ENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY

Objective: To find the frequency of different diseases causing lower gastrointestinal bleed, its significance in relation to age, gender and socioeconomic status and to compare the results with national and international studies. Study Design: Prospective cross sectional study. Place and Durat...

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Autores principales:	Nadeem Zia, Laima Alam, Nadeem Ashraf
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	colonoscopy developing country ibd lower gastrointestinal bleed socioeconomic status Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/40772d7d76c8493d9509545daf07d005
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spelling	oai:doaj.org-article:40772d7d76c8493d9509545daf07d0052021-12-02T18:44:47ZENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY0030-96482411-8842https://doaj.org/article/40772d7d76c8493d9509545daf07d0052021-02-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6366https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To find the frequency of different diseases causing lower gastrointestinal bleed, its significance in relation to age, gender and socioeconomic status and to compare the results with national and international studies. Study Design: Prospective cross sectional study. Place and Duration of Study: Combined Military Hospital Rawalpindi and Pak Emirates Military Hospital Rawalpindi, from Jan to Dec 2017. Methodology: Patients with age >12 years presenting with lower gastrointestinal bleed in the form of hematochezia, malena or occult blood loss were offered colonoscopy. The findings were noted and their significance in relation to age, gender and socioeconomic status calculated. Results: The most common finding was inflammatory bowel disease (31%), followed by hemorrhoids (13.7%), colorectal malignancy (11% of which 52% were rectal), solitary rectal ulcer (8.6%), miscellaneous causes (6.5%), polyps (5.5%) and diverticular disease (3.6%) with male to female ratios of 2.5:1, 3:1, 3.4:1, 1:1, 2.4:1, 4.8:1 and 2.2:1 respectively. The youngest age group corresponded to solitary rectal ulcer and inflammatory bowel disease, whereas colorectal malignancy and diverticular disease was seen in the elderly. A low to middle socioeconomic status corresponded to colorectal malignancy and inflammatory bowel disease, whereas a middle to higher status was found in case of polyps and diverticular disease. Conclusion: Inflammatory bowel disease, hemorrhoids, colorectal malignancy, solitary rectal ulcer, polyps, diverticular disease and vascular ectasias are on the rise in our country.Nadeem ZiaLaima AlamNadeem AshrafArmy Medical College Rawalpindiarticlecolonoscopydeveloping countryibdlower gastrointestinal bleedsocioeconomic statusMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 1, Pp 215-20 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	colonoscopy developing country ibd lower gastrointestinal bleed socioeconomic status Medicine R Medicine (General) R5-920
spellingShingle	colonoscopy developing country ibd lower gastrointestinal bleed socioeconomic status Medicine R Medicine (General) R5-920 Nadeem Zia Laima Alam Nadeem Ashraf ENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY
description	Objective: To find the frequency of different diseases causing lower gastrointestinal bleed, its significance in relation to age, gender and socioeconomic status and to compare the results with national and international studies. Study Design: Prospective cross sectional study. Place and Duration of Study: Combined Military Hospital Rawalpindi and Pak Emirates Military Hospital Rawalpindi, from Jan to Dec 2017. Methodology: Patients with age >12 years presenting with lower gastrointestinal bleed in the form of hematochezia, malena or occult blood loss were offered colonoscopy. The findings were noted and their significance in relation to age, gender and socioeconomic status calculated. Results: The most common finding was inflammatory bowel disease (31%), followed by hemorrhoids (13.7%), colorectal malignancy (11% of which 52% were rectal), solitary rectal ulcer (8.6%), miscellaneous causes (6.5%), polyps (5.5%) and diverticular disease (3.6%) with male to female ratios of 2.5:1, 3:1, 3.4:1, 1:1, 2.4:1, 4.8:1 and 2.2:1 respectively. The youngest age group corresponded to solitary rectal ulcer and inflammatory bowel disease, whereas colorectal malignancy and diverticular disease was seen in the elderly. A low to middle socioeconomic status corresponded to colorectal malignancy and inflammatory bowel disease, whereas a middle to higher status was found in case of polyps and diverticular disease. Conclusion: Inflammatory bowel disease, hemorrhoids, colorectal malignancy, solitary rectal ulcer, polyps, diverticular disease and vascular ectasias are on the rise in our country.
format	article
author	Nadeem Zia Laima Alam Nadeem Ashraf
author_facet	Nadeem Zia Laima Alam Nadeem Ashraf
author_sort	Nadeem Zia
title	ENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY
title_short	ENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY
title_full	ENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY
title_fullStr	ENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY
title_full_unstemmed	ENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY
title_sort	endoscopic finding in patients presenting with lower gastrointestinal bleed - a study from a developing country
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/40772d7d76c8493d9509545daf07d005
work_keys_str_mv	AT nadeemzia endoscopicfindinginpatientspresentingwithlowergastrointestinalbleedastudyfromadevelopingcountry AT laimaalam endoscopicfindinginpatientspresentingwithlowergastrointestinalbleedastudyfromadevelopingcountry AT nadeemashraf endoscopicfindinginpatientspresentingwithlowergastrointestinalbleedastudyfromadevelopingcountry
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ENDOSCOPIC FINDING IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEED - A STUDY FROM A DEVELOPING COUNTRY

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