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KMID : 0882420080750050533
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Korean Journal of Medicine
2008 Volume.75 No. 5 p.533 ~ p.538
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Clinical characteristics of right versus left colonic diverticulitis
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Lee Hyun-Chul
Jeon Seong-Woo
Kim Sang-Yeop
Kim Dae-Jin
Lee Wan-Suk
Lee Ju-Young
Jung Min-Kyu
Cho Chang-Min
Tak Won-Young
Kweon Young-Oh
Kim Sung-Kook
Choi Young-Hwan
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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 rightto 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.
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KEYWORD
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Colonic diverticulitis, Complications, Intestinal perforation
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