Abstract
PURPOSE: X-ray film registry records were reviewed to better understand the changing nature of diverticular disease (DD) of the colon in Japan. RESULTS: Among 6,849 patients undergoing barium enema examination during a eight-year period from 1985 to 1992, this condition was found in 1,074 patients (15.7 percent), including 702 males (65.4 percent) and 372 females (34.6 percent). During this eight-year period there was an increase in frequency from 10.7 percent in 1985 to 17.8 percent in 1992. The proportion of patients with right-sided, bilateral, and left-sided DD was 69.2 percent, 17.5 percent, and 13.3 percent, respectively. The right-sided DD was more common in the younger age group and was predominant in male patients, whereas the left-sided DD increased with age, especially in female patients. Of the 1,074 patients, 11 (1.0 percent) underwent surgery in the same period. Regarding the rightsided DD, only 2 of 743 patients received surgery (0.3 percent). On the other hand, of the 143 patients with left-sided DD, 9 patients (6.3 percent) received some form of surgery. CONCLUSION: Right-sided diverticular disease of the colon is still common in Japan. It does not appear that this tendency will change in the future. Nearly all patients diagnosed as having diverticula had either no symptoms or only mild symptoms, and only about 1 percent required surgery. Right-sided diverticular disease of the colon seems to have had no serious clinical problems compared with left-sided DD.
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References
Kubo A, Ishiwata J, Maeda Y, Kida T, Yamada K, Shimosegawa T. Clinical studies on diverticular disease of the colon. Jpn J Med 1983;22:185–9.
Sugihara K, Muto T, Morioka Y, Asano A, Yamamoto T. Diverticular disease of the colon in Japan: a review of 615 cases. Dis Colon Rectum 1984;27:531–7.
Munakata A, Nakajima S, Takami H, Nakajima H, Iwane S, Tuchida S. Epidemiological evaluation of colonic diverticulosis and dietary fiber in Japan. Tohoku J Exp Med 1993;171:145–51.
Swinscow TD. The χ2 tests. BMJ 1976;2:462–3.
Swinscow TD. The χ2 tests. BMJ 1976;2:513–4.
Veidenheimer MC, Roberts PL. Colonic diverticular disease. Boston: Blackwell Scientific Publications, 1991.
Inoue M. The epidemiologic and clinical features of diverticular disease of the colon. J Jpn Soc Colo-proctol 1992;45:904–13.
Judd ES, Pollock LW. Diverticulitis of the colon. Ann Surg 1924;80:425–38.
Robbins SL, Cotran RS, Kumar V. Pathologic basis of disease. Philadelphia: WB Saunders, 1984.
Welch CE, Allen AW, Donaldson GA. An appraisal of resection of the colon for diverticulitis of the sigmoid. Ann Surg 1953;138:332–43.
Morson BC. Pathology of diverticular disease of the colon. Clin Gastroenterol 1975;4:37–52.
Roberts PL, Veidenheimer MC. Current management of diverticulitis. Adv Surg 1994;27:189–208.
Stemmermann GN, Yatani R. Diverticulosis and polyps of the large intestine; a narcopsy study of Hawaiian Japanese. Cancer 1973;31:1260–70.
Parks TG. Natural history of diverticular disease of the colon. Clin Gastroenterol 1975;4:53–69.
Sarin S, Boulos PB. Long-term outcome of patients presenting with acute complications of diverticular disease. Ann R Coll Surg Engl 1994;76:117–20.
Konvolinka CW. Acute diverticulitis under age forty. Am J Surg 1994;167:562–5.
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Read at the XVth Biennial Congress of the International Society of University Colon and Rectal Surgeons, Singapore, Singapore, July 2 to 6, 1994.
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Nakada, I., Ubukata, H., Goto, Y. et al. Diverticular disease of the colon at a regional general hospital in Japan. Dis Colon Rectum 38, 755–759 (1995). https://doi.org/10.1007/BF02048036
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DOI: https://doi.org/10.1007/BF02048036