Related Experiment Video
Updated: Dec 25, 2025

Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
Published on: February 16, 2024
Colonoscopic Finding of Patients with Lower Gastrointestinal Bleeding at Different Age Group in Eastern Part of India
1Department of Gastroenterology, Desun Hospital and Heart Institute, Kolkata, India. dr.jayantapaul@gmail.com.
Insights
Lower gastrointestinal bleeding (LGIB) is increasingly common. In Eastern India, hemorrhoids, anal fissures, and rectal ulcers are the most frequent causes identified by colonoscopy across all age groups.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Internal Medicine
Background:
- Lower gastrointestinal bleeding (LGIB) incidence is rising globally.
- LGIB affects all age groups and is a common reason for colonoscopy.
- Limited data exists on LGIB causes in Eastern India.
Purpose of the Study:
- To determine the common causes of LGIB diagnosed via colonoscopy in Eastern India.
- To analyze LGIB causes across different age demographics.
- To address the lack of previous regional studies on LGIB etiology.
Main Methods:
- A prospective study included 64 consecutive patients with LGIB from June 2018 to March 2019.
- Patients were categorized into three age groups: 20-40, 41-60, and over 60 years.
- Colonoscopic findings were analyzed using SPSS version 22.
Main Results:
- The most prevalent causes of LGIB were hemorrhoids (50%), anal fissures (17.2%), and isolated rectal ulcers (14.1%).
- Colorectal cancer was diagnosed in 9.4% of cases, with a higher prevalence in females.
- Normal colonoscopic findings were observed in 10.9% of patients.
Conclusions:
- Hemorrhoids, anal fissures, and isolated rectal ulcers are the primary causes of LGIB in Eastern India.
- LGIB affects males more frequently than females.
- Colonoscopy is crucial for diagnosing LGIB causes across diverse age groups in this region.
Abstract:
Incidence of lower gastrointestinal (GI) bleeding (LGIB) is increasing over time. It can be seen in all age group patients, commonly associated with pre-existing comorbidities and is one of the common indications of colonoscopy. This study was done to identify common causes of LGIB in eastern part of India, because there is no previous study from Eastern India to identify the common causes of lower GI bleeding diagnosed by colonoscopy in different age group patients. Consecutive 64 patients with LGIB were included in this study from June 2018 to March 2019. We divided our study population into three groups, such as group A (20 years to 40 years), group B (41 years to 60 years), and group C (more than 60 years). Data were entered into Excel and then transferred into SPSS version 22 for statistical analysis. Mean age of study population was 49.83 ± 19.06 years. Normal colonoscopic finding was seen in 7 patients (10.9%). Most common colonoscopic findings of our study population were hemorrhoids (n=32; 50%), anal fissure (n=11; 17.2%) and isolated rectal ulcer (n=9; 14.1%). Colorectal growth was seen in 6 patients (9.4%), among them female patients were more commonly affected than male patients. Therefore, most common causes of LGIB in eastern part of India are hemorrhoids, anal fissure and isolated rectal ulcer. Male individuals are more commonly affected by LGIB.
More Related Videos
15:49Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
03:43Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
Related Concept Videos
Lower GI Series: Barium Enema
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...