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炎症性肠病的流行病学、癌症风险及手术影响的全球模式

Global patterns in the epidemiology, cancer risk, and surgical implications of inflammatory bowel disease.

作者信息

Zhang Yiming, Chu Xiaotian, Wang Li, Yang Hong

机构信息

Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, P. R. China.

Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences Chinese Academy of Medical Sciences; School of Basic Medicine Peking Union Medical College, Beijing, P. R. China.

出版信息

Gastroenterol Rep (Oxf). 2024 Jul 9;12:goae053. doi: 10.1093/gastro/goae053. eCollection 2024.

Abstract

Inflammatory bowel disease (IBD), mainly including ulcerative colitis and Crohn's disease, imposes a huge medical and economic burden worldwide. Recently, the diagnosis, treatment, and surveillance of IBD have advanced rapidly, which has changed the epidemiology, cancer risk, and surgery risk of IBD. Here, we reviewed the recent literature on the epidemiology, IBD-related cancer, and IBD-related surgery. We created a choropleth map to show the worldwide incidence trend for Crohn's disease and ulcerative colitis. We also found that the cancer risk and surgery risk of IBD are declining and discussed some risk factors associated with them. Based on the recent trend, we proposed several suggestions and hoped to reduce the global burden of IBD as far as possible.

摘要

炎症性肠病(IBD),主要包括溃疡性结肠炎和克罗恩病,在全球范围内造成了巨大的医疗和经济负担。最近,IBD的诊断、治疗和监测进展迅速,这改变了IBD的流行病学、癌症风险和手术风险。在此,我们回顾了关于流行病学、IBD相关癌症和IBD相关手术的近期文献。我们创建了一幅分级统计图来展示克罗恩病和溃疡性结肠炎的全球发病率趋势。我们还发现IBD的癌症风险和手术风险正在下降,并讨论了与之相关的一些风险因素。基于近期趋势,我们提出了几点建议,希望尽可能减轻IBD的全球负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0af/11233070/bbb76d9e4897/goae053f1.jpg

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