Specialist Column Lee, Ji Hyun, Korea, Seoul, Song Do Hospital, Department of Internal Diseases
In Korea, inflammatory diseases are rarely seen, with rapid growth. According to the Health Insurance Review and Assessment Service, the number of patients with inflammatory bowel disease treated in 2017 is about 40,000 chronic colitis and about 20,000 Crohn's disease, about 60,000.
Inflammatory bowel disease is a chronic inflammatory disease of the digestive tract called Crohn's disease. Ultracitary colitis appears mainly in the large intestine of the intestine and passes from the inflammatory to the anus until the gastrointestinal tract.
Intestinal inflammatory disease is thought to be the case when there are uncertain or genetic predisposition to have environmental factors and immunological factors. Recently, many experts have assessed the ability of the intestinal mucous membrane to activate and respond to mucosal inflammation of the intestinal tract in response to external factors of the intestinal bacteria or viruses.
Symptoms of intestinal inflammatory diseases include bloody stomach pain, pain in the abdomen, chronic diarrhea, fever, weight loss, anorexia, and malignant analgesia. Diagnosis of intestinal inflammation is still low and diagnosis is delayed due to infectious enteritis, symptoms and endoscopic symptoms. You do not have great fears because you can manage your everyday life right after diagnosis and management.
It is used for the treatment of inflammatory diseases, anti-inflammatory drugs, immunomodulators, biological agents, steroid agents and others. Surgical treatment is performed when the medication does not affect the drug or develops stenosis, perforation, or colon cancer. In particular, biological agents with anti-TNF agents that block inflammation of the tumor necrosis factor (TNF) that cause inflammation in inflammatory bowel disease reduce inflammation and therapeutic mucous membranes.
Infectional intestinal disease is recommended for radiological studies (CT, MRI and ultrasound) in the absence of seasonal endoscopy, blood tests, fracture tests and symptoms. Because in patients with intestinal inflammation, the risk of colorectal cancer or intestinal cancer for a long time is higher than that of the general population, and symptoms and objective results do not coincide. In some rare cases, complications such as stenosis or perforation are symptomatic without symptoms.
Precise diagnostics and treatment of inflammatory bowel disease, accompanied by chronic and various complications, are essential in co-operation with various clinical departments, such as gastroenterology, colonic surgery and imaging.
There are many hospitals in the country that are trying to treat multiple inflammatory diseases recently because I think this is a good step because I can understand patients' symptoms and situations from different perspectives and treat them accordingly.