1. Gender, Age, and Concomitant Diseases of Colorectal Diverticulum in China: A Study of 7,964 Cases
- Author
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Jun-Ling Han, Gang Sun, Jianfeng Li, Bing-Yong Zhang, Zhan-Guo Nie, Lihua Peng, Xiuli Zhang, Shufang Wang, Zhong-Ming Dai, Bing Hu, Congyong Li, Ying Song, Zikai Wang, Yunsheng Yang, and Shou-Bin Ning
- Subjects
Adult ,Male ,China ,medicine.medical_specialty ,Rectum ,Colonoscopy ,Comorbidity ,Diverticulum, Colon ,Gastroenterology ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Epidemiology ,medicine ,Humans ,Aged ,Retrospective Studies ,Sex Characteristics ,medicine.diagnostic_test ,business.industry ,Age Factors ,General Medicine ,Middle Aged ,medicine.disease ,eye diseases ,Colon polyps ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Concomitant ,Female ,030211 gastroenterology & hepatology ,Detection rate ,business ,Diverticulum - Abstract
Aim: To analyze the epidemiological features of colorectal diverticulum (CRD) in China. Methods: We retrospectively analyzed CRD patients in 8 tertiary hospitals located in 5 regions of China from 2000 to 2016. The detection rates, number and distribution, demographic information, concomitant disorders, and their associations were investigated. Results: Of 3,446,118 cases, 7,964 (2.3%) were CRD with a mean age of 56 years (11–92 years). The detection rate increased yearly and with increasing age. Males had a higher detection rate than females (3.0 vs. 1.47%, p < 0.01) and 1.8-times higher increase rate. The detection rate increased with age; however, females of > 60 years had a 2.8-times increasing rate than males. CRD occurred most frequently in the right-side colon, followed by rectum. Multiple diverticula were common in males and increased with age, with a 3-times higher increase rate than single lesion. Single-segment CRD occurred more frequently in males than in females (80.1 vs. 76.4%, p < 0.01). Concurred colon polyps were seen in 51.05% cases. Conclusion: CRD detection rates increased annually and with age, particularly in senior females in China. Multiple diverticula were common in males and increased with age. CRD was predominant in the right-side colon. Polyps are the most common comorbidity associated with CRD.
- Published
- 2018