| Clinical characteristics of right versus left colonic diverticulitis |
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Hyun Chaol Lee, Seong Woo Jeon, Sang Yeop Kim, Dae Jin Kim, Wan Suk Lee, Ju Young Lee, Min Kyu Jung, Chang Min Cho, Won Young Tak, Young Oh Kweon, Sung Kook Kim, Young Hwan Choi |
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한양대학교 의과대학 호흡기내과 |
| 원저: 우측 대장 게실염과 좌측 대장 게실염의 임상양상 비교 |
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이현철.전성우.김상엽.김대진.이완석.이주영.정민규.조창민.탁원영.권영오.김성국.최용환, Seong Woo Jeon, Sang Yeop Kim, Dae Jin Kim, Wan Suk Lee, Ju Young Lee, Min Kyu Jung, Chang Min Cho, Won Young Tak, Young Oh Kweon, Sung Kook Kim, Young Hwan Choi |
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| Abstract |
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Background/Aims: Left colonic diverticulitis is relatively common in western nations. Although the incidence of colonic diverticulitis is increasing in Korea, very little is known regarding its clinical characteristics in korean patients.
Methods: We compared the clinical characteristics of right versus left colonic diverticulitis via the retrospective review of 37 cases treated at the Kyungpook National University Hospital, Korea, from July 1998 to December 2006. Diagnosis was confirmed via computed tomography (CT), barium study, colonoscopy, and/or surgery.
Results: Eighteen men and 19 women (median age, 45.0 years; range, 21～75 years) were included. The ratio of right to left colonic diverticulitis was 30:7. The male to female ratio for right colonic diverticulitis was 16:14 and the median age was 38.5 years (range, 21～72 years). The male to female ratio for left colonic diverticulitis was 2:5 and the mean age was 57.0 years (range, 45～75 years). Left colonic diverticulitis was more frequently associated with intestinal perforation (p=0.001) and old age (p=0.005). Surgical intervention was more common in left versus right colonic diverticulitis (p=0.009).
Conclusions: These results indicate that although left colonic diverticulitis is relatively rare among koreans, it develops later in life and is more frequently complicated than right colonic diverticulitis. (Korean J Med 75:533-538, 2008) |
| Key Words:
Colonic diverticulitis; Complications; Intestinal perforation |
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