Demographics of colonic health: Unveiling sex- and age-driven trends in a cross-sectional retrospective analysis of 2523 colonoscopy procedures

Background Colonic abnormalities, ranging from benign haemorrhoids to malignancies, pose a significant global health burden. Despite extensive research in Western populations, regional data from Saudi Arabia remain limited. Objective To evaluate the prevalence, demographic trends and clinical releva...

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Main Authors: Arwa F Flemban, Saeed M Kabrah, Mohammad Aldabagh, Hanan M Abd Elmoneim, Samah Alharbi
Format: Article
Language:English
Published: SAGE Publishing 2025-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605251368331
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author Arwa F Flemban
Saeed M Kabrah
Mohammad Aldabagh
Hanan M Abd Elmoneim
Samah Alharbi
author_facet Arwa F Flemban
Saeed M Kabrah
Mohammad Aldabagh
Hanan M Abd Elmoneim
Samah Alharbi
author_sort Arwa F Flemban
collection DOAJ
description Background Colonic abnormalities, ranging from benign haemorrhoids to malignancies, pose a significant global health burden. Despite extensive research in Western populations, regional data from Saudi Arabia remain limited. Objective To evaluate the prevalence, demographic trends and clinical relevance of colonic abnormalities in a Saudi Arabian population. Methods This retrospective cross-sectional study analysed 2523 colonoscopy reports from Al Noor Specialist Hospital, Makkah, Saudi Arabia, between 1 March 2010 and 30 December 2020. Reports were examined for key findings, including polyps, tumours, bleeding, diverticulosis, haemorrhoids and inflammation. Statistical analyses were used to assess age- and sex-specific trends. Results Haemorrhoids (38.1%) and polyps (12.2%) were the most frequent abnormalities. Polyps were most common in patients aged 50–59 years. Sex differences were significant; men showed a higher prevalence of haemorrhoids ( p  < 0.001) and active bleeding ( p =  0.04), while women exhibited a higher prevalence of ulcers and erosions ( p  < 0.001). Older patients exhibited a higher prevalence of diverticular disease and bleeding; younger individuals (20–39 years) had higher rates of inflammatory changes. Conclusion Colonic abnormalities were prevalent in this Saudi population, with distinct age- and sex-specific patterns. These findings support the need for tailored screening strategies. Future multicentre studies should explore the effect of genetic, dietary and environmental factors on colonic health in the study region.
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spelling doaj-art-dbb6e11aaa3845e9a52c5dfe4108cb712025-08-22T20:03:45ZengSAGE PublishingJournal of International Medical Research1473-23002025-08-015310.1177/03000605251368331Demographics of colonic health: Unveiling sex- and age-driven trends in a cross-sectional retrospective analysis of 2523 colonoscopy proceduresArwa F FlembanSaeed M KabrahMohammad AldabaghHanan M Abd ElmoneimSamah AlharbiBackground Colonic abnormalities, ranging from benign haemorrhoids to malignancies, pose a significant global health burden. Despite extensive research in Western populations, regional data from Saudi Arabia remain limited. Objective To evaluate the prevalence, demographic trends and clinical relevance of colonic abnormalities in a Saudi Arabian population. Methods This retrospective cross-sectional study analysed 2523 colonoscopy reports from Al Noor Specialist Hospital, Makkah, Saudi Arabia, between 1 March 2010 and 30 December 2020. Reports were examined for key findings, including polyps, tumours, bleeding, diverticulosis, haemorrhoids and inflammation. Statistical analyses were used to assess age- and sex-specific trends. Results Haemorrhoids (38.1%) and polyps (12.2%) were the most frequent abnormalities. Polyps were most common in patients aged 50–59 years. Sex differences were significant; men showed a higher prevalence of haemorrhoids ( p  < 0.001) and active bleeding ( p =  0.04), while women exhibited a higher prevalence of ulcers and erosions ( p  < 0.001). Older patients exhibited a higher prevalence of diverticular disease and bleeding; younger individuals (20–39 years) had higher rates of inflammatory changes. Conclusion Colonic abnormalities were prevalent in this Saudi population, with distinct age- and sex-specific patterns. These findings support the need for tailored screening strategies. Future multicentre studies should explore the effect of genetic, dietary and environmental factors on colonic health in the study region.https://doi.org/10.1177/03000605251368331
spellingShingle Arwa F Flemban
Saeed M Kabrah
Mohammad Aldabagh
Hanan M Abd Elmoneim
Samah Alharbi
Demographics of colonic health: Unveiling sex- and age-driven trends in a cross-sectional retrospective analysis of 2523 colonoscopy procedures
Journal of International Medical Research
title Demographics of colonic health: Unveiling sex- and age-driven trends in a cross-sectional retrospective analysis of 2523 colonoscopy procedures
title_full Demographics of colonic health: Unveiling sex- and age-driven trends in a cross-sectional retrospective analysis of 2523 colonoscopy procedures
title_fullStr Demographics of colonic health: Unveiling sex- and age-driven trends in a cross-sectional retrospective analysis of 2523 colonoscopy procedures
title_full_unstemmed Demographics of colonic health: Unveiling sex- and age-driven trends in a cross-sectional retrospective analysis of 2523 colonoscopy procedures
title_short Demographics of colonic health: Unveiling sex- and age-driven trends in a cross-sectional retrospective analysis of 2523 colonoscopy procedures
title_sort demographics of colonic health unveiling sex and age driven trends in a cross sectional retrospective analysis of 2523 colonoscopy procedures
url https://doi.org/10.1177/03000605251368331
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