مقالے کی معلومات
جلد
شمارہ
مقالے کی قسم
زبان
تلخیص
Background:Bleeding from anus is usually referred as rectal bleeding but actually rectal bleeding is defined as bleeding from lower colon or rectum, which means bleedingfrom a place distal to ligament of Treitz.This study was conducted to determine the frequency of different causes of rectal bleeding in patients at Ayub Teaching Hospital, Abbottabad. Methods: One hundred and seventy-five patients with evidence of rectal bleed, without gender discrimination were selected by non-probability convenient sampling from the out-patient department andgeneral medical wards. Patients with suspected upper GI source of bleeding; acute infectious bloody diarrhoea and any coagulopathy were excluded from the study. All patients were subjected to fibre opticcolonoscopy after preparationof the gut and findings were recorded. Where necessary, biopsy samples were also taken. Diagnosis was based on colonoscopic findings.Results: A total of 175 patients (92males and 83 females) with mean age 35.81±9.18 years were part of thestudy. Colonoscopy showed abnormal findings in 150 (85.7%) patients. The commonest diagnosis washaemorrhoids, which was found in 39 (22.3%) patients. It was followed by inflammatory bowel disease (IBD) in30(17.1%) patients, solitary rectal ulcer in 13 (7.4%) patients and polyps in 25 (14.3%) patients. Other less frequent findings were non-specific inflammation and fungating growths in rectum.Conclusion:Haemorrhoids was the leading cause of bleeding per rectum in this study, followed by evidence of IBD while infrequentfindings of polyps and diverticuli indicate that these are uncommon in this region.
Dr. Attique-ur-Rehman Jehangiri,, Rahid Gul, Rania Hadayat, Adil Naseer Khan, Zabiullah*, Liaqat Khursheed. (2017) CAUSES OF LOWER GASTROINTESTINAL BLEEDING ON COLONOSCOPY , JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 29, Issue 3.
-
Views
484 -
Downloads
33