Colonic diverticular disease in autosomal dominant polycystic kidney disease: is there really an association? A nationwi
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ORIGINAL ARTICLE
Colonic diverticular disease in autosomal dominant polycystic kidney disease: is there really an association? A nationwide analysis Rodrigo Duarte-Chavez 1 & Jill Stoltzfus 2 & Vikas Yellapu 2 & Noel Martins 1 & Sudip Nanda 3 & Santo Longo 4 & Berhanu Geme 1 & Yecheskel Schneider 1 Accepted: 26 August 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Colonic diverticulosis, diverticulitis, and diverticular bleeding are reportedly more common in patients with autosomal dominant polycystic kidney disease (ADPKD). Other studies have questioned this association. The objectives of our study are to clarify this association using a larger patient population and to identify risk factors in general to develop diverticular disease. Methods The Nationwide Inpatient Sample weighted discharges from 2003 to 2011 were used to assess for the prevalence of diverticular disease in the population with ADPKD compared with the general population without ADPKD. A multivariable direct logistic regression model was constructed to determine independent predictors of diverticular disease in the general population. Results The prevalence of diverticulosis, diverticulitis, and diverticular bleeding were considerably increased in patients with ADPKD compared with the general population without ADPKD. The prevalence of colonic surgery was less in ADPKD patients with diverticulitis. In patients with kidney transplant, the prevalence of diverticulitis was increased in the ADPKD group, but colonic surgery was not significantly different between both groups. The prevalence of diverticular bleeding was slightly elevated in patients with ADPKD, but colonic surgery was significantly increased in patients with ADPKD. NSAID use, hypertension, constipation, and ADPKD had increased odds ratios for diverticular disease during multivariate analysis. Conclusion There is an increased prevalence of colonic diverticular disease in the population with ADPKD. Keywords Autosomal dominant polycystic kidney disease . Diverticulosis . Diverticulitis . Diverticular bleeding . Nationwide Inpatient Sample
* Rodrigo Duarte-Chavez [email protected] Jill Stoltzfus [email protected]
Yecheskel Schneider [email protected]
1
Department of Internal Medicine, Division of Gastroenterology, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA
2
Department of Research, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA
3
Department of Internal Medicine, Division of Cardiology, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA
4
Department of Pathology, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA
Vikas Yellapu [email protected] Noel Martins [email protected] Sudip Nanda [email protected] Santo Longo [email protected] Berhanu Geme [email protected]
Int J Colorectal Dis
Introduction Diverticulosis of the colon is one of the most prevalen
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