Kim Heung Up, Kim Young-Ho, Choe Won Hyuk, Kim Jeong Hwan, Youk Chung Mee, Lee Jae Uk, Shim Sang Goon, Son Hee Jung, Rhee Poong-Lyul, Kim Jae J, Rhee Jong Chul
Department of Internal Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea.
Korean J Gastroenterol. 2003 Nov;42(5):363-8.
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.
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.
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).
Colonic diverticulitis is more prevalent at the right colon and left colonic diverticulitis has more complications than right colonic diverticulitis in Korea.
背景/目的：在西方国家，约20%的结肠憩室患者会发生有症状的憩室炎，且主要位于左半结肠。尽管憩室炎在包括韩国在内的亚洲地区发病率呈上升趋势，但其临床特征鲜有研究。本研究旨在比较憩室炎与无症状憩室病，并比较右侧憩室炎与左侧憩室炎的临床特征。
我们回顾性调查了有憩室炎症状和体征患者的病历。1998年9月至2002年2月期间，这些患者在三星医疗中心通过计算机断层扫描、钡剂造影、结肠镜检查和/或手术确诊。无症状和偶然发现的憩室病对照病例在年龄和性别匹配后的常规健康检查中随机选取。
纳入27例憩室炎患者（男∶女 = 14∶13）。平均年龄为53岁（27~86岁）。右侧和左侧憩室炎的比例为20∶7，与憩室病的比例相似。左侧憩室炎患者的并发症，尤其是穿孔，更为常见（p<0.05）。
在韩国，结肠憩室炎在右半结肠更为普遍，且左侧结肠憩室炎比右侧结肠憩室炎有更多并发症。
