Endoscopy Department of General Surgery; Colonoscopy Experience in Rectal Hemorrhage

Abstract

Purpose : Our aim was to evaluate the outcomes of the patients in colonoscopy because of rectal bleeding.

Methods: 2,356 patients undergoing elective colonoscopy between January 2008- June 2012 were evaluated retrospectively the results that have been made. Histopathological examination of the patients were evaluated with polypectomy and biopsy results.

Results: 2356 the patient's elective colonoscopy examination 787 (33.2%) had been admitted with rectal bleeding in 4 years. 659 patients (27.9%), constipation and 424 patients (17.9%) patients, weight loss and anemia examination, 117 patients (4.9%), diarrhea, and 329 patients (13.9%) before the follow-up colonoscopy polypectomy or colorectal cancer after surgery. 787 patients presenting with rectal bleeding were evaluated retrospectively. Of these patients, 456 (58%) hemorrhoidal disease, 149 (19%) polyps in the colon or rectum, 86 (11%), iverticular disease, 62 (8%), colon or rectal cancer, 23 patients (3%), inflammatory bowel disease, colonoscopic examinations were normal in 11 patients.

Conclusion: We think that colonoscopy is an important examination, rectal bleeding, the bleeding lesion to be visible supply, as well as histopathological diagnosis in patients with suspected malignancy, since it benefits provide.

Keywords

• Rectal Bleeding; Colonoscopy

Genel Cerrahi Endoskopi Ünitemizdeki Rektal Kanamalarda Kolonoskopi Deneyimlerimiz

Öz

Amaç: Bu çalışmada rektal kanama nedeniyle kolonoskopi yaptığımız hastaların sonuçlarını değerlendirmek amaçlanmıştır.

Materyal ve Metod: Ocak 2008– Haziran 2012 tarihleri arasında elektif kolonoskopi yapılmış olan 2356 hastanın sonuçları retrospektif olarak incelendi. Bunların içerisinde 787 adet rektal kanamalı hasta olduğu belirlendi. Polipektomi ve biyopsi yapılan hastaların histopatolojik inceleme sonuçları da değerlendirmeye alındı.

Bulgular: 4 yıl içinde elektif kolonoskopik inceleme yapılan 2356 hasta’nın 787’si (%33.2) rektal kanama nedeniyle müracaat etmişti.. Rektal kanama nedeniyle başvuran 787 hasta retrospektif olarak değerlendirildi. Bu hastaların 456’sında (%58) hemoroidal hastalık, 149’sında (%19) kolon veya rektumda polip, 86’sında (%11) divertiküler hastalık, 62’sinde (%8) kolon veya rektum tümörü, 23’ünde (%3) inflamatuvar barsak hastalığı, 11 hastada ise kolonoskopik inceleme normal bulundu.

Sonuç: Kolonoskopinin, rektal kanamalarda, hem kanayan lezyonun gözle görülebilmesine olanak sağlaması, hem de malignite şüphesi olan olgularda histopatolojik tanının sağlanabilmesi avantajlarını içermesinden dolayı önemli bir tetkik olduğunu düşünmekteyiz.

 

Anahtar Kelimeler

• Rektal kanama; Kolonoskopi

Kaynakça

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