ECCO consensus on management of inflammatory bowel disease in low- and middle-income countries - Summary - MDSpire

ECCO consensus on management of inflammatory bowel disease in low- and middle-income countries

  • By

  • Alaa El-Hussuna

  • Almuthe Christina Hauer

  • Tarkan Karakan

  • Valerie Pittet

  • Henit Yanai

  • Jalpa Devi

  • Jesus K Yamamoto-Furusho

  • Ali Reza Sima

  • Hailemichael Desalegn

  • Mutaz Idrees Sultan

  • Vishal Sharma

  • Hany Shehab

  • Lamya Mrabti

  • Natalia Queiroz

  • Anuraag Jena

  • Andy Darma

  • Karin Davidson

  • Nicolas Avellaneda

  • Muhammed Elhadi

  • April Roslani

  • Dakshitha Wickramasinghe

  • Carlo Angelo Cajucom

  • Shaji Sebastian

  • July 13, 2025

  • 0 min

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Objective:

To describe the epidemiology of inflammatory bowel disease (IBD) in low- and middle-income countries (LMICs) and highlight key challenges in its diagnosis and treatment, emphasizing the importance of local healthcare structures.

Key Findings:
  • IBD incidence and prevalence are increasing in LMICs, influenced by urbanization and lifestyle changes.
  • Data on IBD in LMICs are fragmented, with challenges in diagnosis due to misdiagnosis and infectious diseases mimicking IBD.
  • Limited resources and access to advanced therapies hinder effective IBD treatment in LMICs.
  • Surgical interventions are often required due to delayed diagnosis, leading to higher postoperative complications.
Interpretation:

The complexity of IBD management in LMICs necessitates a multidisciplinary approach and tailored guidelines that consider local resource constraints and healthcare structures, highlighting the need for such adaptations.

Limitations:
  • Limited epidemiological data and studies specific to LMICs.
  • Consensus statements may not fully address the unique challenges faced in diverse LMIC settings, and potential biases in the consensus process should be acknowledged.
Conclusion:

There is a critical need for further research to assess the specific needs of LMICs to improve IBD management and guide resource allocation, emphasizing the urgency of addressing identified gaps.

Original Source(s)

ECCO consensus on management of inflammatory bowel disease in low- and middle-income countries

  • by Alaa El-Hussuna, Almuthe Christina Hauer, Tarkan Karakan, Valerie Pittet, Henit Yanai, Jalpa Devi, Jesus K Yamamoto-Furusho, Ali Reza Sima, Hailemichael Desalegn, Mutaz Idrees Sultan, Vishal Sharma, Hany Shehab, Lamya Mrabti, Natalia Queiroz, Anuraag Jena, Andy Darma, Karin Davidson, Nicolas Avellaneda, Muhammed Elhadi, April Roslani, Dakshitha Wickramasinghe, Carlo Angelo Cajucom, Shaji Sebastian

  • July 13, 2025

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