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Related Experiment Videos

One stop rectal bleeding clinic: the coventry experience.

A E Agaba1, N Berry, P O Agaba

  • 1Department of Colorectal Surgery, Walsgrave Hospital, Coventry, United Kingdom. eagaba@hotmail.com

International Surgery
|October 26, 2006
PubMed
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A one-stop rectal bleeding clinic effectively diagnosed common causes like hemorrhoids and diverticulosis. This clinic identified colorectal cancer in 1.6% of patients, highlighting its diagnostic performance for rectal bleeding evaluation.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Diagnostic Medicine

Background:

  • Rectal bleeding is a frequent symptom in patients visiting rectal clinics, often due to benign conditions.
  • Neoplastic causes, though less common, necessitate thorough investigation due to their severity.
  • Left-sided colorectal tumors are prevalent and accessible via flexible sigmoidoscopy.

Purpose of the Study:

  • To evaluate the diagnostic accuracy and performance of a one-stop rectal bleeding clinic.
  • To assess the spectrum of conditions diagnosed in patients presenting with rectal bleeding.
  • To determine the yield of detecting significant colorectal pathology in a dedicated clinic setting.

Main Methods:

  • A prospective study of 250 consecutive patients presenting to a one-stop rectal bleeding clinic.

Related Experiment Videos

  • Data collection included patient history, digital rectal examination, proctoscopy, and rigid sigmoidoscopy.
  • Further investigations comprised colonoscopy or flexible sigmoidoscopy with barium enema.

    • Main Results:

    • Colorectal cancer was diagnosed in 1.6% of patients (n=4).
    • Adenomatous polyps were found in 14.4% (n=36), and ulcerative colitis in 3.2% (n=8).
    • No abnormality was detected in 39.2% (n=98), while diverticulosis (24%) and hemorrhoids (17.6%) were common findings.

    Conclusions:

    • The one-stop rectal bleeding clinic demonstrated effective diagnostic capabilities for a range of colorectal conditions.
    • The clinic successfully identified both benign and malignant pathologies, including colorectal cancer.
    • This model provides efficient evaluation for patients with rectal bleeding, aiding timely diagnosis and management.