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Sigmoidoscopy in minor lower gastrointestinal bleeding
E Balkan1, I Kiriştioğlu, A Gürpinar
1Uludağ University Medical Faculty, Department of Paediatric Surgery, Bursa, Turkey.
Archives of Disease in Childhood
|June 5, 1998
Summary
Sigmoidoscopic examination is crucial for diagnosing and treating minor rectal bleeding in children. This study found various causes, emphasizing the need for histopathological confirmation.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Minor lower gastrointestinal bleeding is a common concern in pediatric patients.
- Accurate diagnosis is essential for appropriate management and treatment planning.
Purpose of the Study:
- To investigate the diagnostic, evaluative, and therapeutic role of sigmoidoscopic examination in pediatric patients with minor rectal bleeding.
- To identify the common causes of minor rectal bleeding in children.
Main Methods:
- A retrospective review of 100 pediatric patients (8 months to 14 years) who underwent rigid sigmoidoscopy for minor rectal bleeding between 1989 and 1996.
- Exclusion of patients with bleeding secondary to infections, anal fissure, or hemorrhoids.
- Analysis of endoscopic and histopathological findings for diagnosis and prognosis.
Main Results:
- Endoscopic findings were identified in 60 patients.
- The most frequent diagnoses included rectal polyps (32 patients), non-specific proctitis (16 patients), and solitary rectal ulcers (4 patients).
- Other findings included ulcerative colitis, Hirschsprung's enterocolitis, and hemangioma.
Conclusions:
- Sigmoidoscopic examination is a valuable tool for the diagnosis, prognosis, and treatment selection in pediatric patients with minor rectal bleeding.
- Histopathological confirmation of diagnoses is recommended for accurate patient management.