Changing epidemiological trends of inflammatory bowel disease in Asia

Inflammatory bowel disease (IBD) has become more common in Asia over the past few decades. The rate of increase in prevalence of the disease varies greatly in Asia, with several countries in East Asia experiencing a more than doubled increase in IBD prevalence over the past decade. Historically, ulc...

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Main Authors: Wee Khoon Ng, Sunny H. Wong, Siew C. Ng
Format: Article
Language:English
Published: Korean Association for the Study of Intestinal Diseases 2016-04-01
Series:Intestinal Research
Subjects:
Online Access:http://www.irjournal.org/upload/pdf/ir-14-111.pdf
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author Wee Khoon Ng
Sunny H. Wong
Siew C. Ng
author_facet Wee Khoon Ng
Sunny H. Wong
Siew C. Ng
author_sort Wee Khoon Ng
collection DOAJ
description Inflammatory bowel disease (IBD) has become more common in Asia over the past few decades. The rate of increase in prevalence of the disease varies greatly in Asia, with several countries in East Asia experiencing a more than doubled increase in IBD prevalence over the past decade. Historically, ulcerative colitis (UC) is more common than Crohn's disease (CD) in Asia. However, a reverse trend is beginning to appear in more developed countries in Asia such as Japan, Korea, and Hong Kong. While Asian IBD patients share many similarities with their Western counterparts, there are important differences with significant clinical implications. In Asia, there are more men with CD, more ileo-colonic involvement in CD, less familial aggregation, fewer extra-intestinal manifestations and worse clinical outcomes for older-onset patients with UC. These differences are likely related to the different genetic makeup and environmental exposures in different regions. Evaluation of the differences and rates in epidemiologic trends may help researchers and clinicians estimate disease burden and understand the reasons behind these differences, which may hold the key to unravel the etiology of IBD.
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spelling doaj.art-2a7c02a503ff4c6aab51d6ad95e4a5662022-12-21T18:03:38ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562016-04-0114211111910.5217/ir.2016.14.2.111131Changing epidemiological trends of inflammatory bowel disease in AsiaWee Khoon Ng0Sunny H. Wong1Siew C. Ng2Department of Medicine and Therapeutics, Institute of Digestive Disease, State Key Laboratory of Digestive Diseases and LKS Institute of Health Science, The Chinese University of Hong Kong, Hong Kong, China.Department of Medicine and Therapeutics, Institute of Digestive Disease, State Key Laboratory of Digestive Diseases and LKS Institute of Health Science, The Chinese University of Hong Kong, Hong Kong, China.Department of Medicine and Therapeutics, Institute of Digestive Disease, State Key Laboratory of Digestive Diseases and LKS Institute of Health Science, The Chinese University of Hong Kong, Hong Kong, China.Inflammatory bowel disease (IBD) has become more common in Asia over the past few decades. The rate of increase in prevalence of the disease varies greatly in Asia, with several countries in East Asia experiencing a more than doubled increase in IBD prevalence over the past decade. Historically, ulcerative colitis (UC) is more common than Crohn's disease (CD) in Asia. However, a reverse trend is beginning to appear in more developed countries in Asia such as Japan, Korea, and Hong Kong. While Asian IBD patients share many similarities with their Western counterparts, there are important differences with significant clinical implications. In Asia, there are more men with CD, more ileo-colonic involvement in CD, less familial aggregation, fewer extra-intestinal manifestations and worse clinical outcomes for older-onset patients with UC. These differences are likely related to the different genetic makeup and environmental exposures in different regions. Evaluation of the differences and rates in epidemiologic trends may help researchers and clinicians estimate disease burden and understand the reasons behind these differences, which may hold the key to unravel the etiology of IBD.http://www.irjournal.org/upload/pdf/ir-14-111.pdfInflammatory bowel diseasesColitis, ulcerativeCrohn diseaseAsiaEpidemiology
spellingShingle Wee Khoon Ng
Sunny H. Wong
Siew C. Ng
Changing epidemiological trends of inflammatory bowel disease in Asia
Intestinal Research
Inflammatory bowel diseases
Colitis, ulcerative
Crohn disease
Asia
Epidemiology
title Changing epidemiological trends of inflammatory bowel disease in Asia
title_full Changing epidemiological trends of inflammatory bowel disease in Asia
title_fullStr Changing epidemiological trends of inflammatory bowel disease in Asia
title_full_unstemmed Changing epidemiological trends of inflammatory bowel disease in Asia
title_short Changing epidemiological trends of inflammatory bowel disease in Asia
title_sort changing epidemiological trends of inflammatory bowel disease in asia
topic Inflammatory bowel diseases
Colitis, ulcerative
Crohn disease
Asia
Epidemiology
url http://www.irjournal.org/upload/pdf/ir-14-111.pdf
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