Clinical significance of colonic diverticulosis associated with bowel symptoms and colon polyp.
This study was done to evaluate prospectively the clinical significance of colonic diverticulosis. In the 1,030 consecutive outpatients undergoing colonoscopy, the information on the demographics, the patterns of bowel symptoms, and the prevalence of colon polyp were analyzed according to the presence of colonic diverticulosis. The mean age of 1,030 patients were 52.2 yr and 59.3% were male. The prevalence of diverticulosis was 19.7% (203/1,030). Of 203 diverticulosis patients 85.2% were in proximal group, 5.4% in distal group and 9.4% in both group. Six (3.0%) patients were found to have diverticulitis. Multivariate logistic regression analysis showed that an old age, diabetes and the presence of polyp were significant factors associated with proximal or both diverticulosis. A significant difference was demonstrated between the patients of distal diverticular group and the controls for the symptom frequency scores within the previous 4 weeks. The items, which showed difference, were hard stool, urgency, flatus, chest discomfort and frequent urination. In conclusion, old age, diabetes and the presence of colon polyp were associated with proximal diverticulosis. The temporal symptoms were more frequent in distal diverticulosis than in proximal diverticulosis in the study subjects.
Lee
Kang-Moon
KM
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Paik
Chang-Nyol
CN
Chung
Woo Chul
WC
Jung
Sung Hoon
SH
Chang
U-Im
UI
Yang
Jin Mo
JM
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000175:diagnosis / Q000453:epidemiology; D003111:Colonic Polyps / Q000150:complications / Q000175:diagnosis*; D003113:Colonoscopy; D048909:Diabetes Complications / Q000150:complications / Q000175:diagnosis; D004238:Diverticulitis / Q000175:diagnosis / Q000453:epidemiology; D043963:Diverticulosis, Colonic / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D005414:Flatulence / Q000150:complications; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors
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