ERTEN, Ahmet

SUMER, Neguz

DOKMECI, A. Kadir

OZDEN, Ali

SIPAHI, Nihat

KESIM, Erol

ORMECI, Necati

BAHAR, Kadir

KARAYALCIN, Selim

BEYLER, Ali Resit

UZUNALIMOGLU, Ozden

Ulcerative colitis

Crohn's Disease

We analyzed the clinical course, complications, surgery and prognosis of 220 patients with inflammatory bowel disease seen at Medical Faculty Hospital and Ibni Sina Hospital of Ankara University between 1981 and 1992. Of these, 166 had ulcerative colitis and 54 had Crohn's disease. Mean age was 35.8±3.7 years for patients with ulcerative colitis, 36.2±2.7 years for Crohn's disease at the time of onset. In the patients with ulcerative colitis, the majority of patients (53.6) had leftsided colitis. Complications were highest among patients with pancolitis. Fulminate colitis occurred in 4.2%.0 3 patients had primary sclerosing cholangitis. Surgery was required for 14.4 0f the patients in whom there was poor response to medical treatment. Total colectomy was necessary in only 4 patients. No patient with ulcerative colitis had carcinoma of the colon. During follow-up period, 7 patients died from causes related to ulcerative colitis. As for the patients with Crohn's disease, the most encountered pattern was predominantly terminal ileal involvement (25.9%). Surgical resection had been performed in 33.3 27777724320f patients and 27.7 26662615000f these had had two or more resections. No malignancies were found in the patients with Crohn's disease. 6 death occurred (11.1%), 4 of which related directly to Crohn's disease. In conclusion, in our series, the spectrum of inflammatory bowel disease concerning the average age at onset and diagnosis, joint symptoms, the frequency of primary sclerosing cholangitis, and progression are somewhat different from those of Western countries and Japan.