한국인 궤양성 대장염의 외과적 치료 = Operative Treatment in Ulcerative Colitis한국인 궤양성 대장염의 외과적 치료

다국어 초록 (Multilingual Abstract)

We have reviewed 34 cases of ulcerative colitis, experenced in the Seoul National University Hospital from January 1982 to August 1988. 1) The disease was most prevalent in fourth decades and the sex ratio (Male:Female) was 1:2.4. 2) The duration of symptoms was less than 5 years in 89.4% 3) The most common symptoms were hematochezia, abdominal pain, weight loss and bloody diarrhea in the order of frequency. 4) In anatomical distribution, left sided colitis were seen in 35.3%, pancolits in 26.5%, proctosigmoiditis in 23.5%, back-wash ileitis in 8.8%, and proctitis in 5.9%. 5) Medical treatment with TPN, steroid administration, steroid enema, were effecfive in 37.5%, 48 %, 63.6%, 50% respectively. 6) In all 8 proctocolectomy cases continent ileostomy were done in 7 cases and conventional ileostomy in 1 case. 1 case of continent ileostomy cases was converted to conventional ileostomy due to ileal pouch perforation. 7) Complications were 2 intestinal obstructions, 1 pouch perforation and 1 wound infection without any mortality. If treated early with accurate surgical indication, ulcerative colitis can be treated surgically with less morbidity and mortality