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Relationship between disease location and age, obesity, and complications in Korean patients with acute diverticulitis: a comparison of clinical patterns with those of Western populations

Authors
 Kim JH  ;  Cheon JH  ;  Park S  ;  Kim BC  ;  Lee SK  ;  Kim TI  ;  Kim WH 
Citation
 HEPATO-GASTROENTEROLOGY, Vol.55(84) : 983-986, 2008 
Journal Title
 HEPATO-GASTROENTEROLOGY 
ISSN
 0172-6390 
Issue Date
2008
MeSH
Acute Disease ; Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Body Mass Index ; Cross-Cultural Comparison* ; Diverticulitis, Colonic/complications* ; Diverticulitis, Colonic/diagnosis ; Diverticulitis, Colonic/ethnology ; Female ; Humans ; Korea ; Male ; Middle Aged ; Multivariate Analysis ; Obesity/complications* ; Obesity/ethnology ; Retrospective Studies ; Risk Factors ; Western World
Keywords
Acute Disease ; Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Body Mass Index ; Cross-Cultural Comparison* ; Diverticulitis, Colonic/complications* ; Diverticulitis, Colonic/diagnosis ; Diverticulitis, Colonic/ethnology ; Female ; Humans ; Korea ; Male ; Middle Aged ; Multivariate Analysis ; Obesity/complications* ; Obesity/ethnology ; Retrospective Studies ; Risk Factors ; Western World
Abstract
BACKGROUND/AIMS: To determine the clinical characteristics of acute diverticulitis in Korean patients with respect to the relationship between disease location and age, obesity, and complications. METHODOLOGY: The medical records of patients with acute diverticulitis who were treated at Severance Hospital in Korea between January 2000 and December 2006 were retrospectively analyzed. RESULTS: A total of 70 patients were enrolled. Out of these, 53 (75.7%) cases of diverticulitis occurred in the right side of the colon and 17 cases (24.3%) in the left side of the colon. The mean age of patients with right-sided diverticulitis was significantly lower than that of patients with left-sided (p<0.01). Right-sided diverticulitis was more common than left-sided diverticulitis in obese patients (p<0.05); however, the overall complication rate was higher in left-sided than in right-sided diverticulitis (p<0.05). By multivariate analysis, age <40 years (p=0.025), body mass index > or =25kg/m2 (p=0.045), and abdominal rebound tenderness (p=0.011) were risk factors for acute right-sided rather than left-sided diverticulitis. CONCLUSIONS: This study showed that acute colonic diverticulitis was more prevalent in the right side of the colon than the left side in Korean patients. Moreover, patients with right-sided diverticulitis were significantly younger, more obese, and had lower complication rates.
DOI
18705312
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Byung Chang(김병창)
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Jae Hak(김재학)
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Park, Soo Young(박수영)
Lee, Sang Kil(이상길) ORCID logo https://orcid.org/0000-0002-0721-0364
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106657
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