Korean J Gastrointest Endosc > Volume 35(3); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(3): 146-151.
대장내시경검사로 진단된 대장게실증의 발생 빈도 및 임상양상
최창수·조은영·권지혜·임평숙·노혜정·김기훈·이정근·서검석·김태현·최석채
원광대학교 의과대학 소화기병연구소
The Prevalence and Clinical Features of Colonic Diverticulosis Diagnosed with Colonscopy
Chang Soo Choi, M.D., Eun Young Cho, M.D., Ji Hye Kweon, M.D., Pyoung Suk Lim, M.D., Hye Jung No, M.D., Ki Hoon Kim, M.D., Jeong Geun Lee, M.D., Geom Seog Seo, M.D., Tae Hyeon Kim, M.D. and Suck Chei Choi, M.D.
Department of Internal Medicine, Digestive Disease Research Institute, Wonkwang University College of Medicine, Iksan, Korea
Abstract

Background/Aims:
Recently, due to the adoption of a Western lifestyle, the incidence of colonic diverticulosis is increasing in the Korean population. The purpose of this study is to review the prevalence and clinical characteristics of colonic diverticulosis as diagnosed by a colonoscopic examination.
Methods:
We retrospectely analyzed the medical records of 3,352 patients that had undergone a colonoscopy from 1 January 2002 to 31 July 31 2005. We recorded the extent (1, 2∼5, 6>) and the location of a diverticulum. We also reviewed the medical records of the patients that had symptoms and other clinical features.
Results:
A total of 2,831 patients were selected. The overall prevalence of colonic diverticulosis was 10.1%; the mean patient age was 53±11 years and the ratio of males to females was 2.3:1. A diverticulum occurred more frequently in the right side colon (79.0%) than the left side colon (13.9%). The most common symptom was abdominal pain (63.5%). Complications were diverticulitis (2.0%) and bleeding (0.3%). The prevalence of a colon polyp was 39.1% and the prevalence of a fatty liver was 26.4% in the diverticular patients.
Conclusions:
The prevalence of colonic diverticulosis is increasing in the Korean population and a diverticulum occurred more frequently in the right side colon. (Korean J Gastrointest Endosc 2007; 35:146-151)
Key Words: Colon, Diverticulum
주요어: 대장, 게실증
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