Etiology, Clinical Picture and Diagnosis of Lower Gastrointestinal Bleeding at a Tertiary Care Institute in Eastern Odisha: A Retroprospective Study
Creators
- 1. Associate Professor, Department of General Surgery, SCB Medical College, Cuttack
- 2. Assistant Professor, Department of ENT, FM MCH, Balasore
- 3. Assistant Professor, Department of General Surgery, SCB Medical College, Cuttack
- 4. Assistant Professor, Department of General Medicine, SCB Medical College, Cuttack
- 5. MBBS Final Year, SCB Medical College and Hospital, Cuttack
Description
Aim of the Study: To evaluate the various etiologies, clinical assessment, and requirement for blood transfusion in patients with lower gastrointestinal bleeding admitted to an eastern Odisha tertiary care center. Materials and Procedures: The research comprised 988 patients, 824 retrospective cases and 164 prospective cases from Department of Surgery in S.C.B. Medical College and Hospital in Cuttack, Odisha. Analyzing case sheets from retrospective cases yielded information. Prospective patients were handled in accordance with departmental practice, and all investigations and treatments were recorded. Results: Patients over the age of 40 were the most often afflicted, accounting for 56% (533/988) of the study group. Males made up 70.5% (697/988) of the population, while females made up 29.5% (291/988).Males had a mean age of 43.2310.65 years, while females had a mean age of 42.7916.53 years. Hemorrhoids were shown to be the most prevalent pathology in colonoscopy, affecting 30.8% (n =305) of individuals. Anorectal growth was identified in 15.3% of the patients; while colonic growth was found in 9.7%.14% (139/988) of patients had inflammatory lesions. Colonic polyps were discovered in 4.8% of patients, whereas rectal polyps were found in 3.9%. Males had a higher mean hemoglobin level of 10.643.79 g/dl than females (10.833.69 g/dl). Only 7.8% (77/988) of patients needed a blood transfusion if their hemoglobin level fell below 7gm/dl. Conclusion: Hemorrhoids were the most common cause of lower gastrointestinal hemorrhage, followed by anorectal growth. Colonoscopy was the first and most common diagnostic performed to evaluate lower gastrointestinal bleeding. Only a small number of patients needed blood transfusions.
Abstract (English)
Aim of the Study: To evaluate the various etiologies, clinical assessment, and requirement for blood transfusion in patients with lower gastrointestinal bleeding admitted to an eastern Odisha tertiary care center. Materials and Procedures: The research comprised 988 patients, 824 retrospective cases and 164 prospective cases from Department of Surgery in S.C.B. Medical College and Hospital in Cuttack, Odisha. Analyzing case sheets from retrospective cases yielded information. Prospective patients were handled in accordance with departmental practice, and all investigations and treatments were recorded. Results: Patients over the age of 40 were the most often afflicted, accounting for 56% (533/988) of the study group. Males made up 70.5% (697/988) of the population, while females made up 29.5% (291/988).Males had a mean age of 43.2310.65 years, while females had a mean age of 42.7916.53 years. Hemorrhoids were shown to be the most prevalent pathology in colonoscopy, affecting 30.8% (n =305) of individuals. Anorectal growth was identified in 15.3% of the patients; while colonic growth was found in 9.7%.14% (139/988) of patients had inflammatory lesions. Colonic polyps were discovered in 4.8% of patients, whereas rectal polyps were found in 3.9%. Males had a higher mean hemoglobin level of 10.643.79 g/dl than females (10.833.69 g/dl). Only 7.8% (77/988) of patients needed a blood transfusion if their hemoglobin level fell below 7gm/dl. Conclusion: Hemorrhoids were the most common cause of lower gastrointestinal hemorrhage, followed by anorectal growth. Colonoscopy was the first and most common diagnostic performed to evaluate lower gastrointestinal bleeding. Only a small number of patients needed blood transfusions.
Files
IJPCR,Vol15,Issue12,Article58.pdf
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Additional details
Dates
- Accepted
-
2023-11-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article58.pdf
- Development Status
- Active
References
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