Rates of Early Surgery and Associated Risk Factors in Crohn's Disease.
10.4166/kjg.2010.56.4.236
- Author:
Su Jin JEON
1
;
Kwang Jae LEE
;
Myung Hee LEE
;
Seon Kyo LIM
;
Chang Jun KANG
;
Jin Hong KIM
Author Information
1. Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea. kjleemd@hotmail.com
- Publication Type:Original Article
- Keywords:
Crohn's disease;
Early surgery;
Complications;
Stricture
- MeSH:
Adolescent;
Adult;
Aged;
Constriction, Pathologic;
Crohn Disease/*surgery;
Female;
Humans;
Male;
Middle Aged;
Multivariate Analysis;
Republic of Korea;
Retrospective Studies;
Risk Factors;
Sex Factors;
Time Factors
- From:The Korean Journal of Gastroenterology
2010;56(4):236-241
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The individual course of Crohn's disease is diverse, and some patients may require bowel resection. The aims of this study were to determine the early surgery rate of Crohn's disease and to identify risk factors associated with early surgery in Korea. METHODS: Ninety six patients with Crohn's disease (68 men; median age at the time of diagnosis: 25 years), who had been followed up more than a year, were retrospectively analyzed. Early surgery was defined as a bowel operation for Crohn's disease or its complications occurring within 3 years from diagnosis. Early surgery rate and risk factors for early surgery were identified. RESULTS: Fifteen patients (15.6%) underwent early surgery. The cumulative surgery rate was 8.6% after 6 months, 11.9% after 12 months, 14.1% after 18 months, and 16.7% after 24 to 36 months. Multivariate analysis revealed penetrating or stricturing behavior to be an independent risk factor for early surgery (p<0.001, Exp (B)=2.97 CI 1.39-6.37). CONCLUSIONS: The cumulative early surgery rate in Korean patients seems to be lower than Western patients. Penetrating or stricturing behavior is significantly associated with early surgery, requiring early aggressive medical treatments.
