Defining The Role of Fiberoptic Sigmoidoscopy in The Investigation of Patients Presenting With Bright Red Rectal Bleeding

Rosendaal, Guido M. A. Van; Sutherland, Lloyd R.; Verhoef, MJ; Bailey, Robert J.; Blustein, Philip K; Lalor, Eoin; Thomson, Abr; Meddings, Jonathon B.

doi:10.1111/j.1572-0241.2000.02007.x

Cited by 22 publications

(28 citation statements)

References 22 publications

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“…Stated differently, an 80-yr-old patient with rectal bleeding or a positive fecal-occult blood test is considerably more likely to have cancer than a person aged Ͻ50 yr with the identical symptom or finding. This relationship was again confirmed by Canadian investigators in a study (1) in this issue of the American Journal of Gastroenterology, who concluded that patients aged Ͻ55 yr with nonmassive rectal bleeding can be safely evaluated initially by flexible sigmoidoscopy.…”

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confidence: 51%

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Sigmoidoscopy or colonoscopy: which way are we headed?

Rex

2000

The American Journal of Gastroenterology

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supporting

confidence: 51%

“…I also admit that, although my approach is partly to "reassure the patient," as discussed by Rosendaal et al (1), it is also clearly to reassure myself. Anecdotally, my impression from reviewing malpractice cases is that delays in diagnosis occur commonly in young people with symptomatic colorectal cancer.…”

mentioning

confidence: 99%

Sigmoidoscopy or colonoscopy: which way are we headed?

Rex

2000

The American Journal of Gastroenterology

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“…Flexible or rigid rectosigmoidoscopy is the usual method of investigation performed to identify and treat active intrarectal bleeding. 10 In hospitals where endoscopy fails to locate the origin of the bleeding or to control the active hemorrhage and where continued hemorrhage can not be investigated by angiography, emergency surgery is an option. However these surgical procedures may be complicated by significant morbidity (sphincter lesion, fistula, abscess, local infection or septicemia) or even mortality in patients sustaining hemorrhagic shock.…”

Section: Discussionmentioning

confidence: 99%

Life-Threatening Hypovolemic Shock after Transrectal Ultrasonography Guided Prostate Biopsy: Treatment with Selective Arterial Embolization

Shin

Lee

2011

Korean J Androl

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= Abstract =Rectal bleeding is a frequent finding in patients after transrectal ultrasonography (TRUS)-guided prostate biopsy but is usually mild and stops spontaneously. We report herein a case of life-threatening hypovolemic shock due to rectal bleeding after TRUS-guided prostate biopsy that was successfully treated by selective arterial embolization. The aim of this report is to share our experiences of the management of massive rectal bleeding after prostate biopsy.

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“…Constrained capacity for colonoscopy screening has been the topic of recent articles and symposiums [4][5][6]. In a typical endoscopy center, there are many indications for colonoscopy, including screening, surveillance, symptoms, a positive FOBT, and iron deficiency anemia [3,[7][8][9][10][11]. In light of the limited capacity, targeting Financial support: none.…”

Section: Introductionmentioning

confidence: 97%

A Risk Profile for Advanced Proximal Neoplasms on Diagnostic Colonoscopy

et al. 2008

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The capacity for colonoscopy is limited and a method to prioritize patients for diagnostic colonoscopy is needed in health care centers. A retrospective cross-sectional cohort study was carried out in county and community endoscopy centers, which included 1,065 county and 279 community patients aged > or = 40 years undergoing diagnostic colonoscopy. We constructed a risk profile for proximal advanced neoplasms on diagnostic colonoscopy at the county center based on the size of the regression coefficients for independent risk factors from logistic regression. An advanced neoplasm was defined as one of size > or = 1 cm or containing villous histology, high-grade dysplasia, or cancer. In our county colonoscopy population (n = 929 after exclusions), the stepwise logistic regression analysis identified age > or = 60 years (adjusted odds ratio [AOR]: 2.60; 95% confidence interval [CI]:1.14, 6.14), iron deficiency anemia (AOR: 4.74; 95% CI: 2.07, 11.34), and an advanced neoplasm in the recto-sigmoid (AOR: 6.01; 95% CI: 2.02, 16.00) as the statistically significant predictors of an advanced proximal neoplasm. In the county population, the prevalence rates of an advanced proximal neoplasm and proximal high-grade dysplasia/cancer in the low-risk group were 0.71% (95% CI: 0.15, 2.05) and 0.24% (95% CI: 0.01, 1.31), respectively. Avoiding colonoscopy in this group would increase the capacity for colonoscopy by 46% in the higher risk groups. In a disparate community population (n = 237 after exclusions), this scoring system had a goodness-of-fit test showing high concordance (P = 0.51). This clinical profile stratified the risk for an advanced neoplasm proximal to the sigmoid in patients undergoing diagnostic colonoscopy. It identified a large subset of low-risk patients.

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Defining The Role of Fiberoptic Sigmoidoscopy in The Investigation of Patients Presenting With Bright Red Rectal Bleeding

Abstract: In young persons with bright red rectal bleeding, fiberoptic sigmoidoscopy may prove to constitute appropriate initial investigation.

Cited by 22 publications

References 22 publications

Sigmoidoscopy or colonoscopy: which way are we headed?

Sigmoidoscopy or colonoscopy: which way are we headed?

Life-Threatening Hypovolemic Shock after Transrectal Ultrasonography Guided Prostate Biopsy: Treatment with Selective Arterial Embolization

A Risk Profile for Advanced Proximal Neoplasms on Diagnostic Colonoscopy

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