Gastroenterological problems in childhood in Jordan.

Gastrointestinal problems and, in particular, diarrhoeal illnesses are the commonest cause of morbidity and mortality among young children in Jordan. Children with diarrhea constitute about 20% of admissions to Jordan University Hospital (JUH). The aetiology of diarrhoea is multifactorial and bacterial pathogens are seldom isolated. Stool viruses have not been investigated. There is a steady fall in the prevalence of breast-feeding with a consequent increase in gastroenteritis, especially among the poor. The use of electrolyte solutions for oral rehydration therapy is encouraged, and the use of antibiotics in diarrhoeal illness is discouraged. The addition of sucrose instead of glucose to electrolyte solutions has also been adopted. Cow's milk protein intolerance, coeliac disease and chronic inflammatory bowel disease are rarely encountered. Hepatitis is common and is a major cause of morbidity among school children. Cystic fibrosis has been recognized in Jordan but is rare. JUH has been selected as the referral centre for cystic fibrosis in the Middle East.