title: [Epidemiological and clinical characteristics of inflammatory bowel disease in a tertiary referral hospital in Lima-Peru].
abstract: OBJECTIVE
  To identify sociodemographic, clinical, and endoscopic characteristics in patients with inflammatory bowel disease (IBD).
  
  
  METHODS
  The study period was from January 2004 to December 2014. The final diagnosis was determined by clinical gastroenterologists experienced in the diagnosis and management of IBD, based on internationally accepted diagnostic criteria.
  
  
  RESULTS
  105 patients with IBD were studied, 77% with ulcerative colitis (UC) and 23% with Crohn's disease (CD). The average age of initial diagnosis for UC and CD was 53.02 and 57.7 years, respectively. Regarding the gender distribution, the male:female ratio was 1.3:1 for UC and 2:1 for CD. Predominant clinical manifestations were: diarrhea (76.5%) in CU and lower gastrointestinal bleeding / abdominal pain (66.6% for each symptom) in EC. The predominant form of presentation was moderate for both CU (49.3%) and EC (62.5%). 47% of patients with UC had extensive colitis and 54.2% of patients with CD had Ileocolitis. 6.2% of the UC patients underwent surgery, whereas 50% of the CD patients required it.
  
  
  CONCLUSIONS
  There is a tendency to an increased detection of cases of Crohn's disease in our country and in Latin America with respect to previous studies. There is a prevalence of moderate forms of presentation for both UC and CD, and high percentages of surgery in EC is evident.
authors.affiliation: Servicio de Gastroenterología, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Juan
authors.initials: J
authors.lastname: Paredes Méndez
authors.affiliation: Servicio de Gastroenterología, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Otoya Moreno
authors.affiliation: Servicio de Gastroenterología, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Ana Lucía
authors.initials: AL
authors.lastname: Mestanza Rivas Plata
authors.affiliation: Servicio de Gastroenterología, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Luis
authors.initials: L
authors.lastname: Lazo Molina
authors.affiliation: Servicio de Gastroenterología, Hospital Nacional Ramiro Prialé Prialé. Huancayo, Perú.
authors.forename: Katia
authors.initials: K
authors.lastname: Acuña Ordoñez
authors.affiliation: Servicio de Anatomía Patológica, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Arenas Gamio
authors.affiliation: Unidad de Falla Intestinal, Departamento de Cirugía, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Huamán Egoavil
authors.affiliation: Sección de Gastroenterología y Endoscopia Digestiva, Coordinador Consulta de Enfermedad Inflamatoria Intestinal, Hospital Pablo Tobón Uribe. Medellín, Colombia; Universidad de Antioquia y Universidad Pontificia Bolivariana. Medellín, Colombia.
authors.forename: Fabián
authors.initials: F
authors.lastname: Juliao Baños
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003093:Colitis, Ulcerative / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D003424:Crohn Disease / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D008297:Male; D008875:Middle Aged; D010568:Peru / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D062606:Tertiary Care Centers; D055815:Young Adult