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The profile of inflammatory bowel disease in natives of Western Himalayas
Jai Bharat Sharma1, Brij Sharma2, Rajesh Sharma2, Sanjay K Mahajan1, Rajiv Raina1, Priyanka Sharma3
1Department of Medicine, 2Department of Gastroenterology, 3Department of OBG and Gynaecology. Indira Gandhi Medical College, Shimla, Himachal Pradesh.

Corresponding Author
Jai Bharat Sharma


Background: To study the profile of Inflammatory Bowel Disease (IBD) in natives of Himachal Pradesh.
Material and Methods: A total of 101 patients of IBD were included. The clinical profiles, disease activity, severity and response to therapy were evaluated. 
Results: Of the 101 patients, 82% were diagnosed with Ulcerative Colitis (UC), 12% with Crohn’s Disease (CD) and 6% with Inflammatory Bowel Disease Unclassified (IBDU). The mean duration between onset of symptoms and diagnosis was 12.3 months for UC, 15 months for CD and 3 months for IBDU. Chronic diarrhea (98%) and blood in stools (94%) were most common symptom in UC and abdominal pain (83%) was most common in CD. E2(45.78%) disease was most common in UC, L2(50%) was most common in CD and Left sided colonic involvement was most common in IBDU (83%). Extra intestinal manifestations were noted in IBDU (67%), CD (50%) and UC (40%). Most of the patients had moderate disease activity and responded well to pharmacotherapy.
Conclusion: IBD is not uncommon in the rural hilly areas of India. There is predominance of ulcerative colitis rather than Crohn’s disease.