| Revista: | Revista latinoamericana de hipertensión |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000437823 |
| ISSN: | 1856-4550 |
| Autores: | Abdul Hussian, Summer Saad1 |
| Instituciones: | 1University of Kirkuk, College of Medicine, Kirkuk. Irak |
| Año: | 2019 |
| Volumen: | 14 |
| Número: | 6 |
| Paginación: | 697-701 |
| País: | Venezuela |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Diseases of the lower gastrointestinal tract (GIT) are more common worldwide. Proper diagnosis prior to surgical or prolonged medical intervention is essential. Colonscopy and sigmoidoscopy are the main tools to reach this goal. Aims: This article aims to assess the role of sigmoidoscopy in the identification of the etiology of lower GIT bleeding (with or without diarrhea) before GIT surgery or long-term medication. It compares the findings with proctoscopic examination combined with per-rectal examination and sigmoidoscopy that followed by elective colonoscopy. It is performed when no pathology is identified by the above two approaches. Material and methods: This prospective descriptive study was carried out on patients attended the Gastrointestinal and Hepatology center at Azadi Teaching hospital/Kirkuk during the period from March 2011 to February 2014 (35 months). Six hundred cases presented with mild to moderate lower GIT bleeding with or without chronic diarrhea. The patients underwent examination by proctoscope and per-rectal examination followed by sigmoidoscopy. Then, extended to total colonoscopy and compare the sensitivity of each case. Results: This study was carried out on 600 patients comprised of 389 (65%) males and 211 (35%) females between 10 and 80 years of age. The cases were divided into two groups according to the mode of presentation as follows: 1) A group of 318 patients presented with bleeding per-rectum (called as a 1st group); while the rest (i.e. 282 cases) are presented with chronic diarrhea with lower GIT bleeding (named as a 2nd group). The findings showed that the causes of bleeding according to sigmoidoscopy in the 1st group are as follows: 111 (35%) patients had hemorrhoid, 67 (21%) had polyps, 54 (17%) with tumor and proctitis in 38 (12%). Additionally, 16 (5%) had a solitary rectal ulcer, and other pathologies were found 32 patients (10%) |
| Disciplinas: | Medicina |
| Palabras clave: | Sistema cardiovascular, Gastroenterología, Diagnóstico, Sangrado intestinal, Sigmoidoscopia, Proctoscopia, Colonoscopía |
| Keyword: | Cardiovascular system, Gastroenterology, Diagnosis, Intestinal bleeding, Sigmoidoscopy, Proctoscopy, Colonoscopy |
| Texto completo: | http://biblat.unam.mx/hevila/Revistalatinoamericanadehipertension/2019/vol14/no6/9.pdf |
