THE RELATIONSHIP BETWEEN DIVERTICULAR DISEASE AND COLORECTAL POLYPS AND NEOPLASTIC LESIONS

Aims Shared by certain epidemiological and etiological features, diverticulosis and colorectal neoplastic lesions and colonic polyps have long been associated. The aim of this study was to evaluate the association of diverticulosis with colorectal neoplastic lesions.

Methods In this single-center retrospective study, patients who underwent colonoscopy from January 2019 to August 2021 were included. Epidemiological, clinical and endoscopic data were collected from colonoscopy records. Diverticulosis was defined as the presence of one or more colonic diverticula.

Results During the study period, 1518 colonoscopies were performed of which 655 came back pathological (44.6%). The prevalence of patients with colonic diverticulosis, as assessed by colonoscopy, was 5% (76). The mean age of patients with colonic diverticulosis was 67.9±10.5 years (43-92 years), with a male predominance of 64.5% and a sex ratio M/F of 1.8. 6.7% (n=5) of the patients had a history of polyps and 5.3% (n=4) a history of colorectal cancer. The main indications for colonoscopy were constipation in 31.6% (n=24), rectorrhagia in 28.9% (n=22), iron deficiency anemia in 18.4% (n=14), melena in 7.9% (n=6) and chronic diarrhea in 6.6% (n=5). 37.7% (n=23) of patients had good preparation (Boston score≥7). Multivariate logistic regression analysis indicated that colonic diverticulosis was statistically significantly associated with the presence of polyps (p<0.001) and colorectal neoplastic lesions (p<0.001), but also with

Conclusions In our study, colonic diverticulosis appears to be statistically significantly associated with the presence of colorectal processes and polyps.

Publication History

Article published online:
14 April 2022