Etiological profile, gender difference and age group patterns of 415 patients presenting with lower gastrointestinal bleeding in the western region of Nepal

Background: Lower gastrointestinal bleeding (LGIB) is a common clinical condition associated with significant morbidity and mortality. The aims of our study were to determine the etiological profile, gender difference and age group patterns of LGIB in Nepal.Methods: A total of 415 consecutive patients presenting with LGIB from April 2011 to September 2014 underwent colonoscopy and the etiology of LGIB was determined. Each diagnosis was compared with respect to the gender and age group.Results: Among 415 LGIB patients (males 62.2%, females 37.8%), the different etiologies of LGIB were as following: hemorrhoid 35.2%, non-specific colitis 24.8%, colon polyp 18.3%, inflammatory bowel disease (IBD) 10.4%, colon cancer 6.5%, diverticulosis 1.7%, unknown 1.4%, upper gastrointestinal bleeding 1.2% and radiation colitis 0.5%. The overall LGIB was more common in male; however, colon polyps were diagnosed more commonly in female (p<0.001). Among LGIB patients, the hemorrhoid was more common in the age group of 30-49 years, colon polyp in 50-69 years, colon cancer in 70-84 years, and non-specific colitis and IBD in 16-29 years (p<0.001).Conclusion: Hemorrhoid and non-specific colitis were the common causes of LGIB in Nepal; colon polyp, IBD and colon cancer were the next common causes. More males presented with LGIB than females; however, colon polyp was diagnosed more in females, which needs to be explored further. When LGIB was presented after 50 years of age, the most likely causes were colon polyp and colon cancer; hence colonoscopy is recommended in all LGIB patients after 50 years.Journal of Advances in Internal Medicine 2014;3(2):52-55

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Lower Gastrointestinal Bleeding in Chronic Hemodialysis Patients

International Journal of Nephrology ◽

10.4061/2011/272535 ◽

2011 ◽

Vol 2011 ◽

pp. 1-8 ◽

Cited By ~ 15

Author(s):

Fahad Saeed ◽

Nikhil Agrawal ◽

Eugene Greenberg ◽

Jean L. Holley

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Gastrointestinal Bleeding ◽

Chronic Hemodialysis ◽

Lower Gastrointestinal Bleeding ◽

Gi Bleeding ◽

Common Causes ◽

Stage Renal Disease ◽

End Stage ◽

Esrd Patients

Gastrointestinal (GI) bleeding is more common in patients with chronic kidney disease and is associated with higher mortality than in the general population. Blood losses in this patient population can be quite severe at times and it is important to differentiate anemia of chronic diseases from anemia due to GI bleeding. We review the literature on common causes of lower gastrointestinal bleeding (LGI) in chronic kidney disease (CKD) and end-stage renal disease (ESRD) patients. We suggest an approach to diagnosis and management of this problem.

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Etiology analysis of lower gastrointestinal bleeding in children

10.21203/rs.2.14539/v1 ◽

2019 ◽

Author(s):

yun liu ◽

XiuWen Chen ◽

ShengHua Wan

Keyword(s):

Gastrointestinal Bleeding ◽

Gastrointestinal Disease ◽

Color Doppler ◽

Occult Blood ◽

Lower Gastrointestinal Bleeding ◽

Jiangxi Province ◽

Fecal Occult Blood ◽

Colon Polyps ◽

Fecal Occult ◽

Severity Of The Disease

Abstract Background: In a clinical setting, the common causes of lower gastrointestinal bleeding are often easy to identify, but some cases require detailed examinations to make a diagnosis. At present, the cause of lower gastrointestinal bleeding is unclear. The aim of this study was to review cases of children hospitalized for lower gastrointestinal bleeding in the past 5 years at our hospital and analyze the etiologies according to age group.Methods: In this study, we statistically analyzed the etiologies of lower gastrointestinal bleeding in children of different ages and sexes from Jiangxi Province, China. From January 2013 to August 2018, 8,036 patients hospitalized for lower gastrointestinal bleeding in Jiangxi Provincial Children’s Hospital were divided into groups to analyze the etiologies.Results: Of these 8,036 patients, 7,827 were clearly diagnosed. Etiologies included intussusception (4,741 cases, 60.6%), infectious diarrhea (2,171 cases, 27.7%), colon polyps (405 cases, 5.2%), Meckel’s diverticulum (292 cases, 3.7%), allergic colitis (113 cases, 1.4%), anal fissures (34 cases, 0.4%), Henoch-Schönlein purpura (27 cases, 0.3%), eosinophilic gastrointestinal disease (27 cases, 0.3%), and inflammatory bowel disease (17 cases, 0.2%). Generally, the condition presents with blood in the stool, bloody diarrhea, or fecal occult blood. Abdominal color Doppler ultrasonography, colonoscopy, computed tomography, 99 m Tc pertechnetate imaging, and other blood tests can aid in the diagnosis.Conclusions: We found that the type of lower gastrointestinal bleeding in children is related to age. Intussusception was the most common cause of intestinal obstruction overall and in infants between 6 and 36 months of age. Treatment of children with lower gastrointestinal bleeding should be based on prevention. Medical staff should actively raise awareness of the condition, identify the severity of the disease in a timely manner, make early diagnoses, provide prompt treatment, and cooperate with providers in multiple disciplines to save patients’ lives. Keywords: lower gastrointestinal bleeding, children, etiology, intussusception

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Profil pasien perdarahan saluran cerna bagian atas yang dirawat di RSUP Prof. Dr. R. D Kandou Manado periode 2013 – 2015

e-CliniC ◽

10.35790/ecl.4.2.2016.13041 ◽

2016 ◽

Vol 4 (2) ◽

Author(s):

Junaidi Effendi ◽

Bradley J. Waleleng ◽

Cerelia Sugeng

Keyword(s):

Peptic Ulcer ◽

Gastrointestinal Bleeding ◽

Medical Records ◽

Upper Gastrointestinal Bleeding ◽

Male Gender ◽

Age Group ◽

Erosive Gastritis ◽

Common Causes ◽

Ligament Of Treitz ◽

Upper Gastrointestinal

Abstract: Upper gastrointestinal bleeding (UGIB) is the loss of blood in the lumen of gastrointestinal tract, from the eosophagus to the ligament of Treitz in the duodenum with hematemesis and melena as the symptoms. The causes of UGIB are divided into variceal and nonvariceal bleeding such as peptic ulcer, erosive gastritis, eosophagitis, Malory Weiss syndrome, and tumor. This study aimed to obtain the profile of upper gastrointestinal bleeding at Prof. Dr. R. D. Kandou Hospital Manado period 2013 to 2015. This study was conducted in November-December 2015. This was a descriptive retrospective study using medical records from the patients registered in Prof. Dr. R. D. Kandou Hospital Manado from 2013 to 2015. The results showed that there were 139 cases of UGB, consisted of 87 males (63%) and 52 females (37%). Of the 139 cases, peptic ulcer and variceal eosophagus were the most common causes of UGB; peptic ulcer in 105 cases (67%) and variceal esophagus in 34 cases (24%). The most frequent age group was 56-65 years old with 43 cases (31%), and the most rare cases were at 15-25 years old with 6 cases (6%). Conclusion: Among UGB cases at Prof. Dr. R. D. Kandou Hospital Manado from 2013 to 2015, the highest percentages were male gender, age group 56-65 years, and peptic ulcer as the most common cause. Keywords: UGB, variceal esophagus, peptic ulcer Abstrak: Perdarahan saluran cerna bagian atas (SCBA) adalah kehilangan darah dalam lumen saluran cerna dimana saja, mulai dari esofagus sampai dengan duodenum di daerah ligamentum Treitz dengan gejala hematemesis dan melena. Penyebab perdarahan SCBA terbagi atas pecahnya varises esofagus dan non-varises seperti tukak peptik, gastritis erosif, esofagitis, sindrom Mallory Weis, tumor, dll. Tujuan dari penelitian ini adalah untuk mengetahui profil pasien perdarahan saluran cerna bagian atas yang di rawat di RSUP Prof. dr. R. D Kandou Manado periode 2013-2015. Penelitian dilaksanakan pada bulan November-Desember 2015. Jenis penelitian ini deskriptif retrospektif dengan mengambil data rekam medik penderita perdarahan SCBA yang dirawat di RSUP Prof. Dr. R. D Kandou Manado periode 2013-2015. Hasil penelitian memperlihatkan terdapat 139 kasus perdarahan SCBA terdiri dari 87 pasien laki-laki (63%) dan 52 pasien perempuan (37%). Dari 139 kasus tersebut hanya ditemukan dua penyebab kasus perdarahan SCBA, yaitu ulkus peptikum pada 105 kasus (76%) dan varises esofagus pada 34 kasus (24%). Berdasarkan usia, tertinggi pada golongan usia 56-65 tahun sebanyak 43 kasus (31%) dan terendah pada golongan usia 15-25 tahun sebanyak 6 kasus (6%). Simpulan: Pada penelitian ini yang tersering ditemukan ialah ulkus peptik sebagai penyebab perdarahan SCBA, kelompok usia 56-65 tahun, dan pada jenis kelamin laki-laki.Kata kunci: varises esofagus, tukak peptik

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Arteriovenous Fistula of Superior Mesenteric Artery: An Unusual Cause of an Massive Lower Gastrointestinal Bleeding

International Surgery ◽

10.9738/intsurg-d-17-00014.1 ◽

2019 ◽

Vol 104 (9-10) ◽

pp. 499-501

Author(s):

Yang Yang ◽

Qisheng Ran ◽

Dongfeng Chen

Keyword(s):

Gastrointestinal Bleeding ◽

Superior Mesenteric Artery ◽

Arteriovenous Fistula ◽

Mesenteric Artery ◽

Right Hemicolectomy ◽

Lower Gastrointestinal Bleeding ◽

Gi Bleeding ◽

Case Presentation ◽

Common Causes ◽

Lower Gi Bleeding

Introduction The most common causes of lower gastrointestinal (GI) hemorrhage are diverticulosis and angiodysplasia. Arteriovenous fistula (AVF) of the intestine is an uncommon cause of GI hemorrhage. Case Presentation Herein, we report a case of an embolization of an AVF originated from the superior mesenteric artery and vein as a cause of acute massive lower GI bleeding. Conclusion The patient underwent a right hemicolectomy and ileotransversostomy.

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