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

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.