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 1 |
Fingerprint
Keywords
- Colitis-associated cancer
- Crohn disease
- Inflammatory bowel disease
- Laparoscopy
- Ulcerative colitis
ASJC Scopus subject areas
- Gastroenterology
Cite this
Current status and trends in inflammatory bowel disease surgery in Korea : Analysis of data in a nationwide registry. / Inflammatory Bowel Disease (IBD) Study Group of the Korean Society of Coloproctology.
In: Annals of Coloproctology, Vol. 34, No. 6, 01.12.2018, p. 299-305.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Current status and trends in inflammatory bowel disease surgery in Korea
T2 - Analysis of data in a nationwide registry
AU - Inflammatory Bowel Disease (IBD) Study Group of the Korean Society of Coloproctology
AU - Baek, Se-Jin
AU - Lee, Kil Yeon
AU - Song, Ki Hwan
AU - Yu, Chang Sik
PY - 2018/12/1
Y1 - 2018/12/1
N2 - 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.
AB - 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.
KW - Colitis-associated cancer
KW - Crohn disease
KW - Inflammatory bowel disease
KW - Laparoscopy
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=85059639638&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85059639638&partnerID=8YFLogxK
U2 - 10.3393/ac.2018.07.21
DO - 10.3393/ac.2018.07.21
M3 - Article
AN - SCOPUS:85059639638
VL - 34
SP - 299
EP - 305
JO - Annals of Coloproctology
JF - Annals of Coloproctology
SN - 2287-9714
IS - 6
ER -