Challenges in the diagnosis and management of IBD: a sub-Saharan African perspective

Abstract

With the exception of South Africa, inflammatory bowel disease (IBD) has long been considered uncommon in sub-Saharan Africa (SSA) with a dearth of peer-reviewed publications from the subcontinent. This most likely reflects underreporting as some cases may be missed due to the high burden of infectious diseases which may closely mimic IBD. In addition, many countries in SSA have limited endoscopic capacity, inadequate access to diagnostic imaging and a notable scarcity of histopathologists, radiologists and gastroenterologists. Beyond these obstacles, which significantly impact patient care, there are many other challenges in SSA, particularly the unavailability of key IBD therapies. In this review, we discuss barriers in diagnosing and managing IBD in SSA, as well as some of the initiatives currently in place to address these short comings.

Challenges in Diagnosis and Management of Unusual Cases of Eosinophilic Enteritis in Rural Health Settings: A Comprehensive Review

“…A study focusing on the impediments to the timely diagnosis of EGIDs specifically emphasized the adverse effects of rural environments on addressing feeding difficulties in patients with inflammatory bowel disease (IBD) [15]. Notably, a perspective originating from sub-Saharan Africa highlighted structural deficiencies within healthcare systems, inadequate endoscopic capacity, and limited access to diagnostic imaging as formidable challenges in the timely and accurate diagnosis of IBD, illustrating their relevance to the diagnosis of EGIDs in rural areas [16]. These findings underscore the imperative for heightened awareness, improved access to specialized care, and enhanced diagnostic capabilities in rural health settings.…”