대장내시경으로 진단된 531예의 대장질환의 분석 및 고찰

Abstract

Since 1980 year, colonoscopy has been used commonly for the detection of colorectal diseases in Korea . In the past, colorectal diseases were less common in Korea than western countries because of fiber rich diet and other environmental factors probably. But according to recent reports, colonic diseases has been increased in Korea. This report analyzes 531 patients undergoing colonoscopy during 1982-1989 year at Keimyung University Hospital. 1. Males were more common than females(54.2% to 45.8%). 2. The colorectal diseases were most frequent in fifth decade as 22%,20.3% in fourth decade, 18.6% in third decade and then sixth in order of frequency. 3. On colonoscopic findings, patients of colorectal carcinoma were most common as 20.2%, 10.5% of tuberculosis, 9.5% of polyp and 3.4% of ulcerative colitis. 4. The colorectal cancer was frequently involved in fifth decade, fourth decade and then in sixth decade. 5. Ascending colon was most common location of colorectal cancer, next in rectosigmoid colon, descending colon, transverse colon in order. 6. Polyps were found most frequently in rectorsigmid colon as 44%, transverse colon as 24%, ascending colon as 16%, entire colon as 2%, Polypectomy were performed in 74% of partients. 7. There was no serious complication during or after procedure. Colonoscopic prodedure is a safe, accurate and simple method for detection of colorectal diseases.