Choi Chang Hwan, Kim Young-Ho, Kim You Sun, Ye Byong Duk, Lee Kang Moon, Lee Bo In, Jung Sung-Ae, Kim Won Ho, Lee Heeyoung
Department of Internal Medicine, Chung-Ang University College of Medicine, Korea.
Korean J Gastroenterol. 2012 Feb;59(2):118-40. doi: 10.4166/kjg.2012.59.2.118.
Ulcerative colitis (UC) is a chronic inflammatory bowel disorder characterized by a relapsing and remitting course. The quality of life can decreases significantly during exacerbations of the disease. The incidence and prevalence of UC in Korea are still lower than those of Western countries, but have been rapidly increasing during the past decades. Various medical and surgical therapies are currently used for the management of UC. However, many challenging issues exist and sometimes these lead to differences in practice between clinicians. Therefore, Inflammatory Bowel Diseases (IBD) Study Group of Korean Association for the Study of Intestinal Diseases (KASID) set out the Korean guidelines for the management of UC. These guidelines are made by the adaptation using several foreign guidelines and encompass treatment of active colitis, maintenance of remission and indication for surgery in UC. The specific recommendations are presented with the quality of evidence. These are the first Korean treatment guidelines for UC and will be revised with new evidences on treatment of UC.
溃疡性结肠炎(UC)是一种慢性炎症性肠病,其特点是病程呈复发和缓解交替。在疾病发作期间,生活质量会显著下降。韩国UC的发病率和患病率仍低于西方国家,但在过去几十年中一直在迅速上升。目前,各种药物和手术疗法用于UC的治疗。然而,仍存在许多具有挑战性的问题,有时这些问题会导致临床医生在实践中存在差异。因此,韩国肠道疾病研究协会(KASID)的炎症性肠病(IBD)研究小组制定了韩国UC管理指南。这些指南是通过改编若干国外指南制定的,涵盖了活动性结肠炎的治疗、缓解期的维持以及UC手术指征。具体建议附有证据质量说明。这些是韩国首部UC治疗指南,并将根据UC治疗的新证据进行修订。