Surgical Treatment of the Colonic Diverticulosis.
- Author:
Ju Hee CHANG
1
;
Chang Sik YU
;
Young Gyu CHO
;
Hwan NAMGUNG
;
Hyoun Kee HONG
;
Hee Cheol KIM
;
Jin Cheon KIM
Author Information
1. Colorectal Clinic, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea. csyu@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Diverticulosis;
Surgery;
Complication
- MeSH:
Abdominal Pain;
Aged;
Asia;
Barium;
Chungcheongnam-do;
Colon*;
Diet;
Diverticulosis, Colonic*;
Diverticulum;
Enema;
Female;
Humans;
Incidence;
Inflammation;
Korea;
Male;
Medical Records;
Postoperative Complications;
Retrospective Studies;
Tomography, X-Ray Computed
- From:Journal of the Korean Surgical Society
2002;62(5):415-420
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In Asia including Korea, colonic diverticulosis is a relatively uncommon disease. Recently, the incidences of left colonic diverticulosis in Korea has been increasing, mainly due to a westernized diet and life-style. This study was performed to analyze the clinical manifestations and surgical outcomes of patients with colonic diverticulosis. METHODS: We retrospectively reviewed the medical records of 39 patients with colonic diverticulosis who underwent surgery at Asan Medical Center during July 1989 and December 2001. RESULTS: The male to female ratio was 30:9, and the mean age was 52 (26~78) years. The most prevalent age group was people in fifth decade (13 cases, 33%). Twenty-three cases (59%) were in the right colon, 14 cases (36%) in the left and 2 cases (5%) were bilateral. The relative incidence of left colonic diverticulosis was higher in the elderly patients group (>or=50 years old) (57% vs 15%; P=0.002). Of the three diagnostic tools, the barium enema showed a 63% accuracy, the colonofiberscopy 62% and the abdomen-pelvic CT scan 59%. Bowel perforation (19 cases, 49%) and recurrent abdominal pain (10 cases, 16%) were the common surgical indications. Among 11 cases with bowel perforation accompanying the left colonic diverticulosis, two cases (18%), which underwent one-stage operation, developed complications, while 3 cases (27%) among the other 9 that underwent multi-staged operations, did so. CONCLUSION: The incidences of left colonic diverticulosis were relatively high (36%), especially in the elderly patients (P= 0.002). This study indicates that a tailored surgical procedure, depending on the severity of inflammation, is important in reducing postoperative complications.
