Correlation between complicated diverticulitis and visceral fat.
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.
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
Jong Heon
JH
Jeong
Hang Lak
HL
Lee
Jin Ok
JO
Kim
Hye Jin
HJ
Tae
Suk Hyun
SH
Jung
Kang Nyeong
KN
Lee
Dae Won
DW
Jun
Oh Young
OY
Lee
Byung Chul
BC
Yoon
Ho Soon
HS
Choi
Joon Soo
JS
Hahm
Soon Young
SY
Song
D000273:Adipose Tissue; D000328:Adult; D000368:Aged; D001823:Body Composition; D015992:Body Mass Index; D004238:Diverticulitis / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D050152:Intra-Abdominal Fat; D008055:Lipids / Q000097:blood*; D008297:Male; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000150:complications*; D018746:Systemic Inflammatory Response Syndrome
D008055:Lipids