Colonoscopy: A study of findings in 332 patients

Sayeed, Abu; Islam, Rabiul; Siraji, Dilruba; Hoque, Gofranul; Mohsen, Aqm

doi:10.3329/jcmcta.v18i2.3833

Cited by 3 publications

(8 citation statements)

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“…In lower GIT, anorectal region was the predominant site with 43.33% cases. Similar findings were seen in studies conducted by Sayeed et al and Kontzoglou et al 9,10 Adenocarcinoma was the most common malignancy (97.3%) in lower GIT as seen in other studies. Left side colon was predominant site of lower GIT malignancy with 59.46% cases of malignant lesions.…”

Section: Discussionsupporting

confidence: 90%

Cyto-histological correlation in diagnosis of gastrointestinal lesions- a prospective study in a tertiary care institute

Aggarwal¹,

Mardi²,

Sood³

et al. 2020

Int J Res Med Sci

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Background: Gastrointestinal tract is involved by a large number of inflammatory, infectious and neoplastic diseases. There is a worldwide rising incidence of GIT lesions especially neoplasms.Methods: This study was planned to correlate endoscopic and colonoscopic brush cytology with histopathology of gastrointestinal lesions and to determine the spectrum of gastrointestinal lesions in patients subjected to endoscopic brushings and biopsy.Results: Sensitivity of upper GI brush cytology was 95.15% and specificity 90.41%. Sensitivity of colonoscopic brush cytology was 100% and specificity 86.79%. The accuracy of brush cytology came out to be 92.45% in upper GIT and 92.22% in lower GIT.Conclusions: Brush cytology is a non-invasive and cost-effective method to retrieve epithelial cells from a much larger surface area of the mucosa, thus allowing thorough sampling and increasing the diagnostic yield.

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Section: Discussionsupporting

confidence: 90%

Cyto-histological correlation in diagnosis of gastrointestinal lesions- a prospective study in a tertiary care institute

Aggarwal¹,

Mardi²,

Sood³

et al. 2020

Int J Res Med Sci

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“…These findings were in accordance with that of Jani PG et al, in which 92 percent of patients presented with rectal bleeding, mucus and pus discharge was seen in 13 percent of patients, however altered bowel habits were present in 31 percent of the patients which was much higher as compared to present study. 8 In the present study, 30 (20 percent) patients presented with alteration in bowel habits and colonoscopic examination revealed growth in 12 patients, worm infestation in 3, solitary rectal ulcer in 3, stricture in 3 and pancolitis in 3 patient, these findings were in comparison with the findings Syeed MA et al 7 Anemia was present in 87 (58 percent) patients with haemoglobin level of less than 10 gm/dl. The incidence was almost similar to the study conducted by Bal et al, in which 43 percent of the patients with additional pathologies presented with anaemia.…”

Section: Discussionsupporting

confidence: 60%

“…9 The incidence of inflammatory disease particularly ulcerative colitis in the present study was much lower than 2 percent, which is in accordance with the study conducted by Sayeed MA et al, where the incidence of inflammatory bowel disease was 2.10 percent. 7 In the present study colorectal cancer were found in 12 (8 percent) patients. Out of these 12 patients, 11 patients with colorectal cancer were more than 50 years of age, which was in accordance with the overall incidence of 4 to 19 percent reported in some series, which included patients older than 50 years.…”

Section: Discussionsupporting

confidence: 48%

“…6 Majority of patients belonged to the age group of 31 to 60 years (70 percent), this finding was similar to Sayeed MA et al, in which 75 percent of patients belonged to the age group of 31 to 60 years. 7 The common mode of presentation in the study was rectal bleeding which was present in 135 (90 percent) patients. Anemia was present in 87 (58 percent), altered bowel habits in 30 (20 percent), pain full defecation in 8 (16 percent), mucus and pus discharge in 7 (14 percent) and loss of weight in 12 (8 percent) patients.…”

Section: Discussionmentioning

confidence: 89%

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Role of colonoscopy in haemorrhoids with other colorectal disorders

Mala¹,

Ahmad²,

Malla³

2019

Int J Res Med Sci

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Background: Haemorrhoids are the enlargement or engorgement of the normal fibrovascular anal cushions. These fibrovascular cushions lose their attachment to the underlying rectal wall and lead to prolapse with repeated straining over time, thinning of rectal mucosa and subsequent bleeding. The objective of the present endeavour was to study the prevalence of associated colorectal lesions like colonic carcinoma, diverticular disease, inflammatory bowel disease which present the rectal bleeding and role of colonoscopy in these lesionsMethods: This study was conducted in hundred fifty patients presenting with bleeding and haemorrhoids were analyzed. All patients were examined locally and endoscopically. All significant endoscopic findings (diverticuli, polyps, cancer, angiodysplasia and varices or colitis) were recorded.Results: Majority of patients were males (102), accounting for (68 percent). The main symptom at the time of presentation was rectal bleeding (90 percent). The digital rectal examination was normal in 114 patients. The commonest finding on proctoscopy examination was haemorrhoids. Colonoscopy showed haemorrhoids in maximum patients (147 percent). The associate lesions with altered bowel habits were growth in 12, worm in 6, solitary rectal ulcer in 3, pancolitis in 3.Conclusions: It can be concluded that in the present study colonoscopy revealed a high proportion of colorectal pathologies with haemorrhoids presenting with bleeding per rectum. Colonoscopy thus proved to be very useful procedure in patients with haemorrhoids especially in elderly.

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“…[10111213141618] Considering the fact that hematochezia was the most common indication for colonoscopy in this study, this might also be another reason for the high diagnostic yield observed.…”

Section: Discussionmentioning

confidence: 99%

Colonoscopy at a tertiary healthcare facility in Southwest Nigeria: Spectrum of indications and colonic abnormalities

2016

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Background and Aim:Colonoscopy is considered the gold standard for diagnosing structural colonic diseases. It is safe and effective both for diagnosis and therapeutic interventions. This study was carried out to evaluate the pattern of indications and spectrum of colonic disease at a tertiary healthcare facility in Southwest Nigeria.Patients and Methods:All consenting patients who were referred for colonoscopy were recruited into the study. A proforma was used to record information such as biodata of the patients, indications for the procedure, and the findings at colonoscopy.Results:There were 250 patients, comprising 130 (52.0%) males and 120 (48.0%) females, with a male to female ratio of 1.1:1. The mean age of the patients was 57.9 ± 14.2 years with a range of 15–90 years. The most common indication for colonoscopy was hematochezia 85 (34.0%), others were abdominal pain 46 (18.4%), suspected colonic cancer 27 (10.8%), constipation 27 (10.8%), and chronic diarrhea 22 (8.8%). Sixty-five (26%) patients had normal colonoscopy while various abnormalities were detected in 185 (74%) patients. The most common abnormalities were colonic polyps (23.2%), hemorrhoids (20.8%), diverticulosis (14.8%), colorectal tumor (12.1%), and colitis (4.0%).Conclusion:Colonoscopy is an effective means of diagnosing colonic diseases and that the diagnostic yield could be high if the indication were appropriate. The most common indication in our practice was hematochezia, and the most frequent diagnosis was colonic polyps.

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Colonoscopy: A study of findings in 332 patients

Abstract: Key words: colonoscopy; abdominal pain; lower GI bleeding; mass lesion; therapeutic yielddoi: 10.3329/jcmcta.v18i2.3833Journal of Chittagong Medical College Teachers' Association 2007: 18(2):28-31

Cited by 3 publications

References 0 publications

Cyto-histological correlation in diagnosis of gastrointestinal lesions- a prospective study in a tertiary care institute

Cyto-histological correlation in diagnosis of gastrointestinal lesions- a prospective study in a tertiary care institute

Role of colonoscopy in haemorrhoids with other colorectal disorders

Colonoscopy at a tertiary healthcare facility in Southwest Nigeria: Spectrum of indications and colonic abnormalities

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