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논문 기본 정보

자료유형
학술저널
저자정보
정수교 (가톨릭대학 의학부 방사선과학교실)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제15권 제1호
발행연도
1979.1
수록면
205 - 211 (7page)

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Diverticular disease of the colon is the commonest pathological process in the large bowel in the aged caucasians, but this is rare in oriental races. In Korea, diverticluar disease of the colon was known to be rare as reported by Kim in 1964. Since then, however, we have had an impression that the diverticular disease of the colon is not so rare as was reported by Kim previously from our department. The present study has been undertaken to substantiate our impression. We reviewed 1, 143 consecutive cases of double-contrast barium enema performed at the Department of Radiology, St. Mary's Hospital, Catholic Medical College during the past 7 years to analized diverticluar disease patterns of the colon in the Korean. 1. The present study revealed 29 patients of diverticular disease of the colon, an incidence of 2.5%. The age distribution was shown in Table 1. 2. The mean number of diverticular were 9 and the mean size as follows: the cecum, 6.4 mm ; the proximal 1/3 of the ascend ng colon, 5.6 mm ; the mid 1/3 of the ascending colon, 4.9 mm ; and the distal 1/3 of the ascending colon, 4, 4 mm. 3. The average age of patients with diverticular disease of the colon was 49.5 years. Chief complaints were change of bowel habit (31.6%), abdominal pain (28.9%) and indigestion (18.4%). 4. The associated radiological findings of diverticular disease of the colon were : (1) spasm in 16 cases (46%) ; (2) a marginal irregularity in 16 cases (25%) ; and (3) asymmetrical haustra in 16 cases (30%). In 13 cases no associated signs seen. We have found that the incidence of the diverticular disease of the colon in the present series is very significantly higher than that of the previous report from our department (Kim, 1964). We postulate that the possible factors operational in such increase in the incidence of the clonic diverticular disease in the last decade are : (1) changing dietray pattern characterized by high-protein and high-refined-sugar consumption, and (2) routine u e of the double contrast technique which permitted us to see more diverticular outpouchings of the colon compared to the conventional simple barium enema study.

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