Acta Scientific Women's Health (ASWH)

Research Article Volume 9 Issue 3

Colonic Polyps: Prevalence, Risk Factors and Classification in a Sample of Lebanese Population Who Underwent Colonoscopy

Sarah Jalloul1, Marita Saliba2, Nesrine Abi Saad3 and Majd Roustom3*

1Department of Gastroenterology, Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon
2Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon
3Department of Internal Medicine, Division of Gastroenterology, Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Lebanon

*Corresponding Author: Majd Rustom, Department of Gastroenterology, Lebanese American University Medical Center, Beirut, Lebanon.

Received: March 11, 2026; Published: June 19, 2026

Abstract

Background and objectives: Colorectal cancer is one of the most common cancers worldwide. It is the third leading cause of cancer-related death. There are multiple risk factors that contribute to its development. CRC or colorectal polyps may be detected by several methods, but colonoscopy remains the mainstay method. The clinical presentation may vary between patients. Screening is recommended for all patients above 45 years of age. Our objective was to identify the prevalence of colorectal polyps in the Lebanese population and the major contributing risk factors for its development.

Methods: This is a monocentric prospective cohort study that included 470 patients that underwent colonoscopy for multiple reasons. Information concerning multiple variables (age, gender, smoking, diabetes mellitus, BMI, preparation and indication for colonoscopy, pathology of polyps found) was collected using a standardized questionnaire. Statistical analysis was done using the software SPSS.

Results: The studied population’s age varied between 15 and 93. The data analysis showed that a positive colonoscopy result defined by the presence of a polyp was significantly associated with smoking (75,52%), obesity or overweight (64,06%), male sex (65,63%), a family history of colon cancer (23,43%) and a mean age of 77,34 ± 18 years. The main indication for colonoscopy was anemia (37.75%), and the main detected pathology was adenoma with dysplasia (20.21%).

Conclusion: BMI, smoking, diabetes, age 50 and above were risk factors statistically related to colonic polyps. The screening was not considered a main issue for presentation so awareness should be raised in our population targeting early detection of colon cancer when it is highly curable.

Keywords: Colonic Polyps; Colonoscopy; Colorectal Cancer; Colorectal Polyps; Risk Factors

References

  1. Alhurry A., et al. “A Review of the Incidence of Colorectal Cancer in the Middle East”. Iranian Journal of Colorectal Research3-4 (2017).
  2. Nemer H A., et al. “Colorectal Cancer: Exploring Awareness in Lebanon”. The Journal of Middle East and North Africa Sciences 10 (2016): 10-21.
  3. Binefa G., et al. “Colorectal cancer: from prevention to personalized medicine”. World Journal of Gastroenterology22 (2014): 6786-808.
  4. World Health Organization - Cancer Country Profiles, (2014).
  5. Simon K. “Colorectal cancer development and advances in screening”. Clinical Interventions in Aging 11 (2016): 967-976.
  6. Newcomb PA., et al. “Screening sigmoidoscopy and colorectal cancer mortality”. Journal of the National Cancer Institute20 (1992): 1572-1575.
  7. Winawer SJ., et al. “Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup”. The New England Journal of Medicine27 (1993): 1977-1981.
  8. Mármol I., et al. “Colorectal Carcinoma: A General Overview and Future Perspectives in Colorectal Cancer”. International Journal of Molecular Sciences1 (2017): 197.
  9. Makhlouf NA., et al. “Colorectal cancer in Arab world: A systematic review”. World Journal of Gastrointestinal Oncology11 (2021): 1791-1798.
  10. Chatila R., et al. “Epidemiology and Survival of Colorectal Cancer in Lebanon: A Sub-National Retrospective Analysis”. Cancer Control 28 (2021): 10732748211041221.
  11. Lakkis NA., et al. “Colorectal Cancer in Lebanon: Incidence, Temporal Trends, and Comparison to Regional and Western Countries”. Cancer Control 28 (2021): 1073274821996869.
  12. Amersi F., et al. “Colorectal cancer: epidemiology, risk factors, and health services”. Clinics in Colon and Rectal Surgery 3 (2005): 133-140.
  13. White A., et al. “A review of sex-related differences in colorectal cancer incidence, screening uptake, routes to diagnosis, cancer stage and survival in the UK”. BMC Cancer1 (2018): 906.
  14. Parra-Blanco A., et al. “Achieving the best bowel preparation for colonoscopy”. World Journal of Gastroenterology47 (2014): 17709-17726.
  15. Hull R., et al. “Colorectal Cancer Genetics, Incidence and Risk Factors: In Search for Targeted Therapies”. Cancer Management Research 12 (2020): 9869-9882.
  16. Cho YA., et al. “Genetic Risk Score, Combined Lifestyle Factors and Risk of Colorectal Cancer”. Cancer Research Treatment 3 (2019): 1033-1040.
  17. PDQ Screening and Prevention Editorial Board. Colorectal Cancer Prevention (PDQ® : Health Professional Version. 2022 Apr 21. In: PDQ Cancer Information Summaries. Bethesda (MD : National Cancer Institute (US); (2002).
  18. Toma M., et al. “Rating the environmental and genetic risk factors for colorectal cancer”. Journal of Medical Life 5 (2012): 152-159.
  19. Butterworth AS., et al. “Relative and absolute risk of colorectal cancer for individuals with a family history: a meta-analysis”. European Journal of Cancer2 (2006): 216-227.
  20. Steinke V., et al. “Hereditary nonpolyposis colorectal cancer (HNPCC)/Lynch syndrome”. Deutsches Ärzteblatt International3 (2013): 32-38.
  21. Meseeha M and Attia M. “Colon Polyps. [Updated 2022 May 10]”. In: StatPearls. Treasure Island (FL : StatPearls Publishing) (2022).
  22. Cappell MS. “Pathophysiology, clinical presentation, and management of colon cancer”. Gastroenterology Clinics of North America 1 (2008): 1-24.
  23. Cross AJ., et al. “Whole-colon investigation vs. flexible sigmoidoscopy for suspected colorectal cancer based on presenting symptoms and signs: a multicenter cohort study”. British Journal of Cancer2 (2019): 154-164.
  24. Alexiusdottir KK., et al. “Association of symptoms of colon cancer patients with tumor location and TNM tumor stage”. Scandinavian Journal of Gastroenterology7 (2012): 795-801.
  25. Constipation and Colon Cancer, Epidemiology 9.4 (1998): 371-372.
  26. Lai EJ., et al. “The Boston bowel preparation scale: a valid and reliable instrument for colonoscopy-oriented research”. Gastrointestinal Endoscopy3.2 (2009): 620-625.
  27. Zhou Y., et al. “Pre-colectomy location and TNM staging of colon cancer by the computed tomography colonography: a diagnostic performance study”. World Journal of Surgical Oncology1 (2021): 120.
  28. PDQ Screening and Prevention Editorial Board. Colorectal Cancer Prevention (PDQ® : Patient Version. 2022. In: PDQ Cancer Information Summaries. Bethesda (MD: National Cancer Institute (US) (2002).
  29. Sallahu F., et al. “Presenting colorectal carcinoma cases in our department”. Medical Archives 6 (2011): 334-335.
  30. Labianca R., et al. “Colon cancer”. Critical Reviews in Oncology/Hematology2 (2010): 106-133.
  31. Cuffy M., et al. “Management of less common tumors of the colon, rectum, and anus”. Clinical Colorectal Cancer 5 (2006): 327-337.
  32. Toomey PG., et al. “Immunotherapy for gastrointestinal malignancies”. Cancer Control1 (2013): 32-42.
  33. Alexiusdottir KK., et al. “Colon cancer: association of histopathological parameters and patients' survival with clinical presentation”. APMIS 10 (2013): 901-907.
  34. Nakagawa-Senda H., et al. “Prognostic impact of tumor location in colon cancer: The Monitoring of Cancer Incidence in Japan (MCIJ) project”. BMC Cancer1 (2019): 431.
  35. Lewandowska A., et al. “Risk Factors for the Diagnosis of Colorectal Cancer”. Cancer Control 29 (2022): 10732748211056692.
  36. Dai Z., et al. “Obesity and colorectal cancer risk: a meta-analysis of cohort studies”. World Journal of Gastroenterology31 (2007): 4199-206.
  37. Johnson CM., et al. “Meta-analyses of colorectal cancer risk factors”. Cancer Causes Control6 (2013): 1207-1222.
  38. Yao X and Tian Z. “Dyslipidemia and colorectal cancer risk: a meta-analysis of prospective studies”. Cancer Causes Control2 (2015): 257-268.
  39. Li H., et al. “Association of Body Mass Index With Risk of Early-Onset Colorectal Cancer: Systematic Review and Meta-Analysis”. American Journal of Gastroenterology11 (2021): 2173-2183.
  40. Sawicki T., et al. “A Review of Colorectal Cancer in Terms of Epidemiology, Risk Factors, Development, Symptoms and Diagnosis”. Cancers (Basel)9 (2021): 2025.
  41. Grosso G., et al. “Possible role of diet in cancer: systematic review and multiple meta-analyses of dietary patterns, lifestyle factors, and cancer risk”. Nutrition Review6 (2011): 405-419.
  42. Dey S., et al. “Geographic patterns of cancer in the population-based registry of Egypt: Possible links to environmental exposures”. Cancer Epidemiology3 (2011): 254-264.
  43. Xi Y and Xu P. “Global colorectal cancer burden in 2020 and projections to 2040”. Translation Oncology10 (2021): 101174.
  44. Khachfe HH., et al. “Probing the Colorectal Cancer Incidence in Lebanon: an 11-Year Epidemiological Study”. Journal of Gastrointestinal Cancer3 (2020): 805-812.
  45. Moussallem M., et al. “Colorectal cancer screening knowledge and uptake in lebanon: a national survey”. Revue d'Épidémiologie et de Santé Publique 2 (2022): 67-73.
  46. Pan A., et al. “The role of aspirin in post-polypectomy bleeding--a retrospective survey”. BMC Gastroenterology 12 (2012): 138.

Citation

Citation: Majd Roustom., et al. “Colonic Polyps: Prevalence, Risk Factors and Classification in a Sample of Lebanese Population Who Underwent Colonos- copy". Acta Scientific Gastrointestinal Disorders 9.3 (2026): 19-31.

Copyright

Copyright: © 2026 Majd Roustom., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In





News and Events


  • Publication Certificate
    Authors will be provided with the Publication Certificate after their successful publication
  • Last Date for submission
    Authors are requested to submit manuscripts on/before July 03, 2026, for the upcoming issue of 2026.

Contact US