Lower Gastrointestinal Bleeding in Children: Experiences From Referral Center in Southern Iran

Moravej, Hossein; Dehghani, Seyed Mohsen; Nikzadeh, Hamideh; Malekpour, Abdorrasoul

doi:10.5812/jcp.8423

Cited by 2 publications

(3 citation statements)

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“…Cucchiara et al, [ 7 ] Yachha et al, [ 4 ] , and Teach and Fleisher [ 6 ] described infectious colitis as 1 of the most common causes of hematochezia. Spencer, [ 5 ] Uno et al, [ 21 ] and Moravej [ 9 ] did not mention this illness, although some of these studies recruited patients in a nonsurgical setting. Some diagnoses causing hematochezia (eg, suspected FPIP, IBD) are correlated to certain age groups, which is reflected in our results.…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 , 4 , 6 , 7 , 9 , 10 , 21 ] This might be explained by younger patient cohorts [ 3 , 4 , 7 , 10 , 21 ] and/or high proportions of infants and young children in these studies. [ 3 , 4 , 6 , 7 , 9 , 10 , 21 ] Two studies from a surgical department observed intussusception as 1 of the most common diagnoses. [ 6 , 21 ] Studies from pediatric departments (ie, nonsurgical setting), in accordance to our results, did not mention this condition.…”

Section: Discussionmentioning

confidence: 99%

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Causes of hematochezia and hemorrhagic antibiotic-associated colitis in children and adolescents

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Causes of hematochezia and hemorrhagic antibiotic-associated colitis in children and adolescents

et al. 2017

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“…IBD is a commonly encountered disease in patients with lower GI bleeding. In an Iranian study, IBD was detected in 20 (6.5%) of 309 children with rectal bleeding (15). The mean age of Iranian patients with IBD was 10.3 years in another Iranian study (16).…”

Section: Discussionmentioning

confidence: 99%

A survey on rectal bleeding in children, a report from Iran

2018

Turk J Med Sci

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Background/aim: Studies on the epidemiology of rectal bleeding in children are limited in Iran. Our aim was to assess etiologies of rectal bleeding in children in Iran. Materials and methods:We enrolled 730 children with rectal bleeding. All the patients underwent colonoscopy, and 457 were further evaluated with histopathology.Results: According to colonoscopy and histopathology, respectively, inflammatory bowel disease (IBD) (29.4%, 15.8%), nodular hyperplasia (NH) (24.9%, 10%), and juvenile polyposis (JP) (12.6%, 9.9%) were the most common causes of rectal bleeding. Other conditions were solitary rectal ulcer (5.3%), chronic colitis (4.6%), allergic colitis (3.3%), focal colitis (1.3%), and infectious colitis (1.1%). In colonoscopy, there were no significant differences in the distribution of pathologies regarding sex, while the youngest and oldest mean ages were found for patients with NH (4.6 ± 3.9 years, P < 0.0001) and those with normal appearance (8.1 ± 4.4 years, P < 0.0001) respectively. Based on histopathologic reports, the youngest patients were diagnosed with infectious colitis (4.6 ± 2.8 years), while patients with chronic colitis were the oldest (9.2 ± 4.6 years, P = 0.003). Conclusion:JP, NH, and IBD constituted the most common etiologies of rectal bleeding in our patients. It is recommended to perform a complete diagnostic approach to accurately assess rectal bleeding in children.

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Lower Gastrointestinal Bleeding in Children: Experiences From Referral Center in Southern Iran

Cited by 2 publications

References 21 publications

Causes of hematochezia and hemorrhagic antibiotic-associated colitis in children and adolescents

Causes of hematochezia and hemorrhagic antibiotic-associated colitis in children and adolescents

A survey on rectal bleeding in children, a report from Iran

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