Volume 5, Issue 2 (Summer 2002)
J Arak Uni Med Sci 2002, 5(2): 29-33 |
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Fani A. A Study on the Etiology of Gross Rectorrhagia in Adult Patients, Referred to Clinics of Arak University of Medical Sciences From Jul, 23, 2000 to Aug, 22, 2001. J Arak Uni Med Sci 2002; 5 (2) :29-33
URL: http://jams.arakmu.ac.ir/article-1-6701-en.html
URL: http://jams.arakmu.ac.ir/article-1-6701-en.html
Assistant Professor, Arak University of Medical Sciences, Arak, Iran.
Abstract: (13216 Views)
Introduction: Lower gastrointestinal bleeding (GIB) as well as upper GIB, is one of the most common causes of patients referral to surgen and internist. From patients view, nothing is as terrible as bleeding from mouth or anus. Lower GIB may be benign or malignant, simple or complex. Bleeding may be occult with further weakness, or it may be severe and lead to death. So lower GIB work up from etiological point of view is mandatory.
Materials and Methods: This was an observational and descriptive-analytic study, performed from Jul, 23, 2000 to Aug,11, 2001. In this study, we evaluated patients with gross rectorrhagia referred to aspecial clinics, by history taking, physical examination, anoscopy, rectosigmoidoscopy, colonoscopy and barium enema.
Results: From the total number of 580 cases who completed the study, 55.0% were male and 44.8% female . 401/3% had constipation and rectorrhagia, 14.7% had chronic diarrhea with rectorrhagia and 45% had rectorrhagia with normal bowel habits. From etiological point of view , 20% of patients had hemorrhoid , 12.4% had anal fissures, 10.2% had inflammatory bowel disease (IBD), 9.65% had polyps, 3.1% had infective pocititis and 30.4% were unknown causes.
Conclusion: Gross rectorrhagia is relatively common cause of GIB. Although most of the lesions were of benign nature. in this study, because of serious complications and high morbidity and mortality, IBD, colonic polyps and cancer must be ruled out with complete work up.
Materials and Methods: This was an observational and descriptive-analytic study, performed from Jul, 23, 2000 to Aug,11, 2001. In this study, we evaluated patients with gross rectorrhagia referred to aspecial clinics, by history taking, physical examination, anoscopy, rectosigmoidoscopy, colonoscopy and barium enema.
Results: From the total number of 580 cases who completed the study, 55.0% were male and 44.8% female . 401/3% had constipation and rectorrhagia, 14.7% had chronic diarrhea with rectorrhagia and 45% had rectorrhagia with normal bowel habits. From etiological point of view , 20% of patients had hemorrhoid , 12.4% had anal fissures, 10.2% had inflammatory bowel disease (IBD), 9.65% had polyps, 3.1% had infective pocititis and 30.4% were unknown causes.
Conclusion: Gross rectorrhagia is relatively common cause of GIB. Although most of the lesions were of benign nature. in this study, because of serious complications and high morbidity and mortality, IBD, colonic polyps and cancer must be ruled out with complete work up.
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