Colonoscopic Finding of Patients with Lower Gastrointestinal Bleeding at Different Age Group in Eastern Part of India

Jayanta Paul1

  • 1Department of Gastroenterology, Desun Hospital and Heart Institute, Kolkata, India. dr.jayantapaul@gmail.com.

Prague Medical Report
|March 20, 2020
PubMed

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.

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