In Al-Kuwait, for example, the incidence has been reported to be 2.16 per 100,000 person-years.[ 3 ] In Bahrain, PIBD has risen from 1 per 100,000 person-years to 2.25/100,000 person-years after the year 2008.[ 5 ] In Saudi Arabia, by contrast, the annual reported incidence has been as low as 0.47/100,000 person-years.[ 6 ] However, globally, there seems to be an increasing trend in the incidence of IBD.[ 2 ] This increase has been attributed mainly to genetic and environmental interaction, such as the effect of consuming processed food, reduced breastfeeding, dietary preservatives, and the use of antibiotics, which are thought to have a marked effect on the gut and elicit various gut responses to these agents.[ 7 8 9 10 ] With increased incidence, the management of IBD both in adults and children has significantly changed in recent years.
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Incidence and clinical characteristics of pediatric inflammatory bowel disease in Oman.
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