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ETHIOLOGY OF LOWER GASTROINTESTINAL BLEEDING: A CROSS SECTIONAL STUDY IN IRAN DURING 2013 TO 2015

Author : Saleh Azad bakht, Mosayeb Moradniani, Hamidreza Sherkatolabbasieh, Soleiman Jaferian, Shiva Shafizadeh, Hamed Maleki, Majid Firouzi*

Abstract

Background and aim: Lower gastrointestinal bleeding, commonly abbreviated LGIB, is any form of gastrointestinal bleeding in the lower gastrointestinal tract.The aim of this study was to investigating the ethiology of lower gastrointestinal bleeding . Materials and Methods: In this cross-sectional study, all patients with lower gastrointestinal bleeding that referred to the endoscopic unit of Shahid Rahimi and Shohadaye Ashayer hospitals in Khorramabad city during October 2013 to October 2015 were included. Colonoscopy was done for all cases .Demographic data and results of colonoscopy were recorded. After collection of the colonoscopy finding , the data were entered into SPSS software version 20 and analyzed by providing tables and charts. RESULTS: In this study, 721 patients (57% male and 43% female) suffering from lower gastrointestinal bleeding with an age range of 15 to 94 years (mean 49±2 years) were participated. From 721 patients with LGIB, 489 (67.82%) patients had benign anorectal disease (hemorrhoid or fissure). Other causes of LGB were colorectal polyps( 11.3%) ,colon diverticula ( 6.6%), inflammatory bowel disease (5.9%), malignant tumor(2.9%), vascular ectasia(2.7%), and solitary rectal ulcer syndrome ( 1.2%). Key words:Lower Gastrointestinal Bleeding, Hemorrhoid, Fissure, Ethiology , Hematochezia, Iran.

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