Risk Factors for Severe Diverticulitis in Computed Tomography-Confirmed Acute Diverticulitis in Korea.
- Author:
Nark Soon PARK
1
;
Yoon Tae JEEN
;
Hyuk Soon CHOI
;
Eun Sun KIM
;
Young Jin KIM
;
Bora KEUM
;
Yeon Seok SEO
;
Hoon Jai CHUN
;
Hong Sik LEE
;
Soon Ho UM
;
Chang Duck KIM
;
Ho Sang RYU
Author Information
1. Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea. ytjeen@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Diverticulitis;
Severity;
Computed tomography;
Hinchey classification
- MeSH:
Abscess;
Comorbidity;
Diverticulitis;
Humans;
Korea;
Leukocytosis;
Multivariate Analysis;
Recurrence;
Risk Factors;
Smoke;
Smoking
- From:Gut and Liver
2013;7(4):443-449
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: Acute complicated diverticulitis can be subdivided into moderate diverticulitis and severe diverticulitis. Although there have been numerous studies on the risk factors for complicated diverticulitis, little research has focused on severe diverticulitis. This study was designed to identify the risk factors for severe diverticulitis in an acute diverticulitis attack using the modified Hinchey classification. METHODS: Patients were included if they had any evidence of acute diverticulitis detected by computed tomography. The patients were subdivided into severe diverticulitis (Hinchey class > or =Ib; abscesses or peritonitis) and moderate diverticulitis (Hinchey class Ia; pericolic inflammation) groups. RESULTS: Of the 128 patients, 25 exhibited severe diverticulitis, and 103 exhibited moderate diverticulitis. In a multivariate analysis, age >50 years (odds ratio [OR], 5.27; p=0.017), smoking (OR, 3.61; p=0.044), comorbidity (OR, 4.98; p=0.045), leukocytosis (OR, 7.70; p=0.003), recurrence (OR, 4.95; p=0.032), and left-sided diverticulitis (OR, 6.92; p=0.006) were significantly associated with severe diverticulitis. CONCLUSIONS: This study suggests that the risk factors for severe diverticulitis are age >50 years, smoking, comorbidity, leukocytosis, recurrent episodes, and left-sided diverticulitis.
