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Qiao Yu (Department of Gastroenterology The First Affiliated Hospital of Sun Yat-sen University Guangzhou) Ren Mao (Department of Gastroenterology The First Affiliated Hospital of Sun Yat-sen University Guangzhou) Lei Lian (Department of Colorectal Surgery The Sixth Affiliated Hospital of Sun Yat-sen University Guangzhou) Siew chien Ng (Chinese University of Hong Kong) Shenghong Zhang (Department of Gastroenterology The First Affiliated Hospital of Sun Yat-sen University) Zhihui Chen (The First Affiliated Hospital of Sun Yat-sen University) Yanyan Zhang (The First Affiliated Hospital of Sun Yat-sen University) Yun Qiu (The First Affiliated Hospital of Sun Yat-sen University) Baili Chen (The First Affiliated Hospital of Sun Yat-sen University) Yao He (The First Affiliated Hospital of Sun Yat-sen University) Zhirong Zeng (The First Affiliated Hospital of Sun Yat-sen University) Shomron Ben-Horin (The First Affiliated Hospital of Sun Yat-sen University) Xinming Song (The First Affiliated Hospital of Sun Yat-sen University) Minhu Chen (The First Affiliated Hospital of Sun Yat-sen University)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.14 No.4
발행연도
2016.1
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322 - 332 (11page)

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Background/Aims: The past decades have seen increasing incidence and prevalence of inflammatory bowel disease (IBD)in China. This article aimed to summarize the current status and characteristics of surgical management for IBD in China. Methods: We searched PubMed, Embase, and Chinese databases from January 1, 1990 to July 1, 2014 for all relevant studieson the surgical treatment IBD in China. Eligible studies with sufficient defined variables were further reviewed for primary andsecondary outcome measures. Results: A total of 74 studies comprising 2,007 subjects with Crohn’s disease (CD) and 1,085subjects with ulcerative colitis (UC) were included. The percentage of CD patients misdiagnosed before surgery, including misdiagnosisas appendicitis or UC, was 50.8%±30.9% (578/1,268). The overall postoperative complication rate was 22.3%±13.0%(267/1,501). For studies of UC, the overall postoperative complication rate was 22.2%±27.9% (176/725). In large research centers(n>50 surgical cases), the rates of emergency operations for CD (P =0.032) and in-hospital mortalities resulting from bothCD and UC were much lower than those in smaller research centers (n≤50 surgical cases) (P =0.026 and P <0.001, respectively). Regarding the changes in CD and UC surgery over time, postoperative complications (P =0.045 for CD; P =0.020 for UC) andpostoperative in-hospital mortality (P =0.0002 for CD; P =0.0160 for UC) both significantly improved after the year 2010. Conclusions:The surgical management of IBD in China has improved over time. However, the rates of misdiagnosis and postoperativecomplications over the past two decades have remained high. Large research centers were found to have relatively bettercapacity for surgical management than the smaller ones. Higher quality prospective studies are needed in China.

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참고문헌 (47)

참고문헌 신청
Baumgart DC / 2012 / Crohn’s disease / Lancet 380:1590~1605 google schola Molodecky NA / 2012 / Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review / Gastroenterology 142:46~54 google schola Ng SC / 2013 / Incidence and phenotype of inflammatory bowel disease based on results from the Asiapacific Crohn’s and colitis epidemiology study / Gastroenterology 145:158~165 google schola Ouyang Q / 2008 / Epidemiology of inflammatory bowel disease in China / Chung Hua Hsiao Hua Tsa Chih 28:814~818 google schola Zeng Z / 2013 / Incidence and clinical characteristics of inflammatory bowel disease in a developed region of Guangdong province, China: a prospective population-based study / J Gastroenterol Hepatol 28:1148~1153 google schola

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