SURGICAL EPIDEMIOLOGY, INDICATIONS & OUTCOME OF CROHN’S DISEASE IN MALAYSIA : A SINGLE-CENTER RETROSPECTIVE REVIEW anndasima@ummc.edu.my

 

SURGICAL EPIDEMIOLOGY, INDICATIONS & OUTCOME OF CROHN’S DISEASE IN MALAYSIA : A SINGLE-CENTER RETROSPECTIVE REVIEW

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Malaysia

Oral or Poster

Crohn’s disease (CD) is a chronic inflammatory bowel disease that often necessitates surgical intervention. While surgical outcomes in CD have been well documented internationally, data from Malaysia remain scarce. This study aims to describe the epidemiology, surgical indications, procedures, and post-operative complications among Malaysian CD patients undergoing surgery.

This retrospective study included CD patients treated at University Malaya Medical Centre from 2002-July 2025. Records were retrieved from institutional databases, and surgical details extracted for those undergoing CD-related procedures. Data collection conducted from 1 July-11 August 2025.

Total numbers of CD in the database is 163 patients, in which 64.4% are male. Most CD in Malaysia is from Indian ethnicity ( 46 %) , followed by Chinese ( 30.1% ) and Malay ( 20.9%). Another 1.8% are from Sikh( n=3). Almost half of the Crohn’s patient (45.4%) required surgery. Among those who required surgery, 52.7% are Indians, followed by Chinese ( 31.1%), Malay (14.9%) and others ( 1.4%). Common procedures include right hemicolectomy (43.8%), perianal procedures (22.9%), small bowel resections ( 11.5% ) and ileocolic resections ( 9.4%). Surgical indications include perianal sepsis ( 31% ), stricturing disease ( 22.5% ), intestinal obstruction ( 11.3%) and perforation ( 14.1 % ). Post operative complications includes intraabdominal abscess ( 55.6%), enterocutaneous fistula ( 27.8%) and anastomotic leak ( 16.7%).

This study provides the first analysis of surgical epidemiology and outcomes for CD in Malaysia. These findings also underscore the for further research and improved databases to guide future clinical practice and policy.