지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.1
- 발행연도
- 2013.1
- 수록면
- 33 - 37 (5page)
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초록· 키워드
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Purpose: Diverticulitis of vermiform appendix is known as a rare cause of acute appendicitis, most of which are diagnosed after surgery. We compared appendiceal diverticulitis with acute appendicitis to study the clinical characteristics of appendiceal diverticulitis. Methods: Among 1,029 patients who received appendectomy from January 2009 to May 2011, 38 patients with appendiceal diverticulitis (diverticulitis group) were compared with 98 randomly collected patients with acute appendicitis (appendicitis group) during the same period. Patients’" characteristics, clinical features, laboratory findings, operative findings, and postoperative course were compared between the two groups. Results: Thirty-eight patients (3.7%) were pathologically diagnosed with acute appendiceal diverticulitis among 1,029 cases of appendectomy. The mean age of patients in the diverticulitis group was significantly older than that of the appendicitis group (49.0 ± 15.2 years vs. 25.4 ± 14.2 years, P 〈0.05). Mean duration of preoperative symptoms was longer in the diverticulitis group (3.6 ± 3.8 days vs. 1.8 ± 3.2 days, P 〈0.05). The site of abdominal pain, fever, signs of localized peritonitis, accompanying gastrointestinal symptoms, and white blood cell count showed no differences between the two groups. Twenty-five patients (65.8%) of the diverticulitis group and 10 patients (10.2%) of the appendicitis group showed perforation of appendix (P 〈 0.05). Mean operating time and postoperative hospital stay were longer in the diverticulitis group (55.3 ± 28.8 minutes vs. 41.4 ± 17.8 minutes, 6.8 ± 3.4 days vs. 4.9 ± 1.5 days, P 〈 0.05). Conclusion: Acute diverticulitis of the appendix can be classified into quite different disease entities compared with acute appendicitis. Regarding high rates of perforation, immediate surgical treatment is needed for patients with a high index of suspicion of acute diverticulitis of the appendix.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Abdullgaffar B. / 2009 / Diverticulosis and diverticulitis of the appendix / Int J Surg Pathol 17 : 231 ~ 237
2. [학술지(정기간행물)] - Heffernan DS / 2009 / A case of appendiceal diverticulitis, and a review of the literature / Ir J Med Sci 178 : 519 ~ 521
3. [학술지(정기간행물)] - Kabiri H / 2006 / Appendiceal diverticulitis / Am Surg 72 : 221 ~ 223
4. [학술지(정기간행물)] - Simpson J / 2003 / Diverticular abscess of the appendix: report of a case and review of the literature / Dis Colon Rectum 46 : 832 ~ 834
5. [학술지(정기간행물)] - Collins DC. / 1955 / A study of 50,000 specimens of the human vermiform appendix / Surg Gynecol Obstet 101 : 437 ~ 445
2. [학술지(정기간행물)] - Heffernan DS / 2009 / A case of appendiceal diverticulitis, and a review of the literature / Ir J Med Sci 178 : 519 ~ 521
3. [학술지(정기간행물)] - Kabiri H / 2006 / Appendiceal diverticulitis / Am Surg 72 : 221 ~ 223
4. [학술지(정기간행물)] - Simpson J / 2003 / Diverticular abscess of the appendix: report of a case and review of the literature / Dis Colon Rectum 46 : 832 ~ 834
5. [학술지(정기간행물)] - Collins DC. / 1955 / A study of 50,000 specimens of the human vermiform appendix / Surg Gynecol Obstet 101 : 437 ~ 445
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UCI(KEPA) : I410-ECN-0101-2014-514-000359675