BACKGROUND/
AIMS:
Left-sided
diverticulitis is increasing in
Japan, and many studies
report that left-sided
diverticulitis is more likely to be severe. Therefore, it is important to identify the features and
risk factors for left-sided
diverticulitis. We hypothesized that left-sided
diverticulitis in
Japan is related to
obesity and conducted a study of the features and
risk factors for this disorder in
Japan.
METHODS:
Right-sided
diverticulitis and left-sided
diverticulitis patients (total of 215) were compared with
respect to background, particularly
obesity-related factors to identify
risk factors for
diverticulitis.
RESULTS:
There were 166 (77.2%) right-sided
diverticulitis patients and 49 (22.8%) left-sided
diverticulitis patients. The proportions of obese
patients (
body mass index > or =25 kg/m2, p=0.0349), viscerally obese
patients (
visceral fat area > or =100 cm2, p=0.0019),
patients of mean age (p=0.0003), and
elderly patients (age > or =65 years, p=0.0177) were significantly higher in the left-sided-
diverticulitis group than in the right-sided-
diverticulitis group. The proportion of viscerally obese
patients was significantly higher in the left-sided-
diverticulitis group than in the left-sided-
diverticulosis group (p=0.0390).
CONCLUSIONS:
This study showed that
obesity, particularly
visceral obesity, was a
risk factor for left-sided
diverticulitis in
Japan.