Toxic megacolon epidemiology and demographics: Difference between revisions

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==Overview==
==Overview==
The precise incidence of toxic megacolon is unknown in general population. The incidence of toxic megacolon in the associated disorders including [[ulcerative colitis]] and [[Crohn's disease]] is 1000-2500 in 100,000 cases and 4400-6300 in 100,000 cases, respectively. The mortality rate of toxic megacolon associated with [[Clostridium difficile|''Clostridium difficile'']] is approximately 38%-80%.


==Epidemiology and Demographics==
==Epidemiology and Demographics==
===Incidence===
===Incidence===
*The precise incidence of toxic megacolon is unknown in general population. The incidence of toxic megacolon in the associated disorders including ulceritive colitis and crohn's disease is:<ref name="GanBeck2003">{{cite journal|last1=Gan|first1=S. Ian|last2=Beck|first2=P. L.|title=A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management|journal=The American Journal of Gastroenterology|volume=98|issue=11|year=2003|pages=2363–2371|issn=0002-9270|doi=10.1111/j.1572-0241.2003.07696.x}}</ref><ref name="pmid7352781">{{cite journal |vauthors=Grieco MB, Bordan DL, Geiss AC, Beil AR |title=Toxic megacolon complicating Crohn's colitis |journal=Ann. Surg. |volume=191 |issue=1 |pages=75–80 |year=1980 |pmid=7352781 |pmc=1344622 |doi= |url=}}</ref>
*The precise incidence of toxic megacolon is unknown in general population. The incidence of toxic megacolon in the associated disorders including [[ulcerative colitis]], [[Crohn's disease]] and [[Clostridium difficile|''Clostridium difficile'']] is:<ref name="GanBeck2003">{{cite journal|last1=Gan|first1=S. Ian|last2=Beck|first2=P. L.|title=A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management|journal=The American Journal of Gastroenterology|volume=98|issue=11|year=2003|pages=2363–2371|issn=0002-9270|doi=10.1111/j.1572-0241.2003.07696.x}}</ref><ref name="pmid7352781">{{cite journal |vauthors=Grieco MB, Bordan DL, Geiss AC, Beil AR |title=Toxic megacolon complicating Crohn's colitis |journal=Ann. Surg. |volume=191 |issue=1 |pages=75–80 |year=1980 |pmid=7352781 |pmc=1344622 |doi= |url=}}</ref><ref name="Sayedy2010">{{cite journal|last1=Sayedy|first1=Leena|title=Toxic megacolon associatedClostridium difficilecolitis|journal=World Journal of Gastrointestinal Endoscopy|volume=2|issue=8|year=2010|pages=293|issn=1948-5190|doi=10.4253/wjge.v2.i8.293}}</ref>
**1000-2500 in 100,000 cases of the [[ulcerative colitis]]
**1000-2500 in 100,000 cases of the [[ulcerative colitis]].
**4400-6300 in 100,000 cases of the [[Crohn's disease]]
**4400-6300 in 100,000 cases of the [[Crohn's disease]].
**400-3000 in 100,000 cases of the [[Clostridium difficile|''Clostridium difficile'']].


===Mortality rate===
===Mortality rate===
*The mortality rate of toxic megacolon associated with clostridium difficile is approximately %38-%80.<ref name="pmid18519126">{{cite journal |vauthors=Hall JF, Berger D |title=Outcome of colectomy for Clostridium difficile colitis: a plea for early surgical management |journal=Am. J. Surg. |volume=196 |issue=3 |pages=384–8 |year=2008 |pmid=18519126 |doi=10.1016/j.amjsurg.2007.11.017 |url=}}</ref><ref name="pmid18953191">{{cite journal |vauthors=Earhart MM |title=The identification and treatment of toxic megacolon secondary to pseudomembranous colitis |journal=Dimens Crit Care Nurs |volume=27 |issue=6 |pages=249–54 |year=2008 |pmid=18953191 |doi=10.1097/01.DCC.0000338869.70035.2b |url=}}</ref>
*The mortality rate of toxic megacolon associated with clostridium difficile is approximately 38%-80%.<ref name="pmid18519126">{{cite journal |vauthors=Hall JF, Berger D |title=Outcome of colectomy for Clostridium difficile colitis: a plea for early surgical management |journal=Am. J. Surg. |volume=196 |issue=3 |pages=384–8 |year=2008 |pmid=18519126 |doi=10.1016/j.amjsurg.2007.11.017 |url=}}</ref><ref name="pmid18953191">{{cite journal |vauthors=Earhart MM |title=The identification and treatment of toxic megacolon secondary to pseudomembranous colitis |journal=Dimens Crit Care Nurs |volume=27 |issue=6 |pages=249–54 |year=2008 |pmid=18953191 |doi=10.1097/01.DCC.0000338869.70035.2b |url=}}</ref>


===Age===
===Age===
*Patients of all age groups may develop toxic megacolon.
*Patients of all age groups may develop toxic megacolon.<ref name="pmid9482465">{{cite journal |vauthors=Sheth SG, LaMont JT |title=Toxic megacolon |journal=Lancet |volume=351 |issue=9101 |pages=509–13 |year=1998 |pmid=9482465 |doi=10.1016/S0140-6736(97)10475-5 |url=}}</ref>


===Race===
===Race===
*There is no racial predilection described in toxic megacolon.
*There is no racial predilection described in toxic megacolon.<ref name="pmid7720439">{{cite journal |vauthors=Rubin MS, Bodenstein LE, Kent KC |title=Severe Clostridium difficile colitis |journal=Dis. Colon Rectum |volume=38 |issue=4 |pages=350–4 |year=1995 |pmid=7720439 |doi= |url=}}</ref>


===Gender===
===Gender===
*[Disease name] affects men and women equally.
*Toxic megacolon affects men and women equally.<ref name="pmid14638335">{{cite journal |vauthors=Gan SI, Beck PL |title=A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management |journal=Am. J. Gastroenterol. |volume=98 |issue=11 |pages=2363–71 |year=2003 |pmid=14638335 |doi=10.1111/j.1572-0241.2003.07696.x |url=}}</ref>
*[Gender 1] are more commonly affected by [disease name] than [gender 2]. The [gender 1] to [gender 2] ratio is approximately [number > 1] to 1.
===Region===
*The majority of [disease name] cases are reported in [geographical region].
 
*[Disease name] is a common/rare disease that tends to affect [patient population 1] and [patient population 2].
 
===Developed Countries===
 
===Developing Countries===


==References==
==References==
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Latest revision as of 21:23, 4 December 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

The precise incidence of toxic megacolon is unknown in general population. The incidence of toxic megacolon in the associated disorders including ulcerative colitis and Crohn's disease is 1000-2500 in 100,000 cases and 4400-6300 in 100,000 cases, respectively. The mortality rate of toxic megacolon associated with Clostridium difficile is approximately 38%-80%.

Epidemiology and Demographics

Incidence

Mortality rate

  • The mortality rate of toxic megacolon associated with clostridium difficile is approximately 38%-80%.[4][5]

Age

  • Patients of all age groups may develop toxic megacolon.[6]

Race

  • There is no racial predilection described in toxic megacolon.[7]

Gender

  • Toxic megacolon affects men and women equally.[8]

References

  1. Gan, S. Ian; Beck, P. L. (2003). "A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management". The American Journal of Gastroenterology. 98 (11): 2363–2371. doi:10.1111/j.1572-0241.2003.07696.x. ISSN 0002-9270.
  2. Grieco MB, Bordan DL, Geiss AC, Beil AR (1980). "Toxic megacolon complicating Crohn's colitis". Ann. Surg. 191 (1): 75–80. PMC 1344622. PMID 7352781.
  3. Sayedy, Leena (2010). "Toxic megacolon associatedClostridium difficilecolitis". World Journal of Gastrointestinal Endoscopy. 2 (8): 293. doi:10.4253/wjge.v2.i8.293. ISSN 1948-5190.
  4. Hall JF, Berger D (2008). "Outcome of colectomy for Clostridium difficile colitis: a plea for early surgical management". Am. J. Surg. 196 (3): 384–8. doi:10.1016/j.amjsurg.2007.11.017. PMID 18519126.
  5. Earhart MM (2008). "The identification and treatment of toxic megacolon secondary to pseudomembranous colitis". Dimens Crit Care Nurs. 27 (6): 249–54. doi:10.1097/01.DCC.0000338869.70035.2b. PMID 18953191.
  6. Sheth SG, LaMont JT (1998). "Toxic megacolon". Lancet. 351 (9101): 509–13. doi:10.1016/S0140-6736(97)10475-5. PMID 9482465.
  7. Rubin MS, Bodenstein LE, Kent KC (1995). "Severe Clostridium difficile colitis". Dis. Colon Rectum. 38 (4): 350–4. PMID 7720439.
  8. Gan SI, Beck PL (2003). "A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management". Am. J. Gastroenterol. 98 (11): 2363–71. doi:10.1111/j.1572-0241.2003.07696.x. PMID 14638335.

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