J Korean Med Assoc.  2003 Jul;46(7):565-573.

Epidemiology of Diseases of the Colo-rectum and Anus

• Lee BH

Abstract

The incidence of colorectal disease in Korea has been increasing along with the westernitation of the lifestyle. More hemorrhoidectomy and anal surgery have been done than ever. Dynamic graciloplasty, artificial bowel sphincter, and sacral nerve stimulation are done to manage anal incontinence. Constipation and irritable bowel syndrome are popular these days. However, there are few effective definite treatments for them. Ulcerative colitis develops in older age groups than in western countries, but Crohn's disease occurs in the same ages as in western countries. The prevalence of inflammatory bowel disease in Korea was 1/10 in ulcerative colitis and 1/20 in Crohn's disease, compared with North America, however, it increases rapidly. The incidence of colorectal cancer was 25.2 per 100,000 in male and 15.9 in female. The relative frequency of colorectal cancer is 10.5% of all sites, and colorectum is the 4th frequent site of cancers following stomach, lung, and liver. The five-year suvival rate of colorectal cancer in Korea was 49.4%. The management of anorectal disease should be based on medical evidence.

Keyword

Anus; Rectum; Colon; Inflammatory bowel diseases; Colorectal cancer; Epidemiology

MeSH Terms

Anal Canal*
Colitis, Ulcerative
Colon
Colorectal Neoplasms
Constipation
Crohn Disease
Epidemiology*
Female
Hemorrhoidectomy
Humans
Incidence
Inflammatory Bowel Diseases
Irritable Bowel Syndrome
Korea
Life Style
Liver
Lung
Male
North America
Prevalence
Rectum
Stomach

Figure

• 

  Figure 1

Reference

2. Kang SB, Heo SC, Jung SY, Choi HS, Park KJ, Park JG. Anorectal cancer undetected at the time of hemorrhoidectomy. J Korean Soc Coloproctol. 2002. 18:110–114.

3. Cheetham MJ, Malouf AJ, Kamm MA. Fecal incontinence. Gastroenterol Clin North Am. 2001. 30:115–130.

4. Wong WD, Conliosi SM, Spencer MP, Corman ML, Tan P, Burnstein M, et al. The safety and efficacy of the artificial bowel sphincter for fecal incontinence. Dis Colon Rectum. 2002. 45:1139–1153.

5. Park DH, Yoon SK, Yoon JS, Lee JH, Rhoe HJ, Kim KY, et al. Difference between genders in pateitnts with obstructive defecation analysis of 1,513 defecograms. J Korean Soc Coloproctol. 2002. 18:73–82.

6. Kim JH, Kwon YM, Lee YP. The prospective study of anorectal physiologic change after transanal repair in rectolcele. J Korean Soc Coloproctol. 2002. 18:216–221.

7. Akehurst R, Kaltenthaler E. Treatment of irritable bowel syndrome : a review of randomized control trials. Gut. 2001. 48:272–282.

8. Rudolph WG, Utohoff SMS, McAuliffe TL, Goode ET, Petras RE, Galandiuk S. Indeterminate colitis. Dis Colon Rectum. 2002. 45:1528–1534.

9. Park WK, Kim HS, Park JB, Song SK, Yoon SG, Kim KY, et al. Current trend of inflammatory bowel disease. J Korean Soc Coloproctol. 2002. 18:216–221.

10. Yang SK, Song IS, Kim YH. Epidemiology of inflammatory bowel disease in the Songpa-Kangdong District, Seoul, Korea. 1986-2001 : A KASID study. Korean J Gastroenterol. 2002. 40:Suppl. 88–104.

11. Yao T, Matsui T, Hiwatashi N. Crohns disease in Japan : diagnostic criteria and epidemiology. Dis Colon Rectum. 2000. 43:10 Suppl. S85–S93.

12. Lee EK, Kim HD, Son BH, Han WK. The usefulness of colonoscopy in the management of right side colonic diverticulitis. J Korean Soc Coloproctol. 2001. 17:283–288.

14. Shin HR, Ahn YO, Bae JM, Shin MH, Lee DH, Park JG, et al. Cancer incidence in Korea. Cancer Research and Treatment. 2002. 34:405–408.

15. Place R, et al. Americal Society of Colon and Rectal Surgeons. Practice parameters for ambulatory anorectal surgery. Dis Colon Rectum. 2003. 46(5):573–576.