Trends of Gastrointestinal Diseases at a Single Institution in Korea over the Past Two Decades

권정현; 최명규; Sung Won Lee; Xian Xiang Shu; 배시현; 최종영; 윤승규; 조유경; 박재명; 이인석; 김상우; 정인식

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자료유형: 학술저널

저자정보: 권정현 최명규 Sung Won Lee Xian Xiang Shu 배시현 최종영 윤승규 조유경 박재명 이인석 김상우 정인식

저널정보: 거트앤리버 발행위원회 Gut and Liver Gut and Liver 제3권 제4호

발행연도: 2009.1

수록면: 252 - 258 (7page)

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Background/Aims: The lifestyle changes that have accompanied economic growth have influenced disease patterns in Korea. Changing patterns of gastrointestinal (GI) diseases over the past two decades were investigated in the present study. Methods: Data from inpatients with specific GI diseases, as defined by the International Classification of Diseases code, were extracted from the database at a tertiary medical facility for 1990, 1996, and 2006. Results: Admission rates for GI diseases increased between 1990 and 2006. The most prevalent disease in 1990 was gastric cancer, followed by appendicitis and colorectal cancer. However, by 2006, gastric cancer, colon cancer, and colon adenoma or polyps had become the most prevalent diseases. Although gastric cancer showed a decreasing trend, the rate of colon cancer doubled over two decades. Furthermore, rates of detection and endoscopic treatment of early gastric cancer and adenoma of the stomach and colon have increased noticeably. Newly emerging diseases include inflammatory bowel disease and gastroesophageal reflux. There was no change in the incidence of peptic ulcer, but ulcer- related complications and the numbers treated surgically decreased. Conclusions: The findings of this study indicate that the clinical trends of GI diseases in Korea have changed in a similar way to those in the West. Early detection of a GI neoplasm will continue to increase with the establishment of cancer-screening programs, resulting in a rising need for minimally invasive treatments.

#Gastrointestinal diseases #Korea #Trends #Epidemiology

참고문헌 (40)

참고문헌 신청

International Agency for Research on Cancer (IARC) / 2007 Cancer Mondial [Internet]

Kim JH / 2001 / Seroepidemiological study of Helicobacter pylori infection in asymptomatic people in South Korea / J Gastroenterol Hepatol 16:969~975

Wong WM / 2002 / Long-term prospective follow-up of endoscopic oesophagitis in southern Chinese--prevalence and spectrum of the disease / Aliment Pharmacol Ther 16:2037~2042

Lim SL / 2005 / Changing prevalence of gastroesophageal reflux with changing time: longitudinal study in an Asian population / J Gastroenterol Hepatol 20:995~1001

Kang JY / 1999 / Different prevalences of reflux oesophagitis and hiatus hernia among dyspeptic patients in England and Singapore / Eur J Gastroenterol Hepatol 11:845~850

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주요연구분야 의약학 > 임상의학 > 내과학 의약학 > 임상의학 > 일반 외과학

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