Özet:

Background and Aims: The aim of this study was to evaluate the demographics, clinical, laboratory findings, and results of follow-up of our cases with inflammatory bowel disease increasing incidence of in children. Materials and Methods: This study was carried out in the Department of Pediatric Gastroenterology of Kayseri Education and Research Hospital of Health Sciences University between the years 2014 and 2017 and included 32 cases of Inflammatory bowel disease,16 cases (50%) of men aged between 4 and 18 years. Physical examination findings, laboratory and endoscopic results as well as treatments of our cases, were evaluated retrospectively. Results: The mean age of the 32 cases enrolled in this study was 15 years, and 16 cases (50%) were male. Ulcerative colitis was found in 22 cases (68%), Crohn’s disease was found in 10 cases (32%). The most frequent complaints of our patients with ulcerative colitis were bloody stool (95%), and patients with Crohn’s disease were abdominal pain (90%). In our cases, the most common physical examination finding was the abdominal tenderness. In our colonoscopic assessment, we detected pancolitis in 12 ulcerative colitis cases (55%), and found ileocolonic involvement in 6 Crohn’s disease cases (60%). During the follow-up of our cases with inflammatory bowel disease, we identified 30 (96%) cases received mesalazine, 24 (77%) cases received steroids, and 23 (72%) cases received azathioprine. In addition, we learned 6 (18%) cases received biochemical agents, 1 (3.1%) case received methotrexate, and 3 (9.3%) cases had surgery. Conclusion: Inflammatory bowel disease is one of the most important chronic diseases of childhood. In children who require long-term follow-up, the frequency of complications due to illness or treatment is increasing.

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