The long-term outcomes of a cohort of Sri Lankan patients with ulcerative colitis: a retrospective study at two national referral centers and review of literature

Figures & data

Table 1 Indication for colectomy

Indications for colectomy	Number
Acute ulcerative colitis/fulminate colitis	2
Colorectal carcinoma	2
Unresponsive to medical treatment; recurrent/refractory disease	8
“Increased risk of cancer”	2
Suspected malignant stricture on Barium enema – found to be normal after surgery	1
Total	15

Table 2 Comparison of cumulative colectomy rates at different reported time internals in the “Western” and “Eastern” studies

Study	1 year	3 years	5 years	10 years	15 years	25 years
Leijonmarck et al^Citation12			20%	28%		45%
Stockholm, Sweden
Solberg et al (IBSEN study)^Citation13				9.8%
Eastern Norway
Hoie et al^Citation15
Northern Europe				10.4%
Southern Europe				3.4%
Matsui et al^Citation6				16.5%	38.5%
Japanese population
Hilmi et al^Citation7	3.4%		5.9%	15.6%
Malaysia
Chow et al^Citation9	2.4%			7.6%
Hong Kong
Park et al^Citation8	2.0%	2.8%	3.3% after 5–15 years
South Korea
Our study	1.5%		4.0%	5.5%	9.3%

Abbreviation: IBSEN, Inflammatory Bowel disease in South East Norway.

LeijonmarckCEPerssonPGHellersGFactors affecting colectomy rate in ulcerative colitis: an epidemiologic studyGut1990313293332323599

 PubMed Web of Science ®Google Scholar

SolbergICLygrenIJahnsenJClinical course during the first 10 years of ulcerative colitis: results from a population-based inception cohort (IBSEN Study)Scand J Gastroenterol200944443144019101844

 PubMed Web of Science ®Google Scholar

HoieOWoltersFLRiisLLow colectomy rates in ulcerative colitis in an unselected European cohort followed for 10 yearsGastroenterology2007132250751517258717

 PubMed Web of Science ®Google Scholar

MatsuiTIidaMSuekaneHThe long-term follow-up study of Japanese patients with ulcerative colitis Nihon Shokakibyo Gakkai Zasshi1993902134143 Japanese

 Google Scholar

HilmiISinghRGanesananthanSDemography and clinical course of ulcerative colitis in a multiracial Asian population: a nationwide study from MalaysiaJ Dig Dis2009101152019236542

 PubMed Web of Science ®Google Scholar

ChowDKLeongRWTsoiKKLong-term follow-up of ulcerative colitis in the Chinese populationAm J Gastroenterol2009104364765419262521

 PubMed Web of Science ®Google Scholar

ParkSHKimYMYangSKClinical features and natural history of ulcerative colitis in KoreaInflamm Bowel Dis200713327828317206722

 PubMed Web of Science ®Google Scholar