<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942022000500019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La enfermedad inflamatoria intestinal, un reto para la gastroenterología pediátrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Inflammatory Bowel Disease, a Challenge for Pediatric Gastroenterology]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Álvarez]]></surname>
<given-names><![CDATA[José Ridal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Ramírez]]></surname>
<given-names><![CDATA[Emilio Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias-Álvarez]]></surname>
<given-names><![CDATA[Leidys Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital Pediátrico Provincial Pepe Portilla. ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942022000500019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942022000500019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942022000500019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la enfermedad de Crohn y la colitis ulcerosa son enfermedades inflamatorias intestinales de causa desconocida, con una génesis multifactorial que afecta todo el tracto digestivo, desde la boca al ano, como la enfermedad de Crohn o solo el colon y/o el recto.  Objetivo:  caracterizar las enfermedades inflamatorias del intestino en la edad pediátrica: colitis ulcerosa y enfermedad de Crohn.  Métodos:  se realizó una revisión de 16 artículos científicos relacionados con estas temáticas mediante artículos recuperados en SciELO, PubMed, Ebsco y Springer.  Desarrollo:  la predisposición genética y determinados factores ambientales, como la dieta e influencia hormonal, han sido asociados con alteraciones en la microbiota intestinal, y la integridad de la mucosa. Una respuesta inmune anómala a esta son los elementos que, combinados en un determinado paciente, provocan la EII. La intervención nutricional en pacientes con EII es fundamental por la frecuente asociación de dicha enfermedad con la malnutrición.  Conclusiones:  las enfermedades inflamatorias del intestino representan un problema de salud pública importante, ya que tiende a afectar personas jóvenes y a tener un curso clínico prolongado con recaídas, lo que afecta la educación, habilidades laborales, vida social, y calidad de vida de los que la padecen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ ABSTRACT  Introduction:  Crohn's disease and ulcerative colitis are inflammatory bowel diseases of unknown cause with a multifactorial genesis affecting the entire digestive tract, from mouth to anus, such as CD or only the colon and/or rectum.  Objective:  to characterize Inflammatory Bowel Diseases in the pediatric age: Ulcerative Colitis and Crohn's Disease.  Methods:  A review of 16 scientific articles related to these topics was carried out through articles retrieved from SciELO, PubMed, Ebsco and Springer.  Development:  genetic predisposition, certain environmental factors, such as diet and hormonal influence, have been associated with alterations in the intestinal microbiota and the integrity of the mucosa and an abnormal immune response to it are the elements that, combined in a given patient, cause IBD. Nutritional intervention in patients with IBD is essential due to the frequent association of this disease with malnutrition.  Conclusions:  Inflammatory Bowel Disease represents an important public health problem, since it tends to affect young people and to have a prolonged clinical course with relapses, thus affecting education, work skills, social life, and quality of life of those who suffer from it.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ENFERMEDADES INTESTINALES]]></kwd>
<kwd lng="es"><![CDATA[COLITIS ULCEROSA]]></kwd>
<kwd lng="es"><![CDATA[ENFERMEDAD DE CROHN]]></kwd>
<kwd lng="es"><![CDATA[EVALUACIÓN NUTRICIONAL]]></kwd>
<kwd lng="en"><![CDATA[INTESTINAL DISEASES]]></kwd>
<kwd lng="en"><![CDATA[COLITIS, ULCERATIVE]]></kwd>
<kwd lng="en"><![CDATA[CROHN DISEASE]]></kwd>
<kwd lng="en"><![CDATA[NUTRITION ASSESSMENT]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Imigo]]></surname>
<given-names><![CDATA[G. Felipe]]></given-names>
</name>
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[P. María-Elena]]></given-names>
</name>
<name>
<surname><![CDATA[Manuel]]></surname>
<given-names><![CDATA[Álvarez-Lobos]]></given-names>
</name>
<name>
<surname><![CDATA[Quintana]]></surname>
<given-names><![CDATA[V. Carlos]]></given-names>
</name>
<name>
<surname><![CDATA[Klaassen]]></surname>
<given-names><![CDATA[L. Julieta]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[M. Javiera]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Colitis de Crohn: resultados del tratamiento quirúrgico y evolución alejada.]]></article-title>
<source><![CDATA[Rev. méd. Chile]]></source>
<year>2018</year>
<volume>146</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>183-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Antonio]]></surname>
<given-names><![CDATA[López San Román]]></given-names>
</name>
<name>
<surname><![CDATA[Elena]]></surname>
<given-names><![CDATA[Garrido]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Esteroides en enfermedad inflamatoria intestinal]]></article-title>
<source><![CDATA[Rev. esp. enferm. dig.]]></source>
<year>2015</year>
<volume>107</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>573</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Josefa]]></surname>
<given-names><![CDATA[Martínez Gómez María]]></given-names>
</name>
<name>
<surname><![CDATA[Cristóbal]]></surname>
<given-names><![CDATA[Melián Fernández]]></given-names>
</name>
<name>
<surname><![CDATA[María]]></surname>
<given-names><![CDATA[Romeo Donlo]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nutrición en enfermedad inflamatoria intestinal]]></article-title>
<source><![CDATA[Nutr. Hosp.]]></source>
<year>2016</year>
<volume>33</volume>
<numero>^sSuppl 4</numero>
<issue>^sSuppl 4</issue>
<supplement>Suppl 4</supplement>
<page-range>59-62</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López Cortés]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Marín Fernández]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Hueso Montoro]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Escalada Hernández]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Sanz Aznarez]]></surname>
<given-names><![CDATA[A.C.]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Gutiérrez]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Calidad de vida relacionada con la salud en pacientes con enfermedad inflamatoria intestinal.]]></article-title>
<source><![CDATA[Anales Sis San Navarra]]></source>
<year>2016</year>
<volume>39</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>123-131.</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonzalo]]></surname>
<given-names><![CDATA[Pizarro]]></given-names>
</name>
<name>
<surname><![CDATA[Rodrigo]]></surname>
<given-names><![CDATA[Quera]]></given-names>
</name>
<name>
<surname><![CDATA[Carolina.]]></surname>
<given-names><![CDATA[Figueroa]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores pronósticos en colitis ulcerosa de reciente diagnóstico.]]></article-title>
<source><![CDATA[Rev. méd. Chile]]></source>
<year>2017</year>
<volume>145</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1319-1329.</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<source><![CDATA[Registros de Historias Clínicas de pacientes con Enfermedad Inflamatoria Intestinal en la Provincia de Pinar del Río]]></source>
<year>2021</year>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Victor]]></surname>
<given-names><![CDATA[Aguilar Sanchez]]></given-names>
</name>
<name>
<surname><![CDATA[Patricia]]></surname>
<given-names><![CDATA[Guzmán Rojas]]></given-names>
</name>
<name>
<surname><![CDATA[Eduard]]></surname>
<given-names><![CDATA[Bravo Paredes]]></given-names>
</name>
<name>
<surname><![CDATA[Cristian.]]></surname>
<given-names><![CDATA[Ríos Perez]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Asociación entre colitis ulcerativa y colangitis esclerosante primaria.]]></article-title>
<source><![CDATA[Rev. gastroenterol. Perú]]></source>
<year>2016</year>
<volume>36</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>175-178.</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marjorie]]></surname>
<given-names><![CDATA[De La Fuente]]></given-names>
</name>
<name>
<surname><![CDATA[Isidora]]></surname>
<given-names><![CDATA[Chahuán]]></given-names>
</name>
<name>
<surname><![CDATA[RocÍo]]></surname>
<given-names><![CDATA[Gutiérrez]]></given-names>
</name>
<name>
<surname><![CDATA[David]]></surname>
<given-names><![CDATA[Díaz-Jiménez]]></given-names>
</name>
<name>
<surname><![CDATA[Mauricio]]></surname>
<given-names><![CDATA[Olivares]]></given-names>
</name>
<name>
<surname><![CDATA[Roberto]]></surname>
<given-names><![CDATA[Vidal]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Presencia de Escherichiacoli intracelular en mucosa intestinal de pacientes con Enfermedad Inflamatoria Intestinal y su asociación con características clínicas y el uso de corticosteroides.]]></article-title>
<source><![CDATA[Rev. méd. Chile]]></source>
<year>2017</year>
<volume>145</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1129-36</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Josefa]]></surname>
<given-names><![CDATA[Martínez Gómez María]]></given-names>
</name>
<name>
<surname><![CDATA[Cristóbal]]></surname>
<given-names><![CDATA[Melián Fernández]]></given-names>
</name>
<name>
<surname><![CDATA[María.]]></surname>
<given-names><![CDATA[Romeo Donlo]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nutrición en enfermedad inflamatoria intestinal]]></article-title>
<source><![CDATA[Nutr. Hosp.]]></source>
<year>2016</year>
<volume>33</volume>
<numero>^sSuppl 4</numero>
<issue>^sSuppl 4</issue>
<supplement>Suppl 4</supplement>
<page-range>59-62</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sofía]]></surname>
<given-names><![CDATA[García-Sanjuán]]></given-names>
</name>
<name>
<surname><![CDATA[Manuel]]></surname>
<given-names><![CDATA[Lillo-Crespo]]></given-names>
</name>
<name>
<surname><![CDATA[Ángela]]></surname>
<given-names><![CDATA[Sanjuán-Quiles]]></given-names>
</name>
<name>
<surname><![CDATA[Miguel]]></surname>
<given-names><![CDATA[Richart - Martínez]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedad de Crohn: experiencias de vivir con una cronicidad.]]></article-title>
<source><![CDATA[Salud pública Méx]]></source>
<year>2016</year>
<volume>58</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>49-55</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López Cortés]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Marín Fernández]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Hueso Montoro]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Escalada Hernández]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Sanz Aznarez]]></surname>
<given-names><![CDATA[A.C.]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Gutiérrez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Calidad de vida relacionada con la salud en pacientes con enfermedad inflamatoria intestinal.]]></article-title>
<source><![CDATA[Anales Sis San Navarra]]></source>
<year>2016</year>
<volume>39</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>123-31</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Javier]]></surname>
<given-names><![CDATA[Blasco-Alonso]]></given-names>
</name>
<name>
<surname><![CDATA[Francisco]]></surname>
<given-names><![CDATA[Girón-Fernández-Crehuet]]></given-names>
</name>
<name>
<surname><![CDATA[Ángel]]></surname>
<given-names><![CDATA[Lendinez-Ramírez Miguel]]></given-names>
</name>
<name>
<surname><![CDATA[Silvia]]></surname>
<given-names><![CDATA[Gallego-Gutiérrez]]></given-names>
</name>
<name>
<surname><![CDATA[Silvia]]></surname>
<given-names><![CDATA[Luque Pérez]]></given-names>
</name>
<name>
<surname><![CDATA[Juliana]]></surname>
<given-names><![CDATA[Serrano-Nieto]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metastatic Crohn's disease in pediatrics]]></article-title>
<source><![CDATA[Rev. esp. enferm. dig.]]></source>
<year>2016</year>
<volume>108</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>598-603</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Macarena]]></surname>
<given-names><![CDATA[Hevia]]></given-names>
</name>
<name>
<surname><![CDATA[Rodrigo]]></surname>
<given-names><![CDATA[Quera]]></given-names>
</name>
<name>
<surname><![CDATA[Leonardo]]></surname>
<given-names><![CDATA[Soto]]></given-names>
</name>
<name>
<surname><![CDATA[Tomás]]></surname>
<given-names><![CDATA[Regueira]]></given-names>
</name>
<name>
<surname><![CDATA[O'Brien]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<name>
<surname><![CDATA[Andrés]]></surname>
<given-names><![CDATA[Larach]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute small bowel diverticulitis in a patient with crohn´s disease.]]></article-title>
<source><![CDATA[Rev. méd. Chile]]></source>
<year>2017</year>
<volume>145</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>397-401</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carlos]]></surname>
<given-names><![CDATA[García Encinas]]></given-names>
</name>
<name>
<surname><![CDATA[Patricia]]></surname>
<given-names><![CDATA[Guzmán Rojas]]></given-names>
</name>
<name>
<surname><![CDATA[Jorge]]></surname>
<given-names><![CDATA[Espinoza - Rios]]></given-names>
</name>
<name>
<surname><![CDATA[Víctor]]></surname>
<given-names><![CDATA[Aguilar Sánchez]]></given-names>
</name>
<name>
<surname><![CDATA[Eduar]]></surname>
<given-names><![CDATA[Bravo Paredes]]></given-names>
</name>
<name>
<surname><![CDATA[Andrea]]></surname>
<given-names><![CDATA[Portocarrero]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Venous tromboembolism in a patient with Crohn disease with ileal stenosis.]]></article-title>
<source><![CDATA[Rev. gastroenterol. Perú]]></source>
<year>2016</year>
<volume>36</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>260-263.</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meyer Lital]]></surname>
<given-names><![CDATA[Simian Daniela]]></given-names>
</name>
<name>
<surname><![CDATA[KronbergUdo]]></surname>
<given-names><![CDATA[Estay Camila]]></given-names>
</name>
<name>
<surname><![CDATA[Lubascher Jaime]]></surname>
<given-names><![CDATA[Figueroa Carolina]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Desarrollo de neoplasia en pacientes con enfermedad inflamatoria intestinal.]]></article-title>
<source><![CDATA[Rev. méd. Chile]]></source>
<year>2015</year>
<volume>143</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>834-840.</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
