Colonoscopic Findings in Patients with Bleeding Per-rectum in Colonoscopy Center at Rizgary Teaching Hospital, Erbil, Iraq
Background: Rectal bleeding is commonly seen in daily practice. The colonoscopy is an essential diagnostic tool in detecting the various causes of this clinical entity.Objectives: We aimed to detect the different pathological lesions in patients with rectal bleeding using colonoscopy and to find the...
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University of Anbar
2023-06-01
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| Series: | Al-Anbar Medical Journal |
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| Online Access: | https://amj.uoanbar.edu.iq/article_178354_7c85042f1e5697b1815ee2a0e1b9d1ce.pdf |
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| author | Mahmood Khudhur Ali Al Dabbagh |
| author_facet | Mahmood Khudhur Ali Al Dabbagh |
| author_sort | Mahmood Khudhur |
| collection | DOAJ |
| description | Background: Rectal bleeding is commonly seen in daily practice. The colonoscopy is an essential diagnostic tool in detecting the various causes of this clinical entity.Objectives: We aimed to detect the different pathological lesions in patients with rectal bleeding using colonoscopy and to find the correlation between colonoscopic findings and the age and gender of the patients. Materials and Methods: This prospective cross-sectional study was conducted at the center of endoscopy and colonoscopy at Rizgary Teaching Hospital throughout the period from April 2018 to April 2019. Patients with bleeding from the rectum and subjected to colonoscopy of any age and gender were enrolled in the current study. Data regarding the age, gender, duration, family history of colorectal cancer, whether the bleeding was fresh or mixed with stool, spontaneous stoppage of bleeding or not, and the colonoscopic findings were recorded for every participant.Results: Of 91 patients with rectal bleeding, there were 55 (60.4%) male. The most affected age group was over 40 years old (n = 47, 51.6%). Only 11 (12.1%) of the participants gave a family history of colorectal cancer. Around three-quarters of the cases involved chronic bleeding. The bleeding was fresh in 60 (65.9%) cases. The majority of the bleeding (n = 74, 81.3%) stopped spontaneously. Hemorrhoids (49.45%) were the most common colonoscopic finding in patients with rectal bleeding, followed by no abnormality (18.68%), and the least diverticular disease (2.2%). There was a statistically significant difference between the age of the patient and the cause of rectal bleeding (P-value = 0.042). However, there was no such correlation regarding the patient's gender (P-value = 0.196). Conclusion: Hemorrhoids were the most common colonoscopic finding in patients with rectal bleeding. The age of the patient can determine the cause of the rectal bleeding. |
| format | Article |
| id | doaj-art-a2c22486d204440b9b971f0bb3a5aa49 |
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| issn | 2706-6207 2664-3154 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | University of Anbar |
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| series | Al-Anbar Medical Journal |
| spelling | doaj-art-a2c22486d204440b9b971f0bb3a5aa492025-08-20T02:38:42ZengUniversity of AnbarAl-Anbar Medical Journal2706-62072664-31542023-06-01191424710.33091/amj.2023.178354178354Colonoscopic Findings in Patients with Bleeding Per-rectum in Colonoscopy Center at Rizgary Teaching Hospital, Erbil, IraqMahmood Khudhur0Ali Al Dabbagh1Department of Surgery/General Surgery, Rizgary Teaching Hospital, Erbil, Iraq.Department of Surgery/General Surgery, Rizgary Teaching Hospital, Erbil, Iraq.Background: Rectal bleeding is commonly seen in daily practice. The colonoscopy is an essential diagnostic tool in detecting the various causes of this clinical entity.Objectives: We aimed to detect the different pathological lesions in patients with rectal bleeding using colonoscopy and to find the correlation between colonoscopic findings and the age and gender of the patients. Materials and Methods: This prospective cross-sectional study was conducted at the center of endoscopy and colonoscopy at Rizgary Teaching Hospital throughout the period from April 2018 to April 2019. Patients with bleeding from the rectum and subjected to colonoscopy of any age and gender were enrolled in the current study. Data regarding the age, gender, duration, family history of colorectal cancer, whether the bleeding was fresh or mixed with stool, spontaneous stoppage of bleeding or not, and the colonoscopic findings were recorded for every participant.Results: Of 91 patients with rectal bleeding, there were 55 (60.4%) male. The most affected age group was over 40 years old (n = 47, 51.6%). Only 11 (12.1%) of the participants gave a family history of colorectal cancer. Around three-quarters of the cases involved chronic bleeding. The bleeding was fresh in 60 (65.9%) cases. The majority of the bleeding (n = 74, 81.3%) stopped spontaneously. Hemorrhoids (49.45%) were the most common colonoscopic finding in patients with rectal bleeding, followed by no abnormality (18.68%), and the least diverticular disease (2.2%). There was a statistically significant difference between the age of the patient and the cause of rectal bleeding (P-value = 0.042). However, there was no such correlation regarding the patient's gender (P-value = 0.196). Conclusion: Hemorrhoids were the most common colonoscopic finding in patients with rectal bleeding. The age of the patient can determine the cause of the rectal bleeding. https://amj.uoanbar.edu.iq/article_178354_7c85042f1e5697b1815ee2a0e1b9d1ce.pdfcolonoscopycolonoscopic findingslower gastrointestinal tractbleeding per rectumlower gastrointestinal bleeding |
| spellingShingle | Mahmood Khudhur Ali Al Dabbagh Colonoscopic Findings in Patients with Bleeding Per-rectum in Colonoscopy Center at Rizgary Teaching Hospital, Erbil, Iraq Al-Anbar Medical Journal colonoscopy colonoscopic findings lower gastrointestinal tract bleeding per rectum lower gastrointestinal bleeding |
| title | Colonoscopic Findings in Patients with Bleeding Per-rectum in Colonoscopy Center at Rizgary Teaching Hospital, Erbil, Iraq |
| title_full | Colonoscopic Findings in Patients with Bleeding Per-rectum in Colonoscopy Center at Rizgary Teaching Hospital, Erbil, Iraq |
| title_fullStr | Colonoscopic Findings in Patients with Bleeding Per-rectum in Colonoscopy Center at Rizgary Teaching Hospital, Erbil, Iraq |
| title_full_unstemmed | Colonoscopic Findings in Patients with Bleeding Per-rectum in Colonoscopy Center at Rizgary Teaching Hospital, Erbil, Iraq |
| title_short | Colonoscopic Findings in Patients with Bleeding Per-rectum in Colonoscopy Center at Rizgary Teaching Hospital, Erbil, Iraq |
| title_sort | colonoscopic findings in patients with bleeding per rectum in colonoscopy center at rizgary teaching hospital erbil iraq |
| topic | colonoscopy colonoscopic findings lower gastrointestinal tract bleeding per rectum lower gastrointestinal bleeding |
| url | https://amj.uoanbar.edu.iq/article_178354_7c85042f1e5697b1815ee2a0e1b9d1ce.pdf |
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