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

被引：18

作者：

Baek, Se-Jin ^{[1
]}

Lee, Kil Yeon ^{[2
]}

Song, Ki Hwan ^{[3
]}

Yu, Chang Sik ^{[4
]}

Kim, Chang-Nam ^{[5
]}

Lee, In Kyu ^{[6
]}

Ju, Jae Kyun ^{[7
]}

Lee, Jong Lyul ^{[8
]}

Lim, Ki Yun ^{[9
]}

Park, Kyu Joo ^{[10
]}

Shin, Rumi ^{[11
]}

Ryoo, Seung-Bum ^{[10
]}

Baik, Seung Hyuk ^{[12
]}

Kim, Sohyun ^{[13
]}

Cho, Yong Beom ^{[14
]}

Joh, Yong-Geul ^{[15
]}

Yoon, Yong Sik ^{[16
,17
]}

机构：

[1] Korea Univ, Coll Med, Dept Surg, Seoul, South Korea

[2] Kyung Hee Univ, Coll Med, Dept Surg, 23 Kyungheedae Ro, Seoul 02447, South Korea

[3] Goo Hosp, Daegu, South Korea

[4] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Surg, Seoul, South Korea

[5] Eulji Univ, Sch Med, Eulji Univ Hosp, Daejeon, South Korea

[6] Catholic Univ Korea, Coll Med, Seoul St Marys Hosp, Seoul, South Korea

[7] Chonnam Natl Univ, Med Sch, Gwangju, South Korea

[8] Univ Ulsan, Coll Med, Asan Med Ctr, Seoul, South Korea

[9] Songdo Colorectal Hosp, Seoul, South Korea

[10] Seoul Natl Univ, Coll Med, Seoul, South Korea

[11] Seoul Natl Univ, Boramae Med Ctr, Seoul Metropolitan Govt, Seoul, South Korea

[12] Yonsei Univ, Coll Med, Gangnam Severance Hosp, Seoul, South Korea

[13] Yeungnam Univ, Coll Med, Daegu, South Korea

[14] Sungkyunkwan Univ, Samsung Med Ctr, Sch Med, Seoul, South Korea

[15] Hansol Hosp, Seoul, South Korea

[16] Univ Ulsan, Coll Med, Seoul, South Korea

[17] Asan Med Ctr, Seoul, South Korea

来源：

ANNALS OF COLOPROCTOLOGY | 2018年 / 34卷 / 06期

关键词：

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

D O I：

10.3393/ac.2018.07.21

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：299 / 305

页数：7

共 27 条

[1] Open versus laparoscopic (assisted) ileo pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis [J].