The Association Between Diverticular Disease of the Colon and Colonic Polyps: A Cross-Sectional Study

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Abstract
AIM: This study aimed to evaluate the relationship between colonic diverticular disease (CD) and colonic polyps (CP) in Turkiye, considering age and gender distribution. METHODS: This retrospective cross-sectional study analyzed patients who underwent total colonoscopy between 1 January 2021, and 1 January 2022. Patients with a history of colon resection, inflammatory bowel disease, or prior polypectomy were excluded. The presence of CD and CP was assessed according to age, gender, and colonic localization [right (R), left (L), bilateral (B)]. RESULTS: A total of 452 patients were included, with 248 (54.9%) males and 204 (45.1%) females. The mean age was 57.7 ± 13.0 years. Among them, 235 were in the patient group [CD (+) and/or CP (+)], and 217 were in the control group. The study found a significant association between CD and CP, particularly among older patients, with rates of CD (+) and CP (+) increasing with age (p = 0.001). Interestingly, CD (+) patients had a lower risk of CP compared to CD (–) patients (p = 0.003). Additionally, male patients exhibited significantly higher CP rates than females. CONCLUSIONS: Our findings indicate that CD (+) patients have a significantly lower risk of CP (+) compared to CD (–) patients. These results provide valuable insights into the relationship between CD and CP, which may help guide future research.
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