Volume : VIII, Issue : III, March - 2019

Etiology of lower gastrointestinal bleed in a tertiary care centre.

Dr Sunil K, Dr G. Ram Kumar

Abstract :

INTRODUCTION: Lower gastrointestinal bleed is defined as bleeding that occurs from lower GI tract, distal to the ligament of Treitz. The annual incidence of LGI bleeding is approximately 20.5 to 27 cases/100,000 population. It is associated with significant rebleeding and mortality. METHODS: This is a 1 year cross sectional study, data is collected from colonoscopy registry of MGE department from 01 August 2017 to 31 July 2018.Patients presented with lower GI bleed to Department of Digestive health and diseases, chennai were studied. Descriptive statistics were used to calculate Mean ±SD of numerical data, e.g., age. Nominal data like gender and colonoscopic findings were analysed by their frequencies and percentages. RESULTS: A total of 241 patients (134 males and 107 females) with mean age 38.6 +/– 9.2 years were part of the study. Colonoscopy showed abnormal findings in 232 (96.2%).The commonest diagnosis was hemorrhoids, which was found in 71 (29.4%) patients. It was followed by colorectal cancer in 64 (26.5%) patients (Rectosigmoid 57 (89%).27 (11.2%) patients had non–specific colitis, 25 (10.3%) patients had IBD, and fissure, polyps were noted in 15 (6.2%) patients each. Other less frequent findings were SRUS in 9(3.7%) patients, radiation proctitis in 8 (3.3%), and diverticula in 7 (2.9%). CONCLUSION: Hemorrhoids and colorectal cancer were the most common causes of lower gastrointestinal bleed in our patients.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

ETIOLOGY OF LOWER GASTROINTESTINAL BLEED IN A TERTIARY CARE CENTRE., Dr Sunil K, Dr G.Ram Kumar INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019

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