염증성 장 질환의 추이
Current Trend of Inflammatory Bowel Disease
박원갑, 김현식, 박종범, 송석규, 윤서구, 이종균, 이중달, 김광연,
소속 상세정보
박원갑 ( Park Won-Kap )
송도병원 외과
김현식 ( Kim Hyun-Sik )
송도병원 외과
박종범 ( Park Jong-Beom )
송도병원 소화기내시경센터
송석규 ( Song Suk-Kyu )
송도병원 외과
윤서구 ( Yoon Seo-Gu )
송도병원 외과
이종균 ( Lee Jong-Kyun )
송도병원 외과
이중달 ( Lee Jung-Dal )
송도병원 해부병리과
김광연 ( Kim Kwang-Yeon )
송도병원 외과
KMID : 0356720020180030152
Abstract
Purpose: Inflammatory bowel disease (IBD) has steadily increased, according to westernized life style, popular use of colonoscopy, and development of pathology and diagnostic radiology. However, there is no avaliable data about
epidemiology of IBD in Korea. Even though our data is not a standard of IBD patients in Korea, it is possible to understand the trend of IBD.
Methods: From Jan. 1995 to Dec. 2000, cases of ulcerative colitis (UC), Crohn’s disease (CD), and indeterminate colitis (ID) were evaluated retrospectively. Annual incidence of IBD at our hospital was calculated with using new IBD
patients/new out-patients. To compare the incidence of CD with that of intestinal tuberculosis (TB), intestinal TB cases from Jan. 1997 to Dec. 2000 were evaluated.
Results: Total number of IBD patients was 651: UC (480, 73.7%), CD (149, 22.9%) and ID (22, 3.4%) in order of frequency. Male was more prevalent than female (1.2：1), especially in CD (2.5：1). However, there was no difference of sex in UC. Mean age was 37.9 (±14.1) years old, ranging from 11 to 79. CD patients (25.1±9.4) were younger than UC (41.9±13.0). Incidence of IBD out of new out-patients increased annually: 0.30% (53 cases) in 1995, 0.31% (67 cases) in 1996, 0.37% (99 cases) in 1997, 0.38% (100 cases) in 1998, 0.54% (158 cases) in 1999 and 0.58% (174 cases) in 2000. The most common types of UC and CD were proctitis (52.3%) and ileocolic type (59.7%), respectively. Incidence of CD was more prevalent than that of intestinal TB (2.5：1).
Conclusion: About 0.5% of new out-patients had IBD and the number of patients of IBD increased annually. CD patients were younger than those of UC and male was predominant. The number of patients with CD exceeded that of intestinal TB patients.
키워드
염증성 장 질환;궤양성 대장염;크론병;결핵성 장염;추이
Inflammatory bowel disease;Ulcerative colitis;Crohn’s disease;Intestinal tuberculosis;Trend
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