The Prevalence and Characteristics of Symptomatic Uncomplicated Diverticular Disease Among Asian Patients With Unexplained Abdominal Symptoms.

IF 3.3 3区 医学 Q2 CLINICAL NEUROLOGY
Journal of Neurogastroenterology and Motility Pub Date : 2024-01-30 Epub Date: 2023-11-28 DOI:10.5056/jnm22162
Tsumugi Jono, Yuki Kasai, Takaomi Kessoku, Tomoki Ogata, Kosuke Tanaka, Tsutomu Yoshihara, Noboru Misawa, Shingo Kato, Takuma Higurashi, Kunihiro Hosono, Masato Yoneda, Kosuke Seita, Takayuki Kato, Eiji Sakai, Takeo Kurihashi, Machiko Nakatogawa, Shunsuke Oyamada, Seiji Futagami, Kok-Ann Gwee, Atsushi Nakajima
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Abstract

Background/aims: The precise incidence of symptomatic uncomplicated diverticular disease (SUDD) and its effects on the quality of life (QOL) remain unclear, particularly in Asian patients with right-sided SUDD. We assess the prevalence of SUDD and its impact on QOL in a real-world population.

Methods: Five institutional cohorts of patients who received outpatient treatment for unexplained abdominal symptoms from January 15, 2020 to March 31, 2022, were included. All patients underwent colonoscopy. SUDD was defined as the presence of recurrent abdominal symptoms, particularly pain in the lower right or left quadrant lasting > 24 hours in patients with diverticulosis at the site of pain. The 36-item short-form health survey was used to assess QOL.

Results: Diverticula were identified in 108 of 361 patients. Among these 108 patients, 31% had SUDD, which was right-sided in 39% of cases. Of the 50 patients with right-sided diverticula, 36% had SUDD, as did 15 of 35 patients with left-sided diverticula (43%). Among the 33 patients with SUDD, diverticula were right-sided, left-sided, and bilateral in 39%, 45%, and 15% of patients, respectively. Diarrhea was more frequent in the SUDD group than in the non-SUDD group. Patients with SUDD had significantly lower physical, mental, and role/social component scores than those without SUDD.

Conclusions: It is important to recognize that patients with SUDD account for as high as 31% of outpatients with unexplained abdominal symptoms; these patients have diarrhea and a low QOL. The presence of right-sided SUDD was characteristic of Asian patients.

有不明原因腹部症状的亚洲患者中症状性无并发症憩室病的患病率和特点
背景/目的:症状性无并发症憩室病(SUDD)的确切发生率及其对生活质量(QOL)的影响尚不清楚,特别是亚洲右侧SUDD患者。我们评估了现实世界人群中SUDD的患病率及其对生活质量的影响。方法:纳入2020年1月15日至2022年3月31日因不明原因腹部症状接受门诊治疗的5个机构队列。所有患者均行结肠镜检查。SUDD定义为反复出现腹部症状,特别是疼痛部位憩室病患者的右下或左下象限疼痛持续> 24小时。采用36项健康问卷对生活质量进行评估。结果:361例患者中有108例发现憩室。在108例患者中,31%的患者患有SUDD, 39%的患者右侧发病。在50例右侧憩室患者中,36%有SUDD, 35例左侧憩室患者中有15例(43%)有SUDD。33例SUDD患者中,右侧憩室占39%,左侧憩室占45%,双侧憩室占15%。腹泻在SUDD组比非SUDD组更常见。患有SUDD的患者的身体、精神和角色/社会成分得分明显低于没有SUDD的患者。结论:重要的是要认识到SUDD患者占门诊不明原因腹部症状患者的31%;这些患者有腹泻,生活质量低。右侧sud的存在是亚洲患者的特征。
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来源期刊
Journal of Neurogastroenterology and Motility
Journal of Neurogastroenterology and Motility GASTROENTEROLOGY & HEPATOLOGY-CLINICAL NEUROLOGY
CiteScore
6.30
自引率
8.80%
发文量
96
期刊介绍: Journal of Neurogastroenterology and Motility (J Neurogastroenterol Motil) is a joint official journal of the Korean Society of Neurogastroenterology and Motility, the Thai Neurogastroenterology and Motility Society, the Japanese Society of Neurogastroenterology and Motility, the Indian Motility and Functional Disease Association, the Chinese Society of Gastrointestinal Motility, the South East Asia Gastro-Neuro Motility Association, the Taiwan Neurogastroenterology and Motility Society and the Asian Neurogastroenterology and Motility Association, launched in January 2010 after the title change from the Korean Journal of Neurogastroenterology and Motility, published from 1994 to 2009.
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