CLINICAL RESEARCH
Prevalence and distribution of colonic diverticulosis in patients undergoing colonoscopy. Four years’ experience from a single center in Warsaw
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Submission date: 2016-03-21
Final revision date: 2016-04-23
Acceptance date: 2016-04-24
Publication date: 2016-05-23
Arch Med Sci Civil Dis 2016;1(1):30-35
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ABSTRACT
Introduction: Data on the prevalence of diverticulosis in the Polish population are limited. Most patients are asymptomatic, so it is difficult to estimate the scale of the problem in the population. The aim of this study was to determine the prevalence of colonic diverticulosis in Polish adults based on a sample from a single, medium-sized endoscopy department. The secondary objective was to assess the distribution of diverticula in the colon and their association with sex and age.
Material and methods: Between 2010 and 2014 a total of 6087 consecutive patients (age range: 18–94 years, mean age: 54 years) underwent colonoscopy in the department. 1981 patients were excluded from the study due to incomplete examination, colorectal surgery or inadequate preparation resulting in insufficient visibility. The remaining 4106 patients were included in the study (1648 – male, 2458 – female). Data concerning age, sex, and presence and location of diverticula were studied in a retrospective manner.
Results: Diverticula were found in 29.6% of all participants (29.4% – male, 29.8% – female). 0.5% of patients (0.7% – male, 0.5% – female) had right-sided diverticulosis, while in 23.7% (23.4% – male, 24.0% – female) diverticula were located in the left colon only. Pancolonic diverticulosis was present in 4.0% (4.0% – male, 4.0% – female). For all statistical calculations p 0.05. The prevalence of diverticulosis increased with age. No difference was noted between men and women.
Conclusions: In the studied sample, diverticula predominantly occurred in the sigmoid and descending colon. Their prevalence and distribution were similar to other Caucasian populations.
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