TY - JOUR T1 - Inflammatory bowel disease JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 426 LP - 432 DO - 10.1136/adc.2005.080481 VL - 91 IS - 5 AU - R M Beattie AU - N M Croft AU - J M Fell AU - N A Afzal AU - R B Heuschkel Y1 - 2006/05/01 UR - http://adc.bmj.com/content/91/5/426.abstract N2 - Twenty five per cent of inflammatory bowel disease presents in childhood. Growth and nutrition are key issues in the management with the aim of treatment being to induce and then maintain disease remission with minimal side effects. Only 25% of Crohn’s disease presents with the classic triad of abdominal pain, weight loss, and diarrhoea. Most children with ulcerative colitis have blood in the stool at presentation. Inflammatory markers are usually although not invariably raised at presentation (particularly in Crohn’s disease). Full investigation includes upper gastrointestinal endoscopy and ileocolonoscopy. Treatment requires multidisciplinary input as part of a clinical network led by a paediatrician with special expertise in the management of the condition. ER -