Evidence map›Paper›PMID 40167828›Full record

ArticlePituitary2025

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

Sema Hepşen, Enes Üçgül, Burak Menekşe, Burçak Cavnar Helvacı, Ceren Karaçalık Ünver, Halil Durantaş, Oğulcan Boz, Yusuf Coşkun, Başak Çakal, Muhammed Kızılgül and 1 more

Abstract read
In one paragraph

Article in Pituitary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Acromegaly complications: an update.The Journal of clinical endocrinology and metabolism · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sema HepşenDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye. semahepsen@gmail.com.ORCID https://orcid.org/0000-0002-8375-7409
Enes ÜçgülDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye.
Burak MenekşeDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye.
Burçak Cavnar HelvacıDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye.
Ceren Karaçalık ÜnverDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye.
Halil DurantaşDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye.
Oğulcan BozDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye.
Yusuf CoşkunDepartment of Gastroenterology, Ankara Etlik City Hospital, Ankara, Türkiye.
Başak ÇakalDepartment of Gastroenterology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Türkiye.
Muhammed KızılgülDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye.
Erman ÇakalDepartment of Endocrinology and Metabolism, Ankara Etlik City Hospital, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe existing data on colon lesions in acromegaly is notably heterogeneous. This study aimed to analyze the endoscopic and histopathological characteristics of colon polyps and other colonic lesions in acromegaly patients.

methodsThis case-control study included 192 acromegaly patients and 256 controls. Colon polyps were categorized based on their size and histopathological classification. Colon malignancies and other colonic lesions, such as anal fissures, hemorrhoids, and diverticulosis, were also documented.

resultsThe prevalence of colon polyps was higher in the acromegaly group than in controls (p = 0.003), however, no differences were observed in the number, size, or histopathological subtypes of the polyps. Polyps in acromegaly patients were predominantly located in the distal colon and rectum. Multiple polyp locations and histopathological subtypes were more frequent in the control group (p = 0.042 and p = 0.018). Rates of low-grade dysplasia, high-grade dysplasia, and malignancy were similar between groups. Anal fissures were more common in the acromegaly group, whereas diverticulosis was less frequent (p = 0.001 and p < 0.001; respectively). Logistic regression analysis identified no significant clinical or laboratory predictors for colon polyps in acromegaly.

conclusionPatients 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.

Indexed as

AcromegalyColonic PolypsAdultAgedCase-Control StudiesColonic NeoplasmsColonoscopyFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsAcromegalyColon cancerColon lesionsColonoscopyColon polyps

Identifiers

PMID40167828
PMCPMC11961538

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.