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Volume 5, Issue 2 (Summer 2002)                   J Arak Uni Med Sci 2002, 5(2): 29-33 | Back to browse issues page

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Fani A. A Study on the Etiology of Gross Rectorrhagia in Adult Patients, Referred to Clinics of Arak University of Medical Sciences From Jul, 23, 2000 to Aug, 22, 2001. J Arak Uni Med Sci. 2002; 5 (2) :29-33
URL: http://jams.arakmu.ac.ir/article-1-6701-en.html
Assistant Professor, Arak University of Medical Sciences, Arak, Iran.
Abstract:   (80 Views)
Introduction: Lower  gastrointestinal  bleeding (GIB)  as  well  as  upper  GIB, is  one  of  the  most  common  causes  of  patients  referral  to  surgen  and  internist. From  patients  view, nothing  is  as  terrible  as  bleeding  from  mouth  or  anus.  Lower  GIB  may  be  benign  or  malignant, simple  or  complex. Bleeding  may  be  occult  with  further  weakness, or  it  may  be  severe  and  lead  to  death.  So  lower  GIB   work  up  from  etiological  point  of  view  is  mandatory.
Materials  and  Methods:  This  was  an  observational  and  descriptive-analytic  study, performed  from  Jul, 23, 2000  to Aug,11, 2001.  In  this  study, we  evaluated  patients  with  gross  rectorrhagia  referred  to  aspecial  clinics, by  history  taking, physical  examination, anoscopy, rectosigmoidoscopy, colonoscopy  and  barium  enema.
Results: From  the  total  number  of  580  cases  who  completed  the  study, 55.0%  were  male  and  44.8%  female . 401/3%  had  constipation  and  rectorrhagia, 14.7% had  chronic  diarrhea  with  rectorrhagia  and  45%  had  rectorrhagia  with  normal  bowel  habits.  From  etiological  point  of  view , 20%  of  patients  had  hemorrhoid , 12.4%  had  anal  fissures, 10.2%  had  inflammatory  bowel  disease  (IBD), 9.65%  had  polyps, 3.1%  had  infective  pocititis  and  30.4%  were  unknown  causes.
Conclusion: Gross  rectorrhagia  is  relatively  common  cause  of  GIB. Although  most  of  the  lesions  were  of  benign  nature. in  this  study, because  of  serious  complications  and  high  morbidity  and  mortality, IBD, colonic  polyps  and  cancer  must  be  ruled  out  with  complete  work  up.
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Type of Study: Original Atricle | Subject: psychology
Received: 2021/01/20 | Accepted: 2002/07/1

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