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Related Experiment Videos

Management of acute bleeding per rectum.

Benita K T Tan1, Charles B S Tsang, Denis C N K Nyam

  • 1Department of General Surgery, Singapore General Hospital, 169608. gsutkt@sgh.com.sg

Asian Journal of Surgery
|January 15, 2004
PubMed
Summary

Acute rectal bleeding in Singapore is often due to perianal conditions like hemorrhoids. Colorectal causes, though less frequent, include diverticular disease, adenomas, and malignancy, differing from Western populations.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Epidemiology

Background:

  • Rectal bleeding is a frequent reason for hospital admission in colorectal departments.
  • Etiologies of rectal bleeding in Singapore differ from Western demographics.
  • A retrospective analysis was conducted to understand local causes and outcomes.

Purpose of the Study:

  • To analyze the demographics, pathology, and management of acute rectal bleeding in Singapore.
  • To determine the outcomes of patients admitted for rectal bleeding.
  • To compare the etiological differences with Western populations.

Main Methods:

  • Retrospective analysis of 547 patients admitted over a 1-year period (Oct 1995-Sep 1996).
  • Data collected included patient demographics, diagnosis, and treatment.

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  • Diagnostic tools included bedside proctoscopy and colonoscopy.

    • Main Results:

    • 87% of admissions were for perianal conditions, primarily hemorrhoids (94%).
    • Colorectal pathology accounted for 12% of cases, with diverticular disease (33%), adenomas (18%), and malignancy (26%) being most common.
    • Massive colorectal bleeding was rare; colonoscopy was the key diagnostic tool for these cases.

    Conclusions:

    • Perianal conditions are the predominant cause of acute rectal bleeding admissions in Singapore.
    • Colorectal pathologies, while less common, present distinct etiological patterns compared to Western countries.
    • Understanding these local patterns is crucial for effective patient management.