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KMID : 0374019890120040283
Ewha Medical Journal
1989 Volume.12 No. 4 p.283 ~ p.288
A Clinical Analysis of Ulcerative Colitis
Eung-Bum Park
Abstract
Ulcerative colitis is a chronic inflammatory disease, characterized by diffuse ulceration of colorectal mucosa and submucosa. It is relatively frequent in the western countries, but is relatively rare in Korea ,However, the diagnostic rate shows a tendency to increase with various diagnostic method and attention to the diseases of the patients.
Author has experienced 31 cases of ulcerative colitis diagnosed with clinical symptoms, radtologic and endosopic examination from March, 1983 to August, 1989 at Ewha Womans University Hospital. The results are as follows ;
1) The peak incidence of age was 20-29(419%) and the ratio of male to female was 1: 2.1
2) The chief complaints on admission were bleeding, diarrhea and abdominal pain.
3) The duration from the onset of the symptoms to the fast visit was less than 1 month in
18 cases(58.1%).
4) The most common involved site of the disease was rectosigmoid colon.
5) The operations were performed in 6 cases and their indications were unresponsive to medical treatment(3cases), perforation(2 cases) and one primary peritonitis.
6) The operations were J shaped deal pouch-anal anastomosis after total colectomy and subtotal colectomy (2 cases), total proctocolectomy with permanent ileostomy(1 cases), left hemicolectomy with end to end anastomosis (1 case), right hemicolectomy with ileostomy( icase) and one exploratory* eaparotomy.
7) There were 2 proctitis in complication and no mortality.
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