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KMID : 0614619920240040767
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Korean Journal of Gastroenterology
1992 Volume.24 No. 4 p.767 ~ p.773
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A Clinical Review of Colonic Diverticulosis
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윤대성
천재동/조지웅/김순일/박찬흔/박철재/배수동
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Abstract
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In has been the impressions of manyu clinicas in Korea that diverticular diseas eof the colon appears to be increasing in incidence as the life style of Korean populations is being westernized in the recent few decasdes. Therefore we should be
alwauys
aware of this condition when we are dealing with the patients with abdominal pain particularly when it is right sided.
The main differece between diverticulosis of oriental and western population is its common location. We found that in our series of 54 cases of colonic diverticulosis, the vast majority of the patients were found to have diverticulums in the
right
colon
whereas in western population most common site is simoid colon. The majority of the patients presented with vague abdominal discomfort of recurrent nature and when it is right sided, the most of the cases were refered to us with tentative
diagnosis
of
acute or chronic appendicitis. The complications of diverticulosis were varied and consisted of 4 cases of pericolic abscess, 2 cases of flank perforation. colonic obstruction most frequently done was right hemicolectomy 11 cases followed by
excision of
diverticulum individually 5 cases. There was no morality.
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