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[Colonoscopy in hemorrhagic lesions of the colon]
J Canedo Acosta1, R Salazar Mendoza
1Servicio de Endoscopia, Hospital Regional Adolfo López Mateos, ISSSTE, México, D.F.
Insights
Colonoscopies precisely diagnose colon hemorrhage causes, with polyps being most frequent in adults and children. Diverticular disease and carcinoma are other significant causes identified in this study.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Abstract:
Patients with this pathology represents a difficult problem in differential diagnosis. Clinical findings and radiologic studies could help but endoscopy is now the most precise method in order to determine the site and nature of hemorrhage. We performed 504 colonoscopies in colon hemorrhage finding that our most frequent cause were polyps in both, children and adults in 199 cases (39%); diverticular disease was the second with 131 patients (26%) and third carcinoma with 52 (10%). Other causes were amebic colitis in 47 (8%); inflammatory bowel disease in 28 (6%) and infectious colitis in 13 (3%). Risks, complications and limitations of colonoscopy, as well as its great utility in diagnosis and treatment of colonic hemorrhagic lesions are commented.