Kannan M Shanmugam Revathy Malathi Sathiyasekaran Arulprakash Sarangapani Natrajan Rajesh Velusamy Arulselvan Arumugam Aravind Karunakaran Premkumar Sampath Kavitha Hema Vijayalakshmi Varadarajulu Murugesan Manimaran Pandurangan Basumani Ananthavadivelu Murali Balakrishnan Siddartha Ramakrishna
author_sort	Rohan V Yewale
title	Inflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices
title_short	Inflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices
title_full	Inflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices
title_fullStr	Inflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices
title_full_unstemmed	Inflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices
title_sort	inflammatory bowel diseases in tamil nadu: a survey of demographics, clinical profile, and practices
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/ad96ea56319f4e35b7c6eb3d64095e18
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Inflammatory bowel diseases in Tamil Nadu: A survey of demographics, clinical profile, and practices

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