Mehrzad Raman, Mishra Suprav, Faller Garrey, Memon Babar, Fiore Joseph
Department of Internal Medicine, Steward Carney Hospital, Boston, Mass., USA.
Med Princ Pract. 2015;24(4):355-61. doi: 10.1159/000381548. Epub 2015 Apr 22.
To report the prevalence, clinical differences and complications of right-sided diverticulosis (RD) and to investigate the potential disparities from left-sided diverticulosis (LD) in the Vietnamese population.
A retrospective cohort study was conducted using medical records of Vietnamese-born patients from 2000 to 2013 in a community teaching hospital in Boston, Mass., USA. By simple randomization, a randomized control group of 299 Caucasian patients was also selected from the same time frame [167 males (M) and 132 females (F)]. Colonoscopy reports were reviewed for demographics (age and gender), indication and anatomical location of the colonic diverticulosis (CD), concomitant colonic findings, symptoms, and endoscopic complications.
A total of 207 patients were included in the Vietnamese cohort (mean age 61.6 ± 8.9 years). The mean age at first screening colonoscopy was 58.2 ± 7.2 years (114 F/92 M, 55.7/44.4%). Our study identified 104 (50.5%) patients with LD (57 M/47 F), 65 (31.1%) with RD (35 M/30 F) and 38 (18.4%) with both LD and RD (23 M/15 F); 133 (64%) were asymptomatic. A total of 21 (33%) patients with RD were symptomatic. The mean age of the control group was 61.6 ± 8.1 years. The average age at first screening colonoscopy was 52.8 ± 6.4 years. Of the 299 in the Caucasian group, 254 (84.9%) had LD (114 M/140 F), 9 (3.0%) had RD (2 M/7 F) and 36 (12%) had both LD and RD (16 M/20 F); 225 (75%) were asymptomatic and came in for screening colonoscopies. A total of 2 patients (22%) with RD were symptomatic.
RD was common in this Vietnamese population, and the prevalence was higher than in the Caucasian control group.
报告右侧结肠憩室病（RD）的患病率、临床差异及并发症，并调查越南人群中其与左侧结肠憩室病（LD）的潜在差异。
采用美国马萨诸塞州波士顿一家社区教学医院2000年至2013年出生于越南的患者的病历进行回顾性队列研究。通过简单随机抽样，从同一时间段内选取299名白种人患者作为随机对照组[167名男性（M）和132名女性（F）]。对结肠镜检查报告进行回顾，分析人口统计学特征（年龄和性别）、结肠憩室病（CD）的指征及解剖位置、伴随的结肠病变、症状和内镜并发症。
越南队列共纳入207例患者（平均年龄61.6±8.9岁）。首次筛查结肠镜检查的平均年龄为58.2±7.2岁（114名女性/92名男性，55.7/44.4%）。本研究确定104例（50.5%）患者患有LD（57名男性/47名女性），65例（31.1%）患有RD（35名男性/30名女性），38例（18.4%）同时患有LD和RD（23名男性/15名女性）；133例（64%）无症状。共有21例（33%）患有RD的患者有症状。对照组的平均年龄为61.6±8.1岁。首次筛查结肠镜检查的平均年龄为52.8±6.4岁。在299名白种人组中，254例（84.9%）患有LD（114名男性/140名女性），9例（3.0%）患有RD（2名男性/7名女性），36例（12%）同时患有LD和RD（16名男性/20名女性）；225例（75%）无症状，前来进行筛查结肠镜检查。共有2例（22%）患有RD的患者有症状。
RD在该越南人群中常见，患病率高于白种人对照组。
