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.
| Original language | English |
|---|---|
| Pages (from-to) | 299-305 |
| Number of pages | 7 |
| Journal | Annals of Coloproctology |
| Volume | 34 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2018 Dec |
Bibliographical note
Funding Information:This research was financially supported by The Korean Society of Coloproctology.
Funding Information:
This research was financially supported by The Korean Society of Coloproctology. The members of the Inflammatory Bowel Disease (IBD) Study Group of the Korean Society of Coloproctology as follows: Chang-Nam Kim, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea; In Kyu Lee, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea; Jae Kyun Ju, Chonnam National University Medical School, Gwangju, Korea; Jong Lyul Lee, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea; Ki Yun Lim, Songdo Colorectal Hospital, Seoul, Korea; Kyu Joo Park, Seoul National University College of Medicine, Seoul, Korea; Rumi Shin, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea; Seung-Bum Ryoo, Seoul National University College of Medicine, Seoul, Korea; Seung Hyuk Baik, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea; Sohyun Kim, College of Medicine, Yeungnam University, Daegu, Korea; Yong Beom Cho, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea; Yong-Geul Joh, Hansol Hospital, Seoul, Korea; Yong Sik Yoon, University of Ulsan College of Medicine, and Asan Medical Center, Seoul, Korea.
Publisher Copyright:
© 2018 The Korean Society of Coloproctology
Keywords
- Colitis-associated cancer
- Crohn disease
- Inflammatory bowel disease
- Laparoscopy
- Ulcerative colitis
ASJC Scopus subject areas
- Surgery
- Gastroenterology
