Diverticular disease and posture during defecation : a prospective comparative study

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dc.contributor.authorOzturk, O.
dc.contributor.authorKoklu, H.
dc.contributor.authorAkbal, E.
dc.contributor.authorAksoy, E. K.
dc.contributor.authorAltan, E.
dc.contributor.authorBasar, O.
dc.contributor.authorYuksel, O.
dc.date.accessioned2025-01-27T20:41:02Z
dc.date.available2025-01-27T20:41:02Z
dc.date.issued2018
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground and study aims : Although several factors are thought to be responsible for the development of colonic diverticulosis the underlying pathogenesis is still obscure and needs clarification. The aim of this study was to determine the prevalence, location and clinical features of CD and especially to detect whether there is an association between CD and postures during defecation. Patients and methods : This prospective study enrolled 757 patients. The subjects were divided into two groups as a diverticulosis group (D group, n:95) and non-diverticulosis group (non-D group, n:662). Results : The median patient age was 54.9 +/- 13.2 years. CD frequency was 12.5% (n:95). The most commonly involved part of the colon was the sigmoid colon (56.8%). Diverticula location was on the left in 45.3% (n:43), on the right in 24.2% (n:23) and on both sides of the colon in 30.5% (n:29). Patients in the D group were older (p<0.001) and were predominantly female (p:0.04). The frequency of sitting during defecation (Western type toilet) was higher in the D group compared to the non-D group (72.2% vs 53.5%; p:0.007). The use-time of a Western-type toilet was longer in the D group compared to the non-D group (p:0.04). In multivariable logistic regression analysis, age and toilet type were independent risk factors for the development of diverticulosis. Conclusion : Sitting during defecation seems to increase the risk of CD.
dc.identifier.endpage495
dc.identifier.issn1784-3227
dc.identifier.issue4
dc.identifier.pmid30645917
dc.identifier.startpage490
dc.identifier.urihttps://hdl.handle.net/20.500.12428/23977
dc.identifier.volume81
dc.identifier.wosWOS:000455215700005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherUniv Catholique Louvain-Ucl
dc.relation.ispartofActa Gastro-Enterologica Belgica
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectdiverticula
dc.subjectcolonic diverticulosis
dc.subjectdefecation
dc.subjectsitting
dc.subjectsquatting
dc.subjectirritable bowel syndrome
dc.subjectconstipation
dc.titleDiverticular disease and posture during defecation : a prospective comparative study
dc.typeArticle

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