Long-term follow-up of ulcerative colitis in Taiwan

Wei, Shu–Chen; Shieh, Ming‐Jium; Chang, Ming‐Chu; Chang, Yu-Ting; Chen, Ming-Fong; Wong, Jau‐Min

doi:10.1016/j.jcma.2012.02.017

Cited by 33 publications

(32 citation statements)

References 25 publications

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“…A single medical center-based study between 1988 and 2008 revealed EIMs in 4.5% of 406 UC patients. 38 Any disparity between Wei et al's 38 study and our report may be due to the different inclusion criteria of EIMs and the patient number. In the same study, Wei et al 38 also found that colon cancer was noted in six of 406 patients (1.5%), which was higher than that in our study (0.2%).…”

Section: Discussioncontrasting

confidence: 58%

Gastrointestinal complications and extraintestinal manifestations of inflammatory bowel disease in Taiwan: A population-based study

Hsu

et al. 2017

Journal of the Chinese Medical Association

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Section: Discussioncontrasting

confidence: 58%

Gastrointestinal complications and extraintestinal manifestations of inflammatory bowel disease in Taiwan: A population-based study

Hsu

et al. 2017

Journal of the Chinese Medical Association

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“…Increased incidence and prevalence of IBD in Asia have been reported [1,3-12]. This information is mostly based on hospital-based data except for a report from Japan where there is a nationwide registration system [16].…”

Section: Discussionmentioning

confidence: 99%

“…Based on a hospital (National Taiwan University Hospital)-based analysis, we previously showed that CD as well as UC has increased in both incidence and prevalence in Taiwan [10-12]. The National Taiwan University Hospital is a tertiary referral center in Taiwan; with the first case of ulcerative colitis being diagnosed in 1969.…”

Section: Introductionmentioning

confidence: 99%

A nationwide population-based study of the inflammatory bowel diseases between 1998 and 2008 in Taiwan

et al. 2013

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BackgroundThe incidence of the inflammatory bowel diseases (IBD), ulcerative colitis (UC) and Crohn’s disease (CD), has been increasing in Asia. We probed the nationwide registered database to assess the incidence, prevalence, gender distribution, age of diagnosis and the survival status of IBD patients in Taiwan.MethodsA retrospective study was conducted to analyze the registered database compiled by the National Health Insurance provided by the Department of Health, Taiwan, from January 1998 through December 2008.ResultsA total of 1591 IBD patients were registered from 1998 to 2008 in Taiwan (CD: 385; UC: 1206). The incidence of CD increased from 0.19/100,000 in 1998 to 0.24/100,000 in 2008. The incidence of UC increased from 0.61/100,000 in 1998 to 0.94/100,000 in 2008. The prevalence of CD increased from 0.19/100,000 in 1998 to 1.78/100,000 in 2008. The prevalence of UC increased from 0.61/100,000 in 1998 to 7.62/100,000 in 2008. Male to female ratio for CD was 2.22 and 1.64 for UC. Age of registered for CD was predominantly between 20 to 39, and for UC between 30 to 49 years of age. The standardized mortality ratio (95% CI) was 4.97 (3.72–6.63) for CD and 1.78 (1.46–2.17) for UC, from 1998 to 2008 in Taiwan.ConclusionsUsing the Taiwan nationwide database for IBD, the incidence and prevalence of IBD in Taiwan significantly increased from 1998 to 2008. The mortality rate was higher for CD patients than UC patients, and both were higher than the general population.

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“…In Asian countries, no population-based studies have been per- formed in this regard. However, hospital-based studies from China [59] , Taiwan [60] , Japan [61] , and Korea [62] all demonstrate that -not only in the West but also in Asia -doctors should consider the risk of colorectal cancer in their long-standing IBD patients.…”

Section: Colorectal Cancermentioning

confidence: 99%

How Does the Epidemiology of Inflammatory Bowel Disease Differ between East and West? A Korean Perspective

Yang¹

2017

Inflamm Intest Dis

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Background: Though low compared with those in Western countries, the incidence and prevalence of inflammatory bowel disease (IBD) are rapidly increasing in Asia. If we could understand the differences in IBD epidemiology between Asian and Western countries, we might gain insights into the etiopathogenesis of IBD as well as guidance for personalized therapy. Summary: In Asia, unlike in the West, Crohn's disease (CD) predominantly occurs in men and involves a high prevalence of perianal fistulas. Moreover, in Korean CD patients, ileocolonic involvement is predominant, whereas isolated colonic involvement is very uncommon. In both ulcerative colitis (UC) and CD, extraintestinal manifestations, such as primary sclerosing cholangitis, as well as a positive family history of IBD are less frequent in Asian patients. However, as the prevalence of IBD rises in Korea, so does the frequency of a positive family history. While the colectomy rate among Korean UC patients is lower, the intestinal resection rate in CD patients is similar in Korea and in the West. Infectious problems that can adversely influence IBD management are usually more common in Asia. Key Messages: IBD in Asians differs from that in Westerners in many aspects, including demographic and clinical characteristics, prognosis, and associated problems.

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Long-term follow-up of ulcerative colitis in Taiwan

Abstract: The incidence of UC has increased in Taiwan. Interestingly, CRC/dysplasia and PSC occur more frequently here than in other Asian nations.

Cited by 33 publications

References 25 publications

Gastrointestinal complications and extraintestinal manifestations of inflammatory bowel disease in Taiwan: A population-based study

Gastrointestinal complications and extraintestinal manifestations of inflammatory bowel disease in Taiwan: A population-based study

A nationwide population-based study of the inflammatory bowel diseases between 1998 and 2008 in Taiwan

How Does the Epidemiology of Inflammatory Bowel Disease Differ between East and West? A Korean Perspective

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