Summary
One hundred and forty four patients underwent colonoscopy to detect the cause of rectal bleeding. This was successful in either identifying the lesion or excluding the presume of lesions up to the cecum in 88.88% patients. The source of bleeding was diagnosed in 106 (73.61%) patients. Predominant lesions were nonspecific colitis and ulcers (62.26%), polyps (17.92%), cancer (8.49%), rectal varices (3.77%) and tuberculosis (1.88%). The remainder had other colonie conditions such as radiation colitis, ischemic colitis, vascular malformation, diverti-culosis, right sided ulcerative colitis and pseudopancreatic cyst communicating with the descending colon. The majority (94.33%) of these lesions involved the Heft colon. Thus colonoscopic examination was useful in localizing the cause of rectal bleeding and the predominant lesions were differed from those reported in the western hemisphere.
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References
Schmitt MG, Wallace C, Wu MB, et al: Diagnostic colonoscopy. Gastroenterology 1975;69:765–769
Way JD: Colonoscopy in rectal bleeding. South African J Surg 1976;14:143–149
Knoepp RH, Mc-Culloch JH: Colonoscopy in the diagnosis of unexplained rectal bleeding. Dis Col & Rect 1978;21:590–593
Tedesco FJ, Way JD, Raskin JB, et al: Colonoscopic evaluation of rectal bleeding. A study of 304 patients. Ann intern Med 1978;89:907–909
Teague RH, Manning AP, Thornation JR, et al: Colonoscopy for investigation of unexplained rectal bleeding. Lancet 1978;1: 1350–1351
Knutson CO, Max MH: Value of colonoscopy in patients with rectal blood loss unexplained by rigid proctosigmoidoscopy and barium contrast examination. Am J Surg 1980;139:84–87
Williams CB, Hunt RH, Loose H, et al: Colonoscopy in the management of colon polyps. Br J Surg 1974;61:673–682
Bhargava DK, Vij JC, Berry M: Diagnostic colonoscopy. Indian J Med Res 1981;73:106–114
Penfold JC: The results of diagnostic colonoscopy in the management of unexplained bleeding from the rectum. Aust NZ Surg 1975;45:361–363
Swarbrick ET, Fevre Dl, Hunt RH, et al: Colonoscopy for unexplained rectal bleeding. Br Med J 1978;2:1685–1687
Mohamed ARE, Ven D, Al Karawi MA, et al: Lower Gastrointestinal tract Pathology in Saudis: Results of endoscopie biopsy findings in 1600 patients. Ann Saudi Med 1987;7:306–311
Yates JN, Clausen EG: Simple nonspecific ulcers of sigmoid colon. Arch Surg 1960;81:535–541
Butsch JL, Dockerty MB, McGill DB, et al: Solitary nonspecific ulcer of colon. Arch Surg 1969;98:171–174
Kurtz MD: Colonoscopic diagnosis of non specific ulcers of the colon. Gastrointest Endosc 1976;23:90–91
Mahoney TJ, Bubrick MP, Hitchock CR: Nonspecific ulcers of the colon. Dis Col & Rect 1978;21:523–526
Makou G, Chakravorty RC, Wilson WH: Nonspecific ulcer of the ascending colon. Dis Col & Rect 1979;22:256–259
Morson BC, Dawson Ian MP: Solitary ulcer syndrome. In: Morson BC, Dawson Ian MP, eds. Gastrointestinal Pathology 2nded. Blackwcll Scientific Publications, London. 1979;699–701
Lebrec D, Benhamou JP: Ectopic Varices in portal hypertension. Clinics in Gastrocntcrology 1985;14:105–121
Vcrma R, Kapur BML: Massive rectal bleeding due to intestinal tuberculosis. Am J Gastroenterol 1979;71:217–219
Cello JP: Ulcerativc colitis. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal disease. 3rd cd. WB Saunders Company, Philadelphia. 1983;1122–1168
Myren JH, Eie A, Serck-Hanssen: The diagnosis of colitis with biopsy and X-ray examination. Scand J gastroenterol 1976:11: 141–144
Miller RE: Detection of colon carcinoma and the barium enema. JAMA 1975;230:1195–1198
Winawer SJ, Miller DG. Schottenfield D, et al: Screening for colorectal cancer with fecal occult blood testing. Front Gastrointest Res 1979;5:28–34
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Bhargava, D.K., Rai, R.R. & Chopra, P. Colonoscopy for investigation of unexplained rectal bleeding in a tropical country. Gastroenterol Jpn 25, 781–785 (1990). https://doi.org/10.1007/BF02779196
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DOI: https://doi.org/10.1007/BF02779196