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DIFFERENCES BETWEEN MEN AND WOMEN IN COLONOSCOPY INDICATIONS AND FINDINGS

Naim Abu Freha 1,2, Revital Guterman 1, Ruhama Elhayany 1, Daniela Munteanu 1, Vitaly Dizengof 1, Avraham Yitzhak 1, Alexander Fich 1

Affiliations

1 Assuta Medical Center, Beer-Sheva, Israel

2 Ben-Gurion University of the Negev, Beer Sheva, Israel

Summary

AI Generated

A retrospective study of 287,930 colonoscopies found significant sex-based differences in both procedure indications and pathological findings, with males showing higher rates of polyps, cancer, and inflammatory bowel disease while females more commonly presented with functional symptoms.

Among 287,930 colonoscopies (52.5% female, 47.5% male) performed 2016-2021 across seven centers, females had better bowel preparation quality (71.4% vs 65.6% excellent/good) and no difference in cecal intubation rates.
Females more frequently underwent colonoscopy for abdominal pain (15% vs 9.9%), constipation (3.9% vs 2.2%), diarrhea (12.6% vs 11.4%), and anemia (7.6% vs 4.9%), all p<0.001.
Males more commonly had indications of positive fecal occult blood (9.5% vs 7.8%), rectal bleeding (10.7% vs 7.8%), polyp surveillance (10.8% vs 7.1%), and screening (23.4% vs 20.6%), all p<0.001.
Pathological findings were significantly more common in males: polyp detection (35.1% vs 24.6%), colon cancer (0.5% vs 0.4%), Crohn's disease (1.5% vs 1.3%), ulcerative colitis (1.6% vs 1.5%), and diverticulosis (14.9% vs 12.8%).
The authors conclude these differences highlight a need for sex-specific approaches in gastrointestinal disease diagnosis and management.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Introduction

Differences between males and females were reported in digestive diseases and upper endoscopy.

Aims & Methods

The objective of the study was to investigate the similarities and differences in colonoscopy indications and findings between men and women. Multi-center, large cohort, retrospective study included all colonoscopies performed between 2016 and 2021. Multi-center study, data collected from seven Assuta endoscopy departments. All performed colonoscopies were included, and the indications and findings of the procedures were compared between men and women.

Results

287,930 were included, 151,411(52.5%) women and 136,519 men, aged 56.54±12.9 years and 56.59±12.7, with no difference in cecal intubation (95.6% vs 95.5%, p=0.251). 71.4% of the females had excellent or good bowel preparation, while 65.6% of the males had the same grade of quality. 22,650 (15%) of the females had Abdominal pain as the indication compared to 13,568 (9.9%) of males, while 11,846 (7.8%) had positive fecal occult testing compared to 12,955 (9.5), p<0.001.
Higher rates of change in Bowel habits, constipation, diarrhea, family history of colon cancer and Anemia were found among females compared to males (4.3% vs 3.7%, 3.9% vs 2.2%, 12.6% vs 11.4% and 7.6% vs 4.9%, p<0.001, respectively), while rectal bleeding, weight loss, polyp follow up and screening colonoscopy were more among males (10.7% vs 7.8%, 1.5% vs 1.3%, 10.8% vs 7.1% and 23.4% vs 20.6%, p<0.001, respectively. The colonoscopy findings showed that males had significantly higher rates of colon cancer, polyp detection rates, Crohn’s disease, ulcerative colitis and diverticulosis (0.5% vs 0.4%, 35.1% vs 24.6%, 1.5% vs 1.3%, 1.6% vs 1.5%, and 14.9% vs 12.8%.

Conclusion

We found significant differences between men and women regarding the indications and pathological findings of colonoscopy; these findings highlighted the need of the identification of factors contributing to these differences and the development of sex-specific approaches for the diagnosis and management of gastrointestinal diseases.

Conference

UEG Week Copenhagen 2023

Topics

Colorectal

Submission format

Abstract

Session

Endoscopy and beyond (Posters)

Citation

United European Gastroenterology Journal 2023; 11 (Supplement 8)

Published

2023

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