Indications and Findings of colonoscopy, differences and similarities between Males and Females

Presented in 13th World Gastroenterology, IBD & Hepatology Conference in Holiday Inn Dubai, Al Barsha, UAE & Virtual from December 15-17, 2023. 

Speaker Name: Abu-Freha, Naim -Gastroenterologist (Israel)
Category: (Oral or Poster presentation )
Research interest: colon cancer, endoscopy, ethnicity

Abu-Freha Naim1,2, Revital Guterman1, Ruhama Elhayany1, Daniela Munteanu 1, Vitaly Dizengof1, Avraham Yitzhak1, Alexander Fich1
1. (Assuta Medical Center, Beer-Sheva, Israel
2. Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.

Global Journal of Gastroenterology & Hepatology Research [GJGHR]
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Differences between males and females were reported in digestive diseases and upper endoscopy. 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 in-cluded 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.
287,930 patients 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, diarr-hea, 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, respective-ly), 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 de-tection rates, Crohn’s disease, ulcerative colitis and diverticulo-sis (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%,
We found significant differences between men and women regarding the indications and pathological findings of colonos-copy; 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.

Keywords: Colonoscopy, Females, Males, indications

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