The Value of Colonoscopy in the Diagnosis of Bleeding Per Rectum in Adults

Ibrahim, Jamal Mohammed; Sultan, Awni Ismail; Al-Atrakchi, Hisham A.

doi:10.5958/0973-9130.2019.00311.6

Cited by 3 publications

(2 citation statements)

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“…The Baron band ligation procedure is the furthermost effective and widely used methods for managing 2 nd and 3 rd degree hemorrhoids [12][13] . The McLeod and MacRae meta-analysis showed that rubber band ligation is the utmost effective outpatient treatment for hemorrhoids [14][15] . Though effective, it is related with a high proportion of recurrence of third-degree hemorrhoids in longterm follow-up.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Symptomatic Hemorrhoids by Baron’s Band Ligation

Nauman¹,

din²,

Gul³

et al. 2021

PJMHS

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Haemorrhoids are a clinical symptom of a change in the normal functional architecture of the inflamed and swollen veins known as the anal cushion. Numerous treatment opportunities are available for this communal issue, but Baron's Gum Ligation (RBL) is the utmost frequently used technique for second- and third-degree haemorrhoids because it treats hemorrhoidal disease without anaesthesia, hospitalization, minimal complications, and ooutpatient discharge is uneventful compared to conventional surgery. Purpose: We conducted this study to evaluate the effectiveness of rubber band ligation in the treatment of second- and third-degree haemorrhoids. Methodology: This prospective study was performed on 76 patients over a six-month period at the Department of General Surgery from January 2021 to June 2021 at Islam Medical College and Teaching Hospital Sialkot. Rubber rubber ligation was used in all patients. A maximum of two haemorrhoids in one session were banded, and third as needed in a check-up done two weeks later. At the end of the fourth week, post-banding assessments were made for the presence and absence of bleeding, pain, and haemorrhoidal prolapse. Results: Of the 76 patients, 60 (78.9%) were male and 16 (21.1%) were female. The M:F ratio was 5.0: 1.0. 37.85 years was the mean age of patients (range 15 to 68). The duration of symptoms in approximately 48 patients (63.2%) was less than one year old, and in 18 (23.7%) patients ranged from 1 to 3 years and 10 (13.2%) patients had symptoms for more than 4 years. Complications occurred in 23 patients, bleeding in three patients, pain in 18 patients, 2 patients have prolapsed. Conclusion: RBL is effective, safe and simple method of symptomatic treatment for 2nd and 3rd degree haemorrhoids in an outpatient setting.

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Section: Discussionmentioning

confidence: 99%

Treatment of Symptomatic Hemorrhoids by Baron’s Band Ligation

Nauman¹,

din²,

Gul³

et al. 2021

PJMHS

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“…The preferred screening test of the American College of Gastroenterology (ACG) is colonoscopy (Rex et al, 2017). Colonoscopy is considered safe and has low morbidity and mortality rates (Ibrahim, Sultan, & Al-Atrakchi, 2019). Although healthcare providers are more diligent concerning the recommending, scheduling, and performing of screening colonoscopies, the ACS (2019) suggests that there is still room for improvement.…”

Section: Colonoscopy Screeningmentioning

confidence: 99%

Colonoscopy Screening and Polyp Detection in the Southeastern United States

Oden

Nelson

Williams

2022

Gastroenterology Nursing

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Cancer is the second leading cause of death in the United States (U.S.) (Centers for Disease Control and Prevention, 2017). according to Siegel, Miller, and jemal (2019), it is estimated that over 1.7 million people will be diagnosed with cancer and, of those diagnosed, over 600,000 will die from the disease. The National Cancer Institute (2019) estimates that between 3% and 35% of cancer-related deaths could be prevented by screening. Screening may also decrease morbidity rates, as it is often easier to treat an early-stage cancer as opposed to a late-stage cancer. BackgroundColorectal cancer (CRC) is the third cause of cancerrelated deaths (excluding certain skin cancers), and is the third most common cancer in both men and women (Centers for Disease Control and Prevention, 2020). There are an estimated 240,000 new cases diagnosed each year with approximately 112,000 deaths. arnold et al. ( 2017) estimate that the incidence rate for CRC will increase by 60% by the year 2030.advances in screening and treatment of CRC in the U.S. have resulted in decreased mortality rates (Hunleth, Steinmetz, McQueen, & james, 2016). Screening for CRC allows for detection and removal of precancerous polyps, which are directly linked to a decline in incidence rates (Lieberman et al., 2016). furthermore, according to the american Cancer Society (aCS, 2020), screening and early detection leads to an increase in survivability among CRC

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The Value of Colonoscopy in Assessing Rectal Bleeding in Patients Referred From Outpatient Care Units in Erbil, Iraq

Haweizy,

Qader

2024

Cureus

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Background and objectives: Rectal bleeding denotes bleeding from the lower colon or rectum, specifically from a location distal to the ligament of Treitz. Lower gastrointestinal bleeding (LGIB) is very common in adults of all ages. This study aimed to review the diagnostic findings of colonoscopy in outpatients who had nonurgent rectal bleeding and identify common pathologies causing rectal bleeding in patients at Erbil and Rizgary Teaching Hospitals in Iraq. Methods: We selected 400 male and female patients from outpatient departments with evidence of rectal bleeding, referring them to the gastroenterology units of Erbil and Rizgary Hospitals in Erbil, Iraq. Patients with upper gastrointestinal bleeding (UGIB) sources and other symptoms were excluded from the study. We prepared the bowel, subjected all patients to a colonoscopy, and recorded the findings. Where necessary, biopsies were also taken. A diagnosis was made based on the colonoscopic findings. Results: The total number of patients was 400. Their mean age + SD was 44.9 + 15.9 years, ranging from 18 to 83 years, and the highest proportion of the diagnoses was hemorrhoids, either alone (n = 140, 35%) or in combination with other diseases. The results indicated that 48 (40%) males aged < 45 years had hemorrhoids, compared with 33 (33.7%) males aged ≥ 45 years; for females, 29 (30.9%) in those aged < 45, compared to 30 (34.1%) in those aged ≥ 45. The next two prevalent diagnoses in the total sample were inflammatory bowel disease (n = 31, 7.8%) and colorectal tumor (n = 37, 9.3%). It was observed that around one-fifth (n = 79, 19.8%) of the sample was normal. Conclusion: This study highlights the leading causes of LGIB as diagnosed through colonoscopy. The main causes and patterns of LGIB across gender and age groups in Erbil were generally similar to other settings but with some differences. Hemorrhoids caused the most rectal bleeding, followed by tumors and then inflammatory bowel disease. The older group had more cases of diverticulosis than the younger group. Although most findings were benign, colonoscopy should be strongly considered for outpatients (young and old) with nonurgent rectal bleeding.

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The Value of Colonoscopy in the Diagnosis of Bleeding Per Rectum in Adults

Cited by 3 publications

References 25 publications

Treatment of Symptomatic Hemorrhoids by Baron’s Band Ligation

Treatment of Symptomatic Hemorrhoids by Baron’s Band Ligation

Colonoscopy Screening and Polyp Detection in the Southeastern United States

The Value of Colonoscopy in Assessing Rectal Bleeding in Patients Referred From Outpatient Care Units in Erbil, Iraq

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