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Current Status and Trends in Inflammatory Bowel Disease Surgery in Korea: Analysis of Data in a Nationwide Registry

Annals of Coloproctology 2018년 34권 6호 p.299 ~ 305
백세진, 이길연, 송기환, 유창식,
소속 상세정보
백세진 ( Baek Se-Jin ) - Korea University College of Medicine Department of Surgery
이길연 ( Lee Kil-Yeon ) - Kyung Hee University School of Medicine Department of Surgery
송기환 ( Song Ki-Hwan ) - Goo Hospital Department of Surgery
유창식 ( Yu Chang-Sik ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery

Abstract


Purpose: Inflammatory bowel disease (IBD) in Korea has been increasing in recent years, but accurate statistics about operations for IBD are lacking. The purpose of this study was to investigate the trends and current status of IBD surgeries in Korea.

Methods: Using a national database from the Korea Health Insurance Review and Assessment Service, we analyzed data from patients who underwent surgery for Crohn disease and ulcerative colitis from January 2009 to October 2016.

Results: The mean number of patients who underwent surgery for Crohn disease was 791.8 per year. Colorectal surgery, small bowel surgery, and anal surgery were performed fairly often (31.2%, 29.4%, 39.4%, respectively), and laparoscopic surgery continued to increase, recently exceeding 30%. About 50% of Crohn patients used biologics before and after surgery, and those patients also underwent a relatively high rate of anal surgeries (44.2%). The mean number of patients who underwent surgery for ulcerative colitis was 247.6 per year. Colorectal surgery accounted for more than half of all operations, and laparoscopic surgery has been increasing rapidly, having been performed in about 60% of patients in recent years. The incidence of colorectal cancer in patients with ulcerative colitis was very high and increased rapidly during the study period, reaching about 80%.

Conclusion: The number of patients undergoing laparoscopic surgery for IBD in Korea has increased significantly. Biologics are actively used by patients with Crohn disease, with a high proportion of anal surgeries required. Many of the surgical indications for ulcerative colitis have shifted into colorectal cancer.

키워드

Inflammatory bowel disease; Crohn disease; Ulcerative colitis; Laparoscopy; Colitis-associated cancer

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