Correlation between Complicated Diverticulitis and Visceral Fat
Correlation between Complicated Diverticulitis and Visceral Fat
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DOI：
10.3346/jkms.2011.26.10.1339
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发表时间：
2011-10-01
影响因子：
4.5
通讯作者：
Song, Soon Young
中科院分区：
文献类型：
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作者：
Jeong, Jong Heon;Lee, Hang Lak;Song, Soon Young
本研究旨在探讨憩室炎并发症与内脏型肥胖的关系。该研究基于在汉阳大学医院进行的回顾性病例记录审查。根据临床症状和腹部计算机断层扫描（CT）结果，患者被诊断为憩室炎，并分为两组：复杂性憩室炎和单纯性憩室炎发作。我们比较了腹部CT测量的体重指数（BMI）和内脏肥胖程度。该研究包括140例患者，87例（62.1%）为单纯性憩室炎，53例（37.9%）为复杂性憩室炎。并发憩室炎组中9例（6.4%）复发，29例（20.7%）穿孔或脓肿，28例（20%）合并全身炎症反应综合征（SIRS）。在SIRS患者中，13例涉及其他并发症组。两组比较，并发性憩室炎组内脏脂肪面积（128.57 cm（2）vs 102.80 cm（2），P = 0.032）和内脏脂肪面积/皮下脂肪面积比值（0.997 vs 0.799，P = 0.014）明显高于对照组。内脏性肥胖与憩室炎并发症显著相关。
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 cm(2) vs 102.80 cm(2), 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.