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Published on: April 26, 2019
Rectal bleeding in Egyptian children
Hamed A El-Khayat1, Mostafa A El-Hodhod, Fatma Z Abd El-Basset
1Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Annals of Tropical Paediatrics
|November 30, 2006
Summary
Infectious enterocolitis, colorectal polyps, and chronic colitis are leading causes of rectal bleeding in Egyptian children. This study investigated the various causes and clinical features of bleeding per rectum (BPR) in this population.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Health
- Clinical Etiology Studies
Background:
- Bleeding per rectum (BPR) in infants and children presents a diagnostic challenge.
- Understanding the specific causes of BPR is crucial for appropriate management in pediatric populations.
Purpose of the Study:
- To determine the etiological spectrum of bleeding per rectum (BPR) in Egyptian infants and children.
- To characterize the clinical features associated with different causes of BPR.
Main Methods:
- Prospective study of 194 children diagnosed with BPR.
- Comprehensive diagnostic work-up including laboratory tests, imaging (radiology, radio-isotope scanning, angiography), endoscopy, and histopathology.
Main Results:
- Infectious enterocolitis was the most frequent cause (37.1%), followed by colorectal polyps (21.1%) and chronic colitis (16%).
- Other identified causes included intussusception, Meckel's diverticula, and various colitis types.
- A small percentage of cases (1.5%) had an 'obscure' cause.
Conclusions:
- Infectious enterocolitis, colorectal polyps, and chronic colitis are the primary contributors to BPR in Egyptian children.
- The findings highlight the importance of considering these common etiologies in the pediatric population.
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