Choi Chang Hwan, Moon Won, Kim You Sun, Kim Eun Soo, Lee Bo-In, Jung Yunho, Yoon Yong Sik, Lee Heeyoung, Park Dong Il, Han Dong Soo
Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Intest Res. 2017 Jan;15(1):7-37. doi: 10.5217/ir.2017.15.1.7. Epub 2017 Jan 31.
Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by a relapsing and remitting course. The direct and indirect costs of the treatment of UC are high, and the quality of life of patients is reduced, especially during exacerbation 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, including biologics, are currently used for the management of UC. However, many challenging issues exist, which sometimes lead to differences in practice between clinicians. Therefore, the IBD study group of the Korean Association for the Study of Intestinal Diseases established the first Korean guidelines for the management of UC in 2012. This is an update of the first guidelines. It was generally made by the adaptation of several foreign guidelines as was the first edition, and encompasses treatment of active colitis, maintenance of remission, and indication of surgery for UC. The specific recommendations are presented with the quality of evidence and classification of recommendations.
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缓解型。UC的治疗直接和间接成本高昂,患者的生活质量下降,尤其是在疾病加重期间。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,包括生物制剂在内的各种内科和外科治疗方法都用于UC的管理。然而,存在许多具有挑战性的问题,有时会导致临床医生在实践中的差异。因此,韩国肠道疾病研究协会的炎症性肠病研究小组于2012年制定了首部韩国UC管理指南。这是首部指南的更新版。它与第一版一样,通常是通过改编几部国外指南制定的,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。具体建议根据证据质量和推荐分级列出。