Significantly higher rates of multiple and proximally located adenomas among patients with diabetes mellitus: A cross-sectional population-based study

Sander de Kort, Marielle W. E. Bouwens, Matty P. Weijenberg, Maryska L. G. Janssen-Heijnen, Adriaan P. de Bruine, Robert Riedl, Ad A. M. Masclee, Silvia Sanduleanu*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)

Abstract

Background: Diabetes mellitus (DM) is associated with a greater risk for colorectal cancer (CRC).

Objective: The objective of this article is to examine the endoscopic phenotype and histopathology of colorectal polyps in patients with vs without DM.

Methods We conducted a cross-sectional study of patients who underwent colonoscopy at our university hospital and who completed a questionnaire. We collected endoscopy and histopathology data regarding colorectal adenomas and serrated polyps. Cox regression analyses were used to estimate adjusted prevalence ratios (PRs).

Results: We examined a total of 3654 patients (mean age (SD): 62 (12) years, 47% males). Of them, 360 (9.9%) had DM. Overall, the prevalence of colorectal adenomas (42% vs 32%, p= 3) adenomas (12% vs 7%, p=0.01) and proximal adenomas (30% vs 19%, p

Conclusion: Patients with DM harbor more frequently multiple and proximal adenomas than those without DM. Close colonoscopic surveillance of DM patients is important to maximize the effectiveness of colonoscopic CRC prevention.

Original languageEnglish
Pages (from-to)415-423
Number of pages9
JournalUnited European Gastroenterology Journal
Volume5
Issue number3
DOIs
Publication statusPublished - Apr 2017

Keywords

  • Diabetes mellitus
  • colorectal cancer
  • colorectal neoplasm
  • epidemiology
  • colonoscopy
  • prevention
  • COLORECTAL-CANCER RISK
  • HYPERPLASTIC POLYPS
  • QUALITY INDICATORS
  • PLASMA-GLUCOSE
  • COLONOSCOPY
  • PREVALENCE
  • INSULIN
  • NEOPLASIA
  • METAANALYSIS
  • INDIVIDUALS

Cite this