[Hematochezia : when should we worry ?]
David Roth1, Rasa Kontrauskaite1, Agnes Puigrenier1
1Bauch-Medizin-Bienne, Rue de la Gare 14, 2500 Bienne.
Abstract:
Hematochezia is a common symptom, which could reveal benign pathologies as well as malign. It should therefore be considered properly, and explained in the best possible ways. It could be falsely reassuring when it happened in young people, for the proportion of malign causes is relatively low in this population. It could also once a while hide a serious condition, which should be recognized and treated as soon as possible. The gastroenterology societies do not differentiate rectosigmoidoscopy and colonoscopy, in the process of diagnostic of an hematochezia. We suggest an algorithm of diagnostic, which could use an anuscopy as first line examination, eventually completed by a colonoscopy depending on the results of the first examination as well as the evolution under treatment.
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