A Clinical Analysis of Ulcerative Colitis

Ulcerative colitis is a chronic inflammatory disease, characterized by diffuse ulceration of colorectal mucosa and submucosa. It is relatively frequent in the western countries, but is relatively rare in Korea. However, the diagnostic rate shows a tendency to increase with various diagnostic method and attention to the diseases of the patients.

Author has experienced 31 cases of ulcerative colitis diagnosed with clinical symptoms, radiologic and endosopic examination from March, 1983 to August, 1989 at Ewha Womans University Hospital.

The results are as follows;

1) The peak incidence of age was 20~29(41.9%) and the ratio of male to female was 1:2.1

2) The chief complaints on admission were bleeding, diarrhea and abdominal pain.

3) The duration from the onset of the symptoms to the first visit was less than 1 month in 18 cases(58.1%).

4) The most common involved site of the disease was rectosigmoid colon.

5) The operations were performed in 6 cases and their indications were unresponsive to medical treatment(3cases), perforation(2 cases) and one primary peritonitis.

6) The operations were J shaped ileal pouch-anal anastomosis after total colectomy and subtotal colectomy (2 cases), total proctocolectomy with permanent ileostomy( 1 cases), left hemicolectomy with end to end anastomosis (1 case), right hemicolectomy with ileostomy(l case) and one exploratory eaparotomy.

7) There were 2 proctitis in complication and no mortality.