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Ulcerative colitis in Greece. Epidemiologic and clinical data.

O N Manousos1, I Triantaphyllidis, A Emmanouilidis

  • 1Dept. of Medicine, Medical School of University of Crete, Heraklion, Greece.

Scandinavian Journal of Gastroenterology. Supplement
|January 1, 1989
PubMed
Summary

This study analyzed 217 ulcerative colitis cases, finding it affects all genders equally, with peak incidence in young adults. Urban, educated populations were more affected, and colectomy was needed for severe cases or cancer suspicion.

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Area of Science:

  • Gastroenterology
  • Epidemiology
  • Clinical Medicine

Background:

  • Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
  • Understanding UC epidemiology is crucial for public health and clinical management.
  • Previous studies highlight varied demographic and clinical patterns globally.

Purpose of the Study:

  • To describe the epidemiologic and clinical characteristics of ulcerative colitis patients.
  • To identify demographic trends and disease presentation in a Greek population.
  • To report on treatment outcomes, including surgical intervention.

Main Methods:

  • Retrospective analysis of 217 ulcerative colitis cases.
  • Data collected between 1977 and 1983 at Evangelismos Hospital, Athens, Greece.

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  • Inclusion criteria based on confirmed ulcerative colitis diagnosis.

    • Main Results:

    • Peak incidence observed in individuals aged 21–30 years, with a secondary peak in males during their 6th decade.
    • Urban and highly educated populations showed higher prevalence.
    • Severe attacks at onset occurred in 3.4% of patients; colectomy was performed in approximately 14% of cases.

    Conclusions:

    • Ulcerative colitis in this cohort presented with specific demographic predispositions.
    • Early disease management and monitoring are essential, especially for severe presentations.
    • Surgical intervention remains a significant treatment option for refractory or complicated ulcerative colitis.