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KMID : 0614620030420050363
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Korean Journal of Gastroenterology
2003 Volume.42 No. 5 p.363 ~ p.368
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Clinical Characteristics of Colonic Diverticulitis in Koreans
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김흥업/Kim HU
김영호/최원혁/김정환/육청미/이재욱/심상군/손희정/이풍렬/김재준/이종철/Kim YH/Choe WH/Kim JH/Youk CM/Lee JU/Shim SG/Son HJ/Rhee PL/Kim JJ/Rhee JC
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Abstract
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BACKGROUND/AIMS: In western countries, symptomatic diverticulitis develops in about 20% of the population with colonic diverticula, and it is mainly located at the left-sided colon. The clinical characteristics of diverticulitis have rarely been investigated although its incidence is increasing in Asia including Korea. The aim of this study was to compare diverticulitis with asymptomatic diverticulosis and to compare the clinical characteristics of right-sided diverticulitis with those of left-sided diverticulitis.
METHODS: We retrospectively investigated the medical records of the patients who had symptoms and signs of diverticulitis. Their diagnosis was confirmed with computed tomography, barium study, colonoscopy and/or operations at Samsung Medical Center from September 1998 to February 2002. The control cases of asymptomatic and incidental diverticulosis were randomly selected during routine health check-up after matching age and sex.
RESULTS: Twenty-seven patients with diverticulitis (male : female=14 : 13) were included. The mean age was 53 (27~86). The ratio of right and left diverticulitis was 20:7, which was similar to the ratio of diverticulosis. The complications, especially perforation, were more frequent in the patients with left-sided diverticulitis (p<0.05).
CONCLUSIONS: Colonic diverticulitis is more prevalent at the right colon and left colonic diverticulitis has more complications than right colonic diverticulitis in Korea.
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KEYWORD
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