Pituitary & hypothalamus

Prevalence and risk factors of colon polyps and other colonic lesions in acromegaly: Insights from colonoscopy screening

PituitaryPublished Case-control study

Authors' conclusion

Patients with acromegaly exhibited a higher prevalence of colon polyps, predominantly located in the distal colon, which typically displayed a single histopathological subtype. No increased rates of colonic dysplasia, colon cancer, or other colonic lesions were observed in patients with acromegaly, except for an elevated prevalence of anal fissures.

Study context

Population
Acromegaly patients and controls undergoing colonoscopy screening
Participants
192 vs 256
Comparison
Acromegaly patients vs controls
  • Acromegalyn = 192
  • Controlsn = 256reference
Outcome
Prevalence of colon polyps

Main finding

As reported in the abstract

  • Acromegaly vs Controls: P = 0.003

Observational data: associations, not effects.

Further findings

OutcomeP value
Multiple polyp locationsMore frequent in ControlsP = 0.042
Multiple histopathological subtypesMore frequent in ControlsP = 0.018
Anal fissuresMore common with AcromegalyP = 0.001
DiverticulosisLess frequent with AcromegalyP < 0.001

Number, size and histopathological subtypes of polyps

No differences between groups

Polyp location in acromegaly

Predominantly distal colon and rectum

Low-grade dysplasia, high-grade dysplasia and malignancy

Similar between groups

Predictors of colon polyps in acromegaly

Logistic regression identified no significant clinical or laboratory predictors

Original publication

Prevalence and risk factors of colon polyps and other colonic lesions in acromegaly: Insights from colonoscopy screening. Pituitary. Published 1 April 2025. doi:10.1007/s11102-025-01513-4

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