Correlation between Complicated Diverticulitis and Visceral Fat.
10.3346/jkms.2011.26.10.1339
- Author:
Jong Heon JEONG
1
;
Hang Lak LEE
;
Jin Ok KIM
;
Hye Jin TAE
;
Suk Hyun JUNG
;
Kang Nyeong LEE
;
Dae Won JUN
;
Oh Young LEE
;
Byung Chul YOON
;
Ho Soon CHOI
;
Joon Soo HAHM
;
Soon Young SONG
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. alwayshang@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Diverticulitis;
Complications;
Obesity;
Visceral Obesity
- MeSH:
Adipose Tissue;
Adult;
Aged;
Body Composition;
Body Mass Index;
Diverticulitis/*complications/pathology;
Female;
Humans;
*Intra-Abdominal Fat;
Lipids/*blood;
Male;
Middle Aged;
Obesity, Abdominal/*complications;
Systemic Inflammatory Response Syndrome
- From:Journal of Korean Medical Science
2011;26(10):1339-1343
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
