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Current status and trends in inflammatory bowel disease surgery in Korea: Analysis of data in a nationwide registryopen access

Authors
Baek S.-J.Lee K.Y.Song K.H.Yu C.S.
Issue Date
2018
Publisher
Korean Society of Coloproctology
Keywords
Colitis-associated cancer; Crohn disease; Inflammatory bowel disease; Laparoscopy; Ulcerative colitis
Citation
Annals of Coloproctology, v.34, no.6, pp.299 - 305
Indexed
SCOPUS
KCI
Journal Title
Annals of Coloproctology
Volume
34
Number
6
Start Page
299
End Page
305
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/4184
DOI
10.3393/ac.2018.07.21
ISSN
2287-9714
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. © 2018 The Korean Society of Coloproctology
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Baek, Se Jin
안암병원 (Department of Colon and Rectal Surgery, Anam Hospital)
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