Clinical Profile and Colonoscopic Findings in Patients Presented with Lower Gastrointestinal Bleeding in UCMS

Authors

  • Aakash Shahi Universal College of Medical Sciences, Bhairahawa, Nepal
  • Suresh Shrestha Dev Hospital, Chitwan, Nepal
  • Shatdal Chaudhary Universal College of Medical Sciences, Bhairahawa, Nepal
  • Pushpa Raj Dhakal Universal College of Medical Sciences, Bhairahawa, Nepal
  • Anita Shah Universal College of Medical Sciences, Bhairahawa, Nepal

DOI:

https://doi.org/10.3126/jucms.v9i01.37859

Keywords:

Colonoscopy, Haemorrhoids, Lower GI bleeding

Abstract

INTRODUCTION

The lower gastrointestinal bleeding (LGIB) is an alarming symptom and common disease with annual admission of 0.15% with mortality rate of 5-10%. LGIB is caused by neoplastic and non-neoplastic lesions. For accurate diagnosis of various colorectal lesions, colonoscopy is gold standard, convenient and cost effective procedure. It is the investigation of choice in LGIB and helps in early diagnosis of colorectal carcinoma. This study was aimed to scrutinize the clinical and colonoscopic findings in patients with LGIB in UCMS.

 

MATERIAL AND METHODS

This was a hospital based prospective observational study conducted after taking permission from institutional review committee in January 2017 at UCMS-TH from 15th January 2017 to 15th January 2018. All patients presenting with LGIB who fulfilled inclusion and exclusion criteria and gave written consent were included.

 

RESULTS

Total 88 patients were included in the study. The mean age of our patients was 48 ±17 years with age range from 17-81 years. Majority were in the age group 50-60 years (25%) (n=22). Colonoscopy detected abnormality in 73.8% cases. The common non-neoplastic were haemorrhoids and non-specific colitis (14.5% each) followed by 12.5% of neoplastic cases. The higher frequency of colorectal lesions was observed in males comprising 72.7% (n=64) patients. The most commonly diagnosed etiologies of LGIB were haemorrhoid and nonspecific colitis respectively.

 

CONCLUSION

Colonoscopy detected abnormality in 75% of cases. The common causes of LGIB were haemorrhoids and non-specific colitis followed by neoplastic lesion. A careful history, physical and colonoscopic examination with or without biopsy makes significant impact for early diagnosis and treatment.

 

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Author Biographies

Aakash Shahi, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

 

Suresh Shrestha, Dev Hospital, Chitwan, Nepal

Department of Internal Medicine, Dev Hospital, Chitwan, Nepal

Shatdal Chaudhary, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Pushpa Raj Dhakal, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Anita Shah, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Pathology

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Published

2021-06-22

How to Cite

Shahi, A., Shrestha, S., Chaudhary, S., Dhakal, P. R., & Shah, A. (2021). Clinical Profile and Colonoscopic Findings in Patients Presented with Lower Gastrointestinal Bleeding in UCMS. Journal of Universal College of Medical Sciences, 9(01), 13–17. https://doi.org/10.3126/jucms.v9i01.37859

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Section

Original Articles