우측 대장 게실염과 좌측 대장 게실염의 임상양상 비교
Clinical characteristics of right versus left colonic diverticulitis
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
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)
Abstract
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)
참고문헌 (22)
- 김광연, "대장 게실염", 대한대장항문 학회지, 2, pp.31~36 (1986)
- Schuler JG, "Diverticulitis of the cecum", Surg Gynecol Obstet, 156, pp.743~748 (1983)
- Connell AM, "Pathogenesis of diverticular disease of the colon", Adv Intern Med, 22, pp.377~395 (1977)
- Almy TP, "Diverticular disease of the colon", N Engl J Med, 302, pp.324~331 (1980)
- Sugihara K, "Diverticular disease of the colon in Japan. A review of 615 cases", Dis Colon Rectum, 27, pp.531~537 (1984)
- 최창수, "대장내시경검사로 진단된 대장게실증의 발생 빈도 및 임상양상", 대한소화기내시경학회지, 35(3), pp.146~151 (2007), 대한소화기내시경학회
- Ferzoco LB, "Acute diverticulitis", N Engl J Med, 338, pp.1521~1526 (1998)
- 송준호, "급성 복증을 동반한 대장 게실염의 임상 양상", 대한대장항문학회지, 18(6), pp.390~396 (2002), 대한대장항문학회
- 박종경, "우측 대장 게실염 환자에 대한 임상적 고찰", 대한외과학회지, 64(1), pp.44~48 (2003), 대한외과학회
- Morson BC, "Pathology of diverticular disease of the colon", Clin Gastroenterol, 4, pp.37~52 (1975)
- Schoetz DJ Jr, "Diverticular disease of the colon: a century-old problem", Dis Colon Rectum, 42, pp.703~709 (1999)
- Wagner DE, "Diverticulitis of the cecum and ascending colon", Arch Surg, 83, pp.436~443 (1961)
- Rodkey GV, "Diverticulitis of the colon: evolution in concept and therapy", Surg Clin North Am, 45, pp.1231~1243 (1965)
- Levien DH, "Safe resection for diverticular disease of the colon", Dis Colon Rectum, 32, pp.30~32 (1989)
- 김흥업, "한국인에서의 대장게실염의 임상양상", 대한소화기학회지, 42, pp.363~368 (2003)
- 김광연, "대장 게실염의 수술적 치료에 대한 분석", 대한외과학회지, 73(1), pp.36~41 (2007), 대한외과학회
- Reisman Y, "Diverticulitis: the effect of age and location on the course of disease", Int J Colorectal Dis, 14, pp.250~254 (1999)
- Fischer MG, "Diverticulitis of the cecum and ascending colon", Dis Colon Rectum, 27, pp.454~458 (1984)
- Lo CY, "Acute diverticulitis of the right colon", Am J Surg, 171, pp.244~246 (1996)
- Noer RJ, "Rectal hemorrhage: moderate and severe", Ann Surg, 155, pp.794~805 (1962)
- Myers JK, "Massive diverticular hemorrhage. New technic for localization of the bleeding site", Am J Surg, 125, pp.651~653 (1973)
- Law WL, "Emergency surgery for colonic diverticulitis: differences between right-sided and left-sided lesions", Int J Colorectal Dis, 16, pp.280~284 (2001)