ULCERATIVE COLITIS – IS IT THE CLINICAL PROBLEM IN NEPAL?
Published study of ulcerative colitis remains nearly nonexistent in Nepal. Simple outpatient clinical records of 34 cases suspected and receiving mesacol is noted since 1994. At the same time 10 cases received operative treatment in different hospitals. Total/ subtotal colectomy (no.8) with ileostomy and mucus fistula or hartmanns' procedure performed. 3-6 months later Restorative ileorectal anastomosis performed in 5 cases. Segmental resection of colon in 2 cases with immediate colorectal anastornosis who were reported as doubtful ulcerative colitis. One patient died due to sepsis and multiorgan failure. Rest did not come for follow up. All this indicate that the ulcerative colitis is emerging as clinical problem in Nepal.