Detailed Information

Cited 5 time in webofscience Cited 4 time in scopus
Metadata Downloads

Risk Factors for Severe Diverticulitis in Computed Tomography-Confirmed Acute Diverticulitis in Korea

Authors
Park, Nark-SoonJeen, Yoon TaeChoi, Hyuk SoonKim, Eun SunKim, Young JinKeum, BoraSeo, Yeon SeokChun, Hoon JaiLee, Hong SikUm, Soon HoKim, Chang DuckRyu, Ho Sang
Issue Date
Jul-2013
Publisher
EDITORIAL OFFICE GUT & LIVER
Keywords
Diverticulitis; Severity; Computed tomography; Hinchey classification
Citation
GUT AND LIVER, v.7, no.4, pp.443 - 449
Indexed
SCIE
SCOPUS
KCI
OTHER
Journal Title
GUT AND LIVER
Volume
7
Number
4
Start Page
443
End Page
449
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/10533
DOI
10.5009/gnl.2013.7.4.443
ISSN
1976-2283
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 abscesses or peritonitis) and moderate diverticulitis (Hinchey class la; 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.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Internal Medicine > 1. Journal Articles
5. Others > Others(Medicine) > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Keum, Bora photo

Keum, Bora
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE