Amer Mohammad Sadik*, Ismael Hammad and Daad Doghman
Background: Colonic diverticulosis is a common disease of advanced age, and is associated with a significant morbidity and mortality.
Objective: The aim of this study was to determine the prevalence rate of colon diverticulosis and also detecting complications resulting from the disease.
Patients and methods: An Observational Retrospective Analytic study conducted for the period 5 years (January 2017-January 2022) at Tishreen University Hospital in Lattakia-Syria. The study included all colonoscopies performed for various indications, and 156 patients who found to have diverticula were evaluated regarding to demographic characteristics, location of diverticula, and complications.
Results: The prevalence of colonic diverticulosis was 7.7%, and patients were being predominantly males (63.5%). Colonic diverticulosis was observed more frequently in the age groups 60 years-70 years (26.9%), and 70 years-80 years (34%). Gastrointestinal bleeding represented the most frequent indication for colonoscopy (20.5%), followed by abdominal pain (19.9%), and constipation (18.6%). Left-sided of the colon was the most affected part (73 cases: 46.8%) and the most common location was the sigmoid (62.2%), with presence of multiple diverticula in majority of patients (80.8%). Complications developed in 15 cases (9.6%) as follow: Diverticular bleeding (5.1%), diverticulitis (3.2%), and fistula (1.3%), with presence of a significant correlation between the site of diverticula and complications.
Conclusion: The current study demonstrated that colonic diverticulosis incidence in Syria is low, more common in elderly individuals and males with possibility of developing complications that lead to surgical intervention.
Published Date: 2022-12-28; Received Date: 2022-11-30
