Investigating painless rectal bleeding—is there scope for improvement?

Clarke, G.; Robb, Andrew; Sugarman, Ian; McCallion, W. A.

doi:10.1016/j.jpedsurg.2005.08.007

Cited by 22 publications

(13 citation statements)

References 11 publications

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“…Lymphoid nodular hyperplasia should be considered as a differential diagnosis of LGIB in every infant who presents with LGIB under age of 2 years especially in breast fed infants. About 30.7% of colonoscopies was non-diagnostic in this study which is within the range reported in other studies; the study done by Clarke, et al (24) reported 30% normal results; another study conducted in this center revealed a prevalence rate of 23% of normal colonoscopy and Mandhans (25) reported a rate of 10.6%. Colonoscopy, even in the best centers of the world cannot find any abnormality in 10%-30% of patients with LGIB that might be attributed to several causes such as hidden positions of lesions between intestinal folds, incomplete colonoscopy since poor bowel preparation and presence of lesions are not examined segments, auto-amputation of polyps and repaired ulcer or other lesions before performing the procedure (21).…”

Section: Discussionsupporting

confidence: 84%

Lower Gastrointestinal Bleeding in Children: Experiences From Referral Center in Southern Iran

et al. 2013

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Background: Lower gastrointestinal bleeding (LGIB) in infants and children is a common problem in medical centers; however, its epidemiologic properties have not been studied well. Objectives: Due to the fact that LGIB has various causes in different geographical places, considering the importance of etiology in decision making for diagnostic techniques and treatment and since the lack of comprehensive database related to this issue, the main purpose of the current study was to determine the main causes of LGIB in children in a single center from Southern Iran. Patients and Methods:The study was conducted on all the patients less than 18 years old with LGIB who referred to Pediatric Gastroenterology Ward affiliated with Shiraz University of Medical Sciences between 2005 and 2009. The data, including the patients' sex, age, and endoscopic as well as pathological findings, were collected and analyzed. Results: Overall, our series included a total of 309 patients with LGIB (185 males and 124 females) below 18 years old. The most common causes of LGIB included colorectal polyps (n = 90; 29.1%), lymphoid nodular hyperplasia (n = 62; 20%), solitary rectal ulcer (n = 31; 10%), and inflammatory bowel disease (n = 20; 6.5%). Nevertheless, no obvious causes were identified in 30.7% of the patients. The prevalence of lymphoid nodular hyperplasia in less than 2 years old patients and colorectal polyps in the 2-6 years old patients were significantly higher than the other causes (P = 0.001). The most cases with inflammatory bowel diseases and solitary rectal ulcer were more than 2 years old. On the other hand, no statistically significant differences were observed between males and females as well as different age groups regarding the means of the underlying causes of LGIB (P > 0.05). Conclusions:The results of present study could be used by the Iranian physicians in order to gain an overall picture of LGIB in Iran and guide the management of the patients with LGIB.

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Section: Discussionsupporting

confidence: 84%

Lower Gastrointestinal Bleeding in Children: Experiences From Referral Center in Southern Iran

et al. 2013

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“…In our patient the initial LGI endoscopy could not pick up the vascular malformation. The diagnosis is obtained in 70% cases on full colonoscopy [4]. The arteriography and the blood scan led us to a possible lesion in the rectum.…”

Section: Discussionmentioning

confidence: 92%

Lower Gastrointestinal Vascular Malformation in Children

Arora

Ghosh

Rao

2008

Medical Journal Armed Forces India

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“…5 In 35% of children, no cause was found. The Royal Belfast Hospital for Sick Children reviewed 314 patients aged 1 to 15 years, seen over ten years, who had colorectal endoscopy for recurrent rectal bleeding, after infective colitis and anal fissure secondary to constipation had been excluded.…”

Section: Childrenmentioning

confidence: 99%