Efficacy of OPD based rigid sigmoidoscopy in diagnosing the patients with bleeding per rectum
DOI:
https://doi.org/10.18203/2349-2902.isj20185484Keywords:
Bleeding per rectum, Rigid sigmoidoscopyAbstract
Background: The aim of study was to evaluate the patients with bleeding per rectum by rigid sigmoidoscopy and to know the various causes of bleeding per rectum in our OPD population and to select the best approach to treat the underlying pathology.
Methods: A total 63 patients with bleeding per rectum in whom cause could not be ascertained by routine methods like proctoscopy were considered from outpatient department form January 2017 to June 2018 for the study. Out of 63 patients, rigid sigmoidoscopy done in 31 patients and results were documented. All 31 patients were undergone for complete clinical examination and rigid sigmoidoscopic examination in the surgical OPD and routine blood, urine and stool investigations were also done.
Results: Out of 31 cases in which sigmoidoscopic examination has been done, definitive source of bleeding is identified in 22 cases (70.97%) and in 9 cases (29.03%), the source of bleeding could not be detected by rigid sigmoidoscope.
Conclusions: Rigid sigmoidoscopy has a very high diagnostic yield (approximately 71% in this study) in patients with bleeding per rectum which could not be detected by routine ano proctoscopy. Hence rigid sigmoidoscopy would be recommended in the workup of patients presenting with bleeding per rectum and it also serves an equally important function in excluding serious colonic lesions like malignancy and enables us to reassure the patient.
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References
Talley NJ, Jones M. Self-reported rectal bleeding in a United States community: prevalence, risk factors, and health care seeking. Am J Gastroenterol. 1998;93:2179-83.
Acosta JA, Fournier TK, Knutson CO, Ragland JJ. Colonoscopic evaluation of rectal bleeding in young adults. Am Surg. 1994;60:903-6.
Graham DJ, Pritchard TJ, Bloom AD. Colonoscopy for intermittent rectal bleeding: impact on patient management. J Surg Res. 1993;54:136-9.
Guillem JG, Forde KA, Treat MR, Neugut AI, Bodian CA. The impact of colonoscopy on the early detection of colonic neoplasms in patients with rectal bleeding. Ann Surg. 1987;206:606-11.
Miller RE. Barium enema versus sigmoidoscopy. Gastrointestinal Endosco. 1982;28:1.
Saunders CG, Mac Ewen DW. Delay in diagnosis of colonic cancer a contributing challenges. Curr Prob Diag Radiol. 1971;45(2):139-48.
Wolff WI, Shinya H, Geffen A, Ozoktay S, DeBeer R. Comparison of colonoscopy and the contrast enema in five hundred patients with colorectal disease. Ame J Surg. 1975 Feb 1;129(2):181-6.
Srinivas B, Shailendra B. The diagnostic efficiency of sigmoidoscopy in patients with bleeding per rectum. IAIM. 2016;3(6):164-9.
Gelfand DW. Complication of gastro-intestinal radiological procedures. Gastrointest Radiol. 1980;5:293-315.
Abrams JS. A second look at sigmoidoscopy indications, failures and cost. Am J Surg. 1982;117:913-7.
Hughes ESR. Surgery of anal canal, anus and rectum. First edition, Livingstone, Edinburgh and London; 1957:127-153.
Leicester RJ, Lightfoot A, Millar J, Colin-Jones DG, Hunt RH. Accuracy and value of the Hemoccult test in symptomatic patients. Br Med J (Clin Res Ed). 1983 Feb 26;286(6366):673-4.
Teague RH, Thornton JR, Manning AP, Salmon PR, Read AE. Colonoscopy for investigation of unexplained rectal bleeding. The Lancet. 1978 Jun 24;311(8078):1350-2.
Hardcastle JD, Farrands PA, Balfour TW, Chamberlain J, Amar SS, Sheldon MG. Controlled trial of faecal occult blood testing in the detection of colorectal cancer. Lancet. 1983;11:1-4.
Leffal LD. Early diagnosis of colorectal cancer. Camcer. 1974;24:152.
Rosato FE, Marker G. Changing site distribution patterns of colorectal cancer at Thomas Gefferson University Hospital. Dis Colon Rectum. 1981;24:1-5.
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