대한대장항문학회

Crohn's disease is known to be rare in oriental area and especially in southeastern<br>Asian area. But recently reported incidence of crohn's disease are becoming larger in<br>Japan. The disease in Korea is also increasing. Crohn's disease has been challenging<br>problem to most surgeons for its frequent surgical indications, Poor surgical output and<br>recurrent tendency. Also there are general agreement of racial difference of Crohn's<br>disease. We reviewed medical records of Korean patients who received operations at the<br>department of surgery, Seoul National University Hospital, from January 1970 to March<br>1991, for Crohn's disease to find out surgical characteristics of Korean patients. Small<br>bowel is the most common site of involvement and ileocecum, the next, and followed by<br>the large bowel. The mixed type is the least form. These findings are somewhat<br>different from that of other reports in other countries and in our own country. The most<br>common indication of surgery is uncertain diagnosis for its rarity in Korea. For<br>abscence of adequate methods of diagnosing small bowel Crohn's disease and its rarity<br>in Korea, Crohn's disease in small bowel usually needed operations for diagnosis. We<br>noted missed diagnosis case frequently, compared with other study of foreign literature.<br>Surgical treatment of crohn's disease in this reports includes variety of operations. The<br>results of this operation are not much different from those of other reports. We note<br>that crohn's disease in Korea is somewhat different from that of Caucasian in involving<br>site and absence of entraintestinal manifestations.<br>