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KMID : 0191120110260101339
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Journal of Korean Medical Science
2011 Volume.26 No. 10 p.1339 ~ p.1343
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Correlation between Complicated Diverticulitis and Visceral Fat
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Jeong Jong-Heon
Lee Hang-Lak
Kim Jin-Ok
Tae Hye-Jin
Jung Suk-Hyun
Lee Kang-Nyeong
Jun Dae-Won
Lee Oh-Young
Yoon Byung-Chul
Choi Ho-Soon
Hahm Joon-Soo
Song Soon-Young
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Abstract
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The aim of this study was to examine the relationship of complications related to diverticulitis and visceral obesity. The study was based on a retrospective case note review conducted at the Hanyang University Hospital. Patients were diagnosed with diverticulitis based on clinical symptoms and abdominal computed tomography (CT) findings and divided into two groups: those admitted with complicated diverticulitis and those with a simple diverticulitis episode. We compared the body mass index (BMI) and degree of visceral obesity, measured by abdominal CT. The study included 140 patients, 87 (62.1%) were simple diverticulitis and 53 (37.9%) were complicated diverticulitis. In the complicated diverticulitis group, 9 (6.4%) cases were recurrent, 29 (20.7%) were perforation or abscess patients, and 28 (20%) were patients with systemic inflammatory response syndrome (SIRS). Of the SIRS patients, 13 were involved in other complication groups. When comparing in the two groups, the complicated diverticulitis group had a significantly higher visceral fat area (128.57 cm2 vs 102.80 cm2,P = 0.032) and a higher ratio of visceral fat area/subcutaneous fat area (0.997 vs 0.799, P = 0.014). Visceral obesity is significantly associated with complications of diverticulitis.
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KEYWORD
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Diverticulitis, Complications, Obesity, Visceral Obesity
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