Sidra Dil Muhammad, Muhammad Saad Faisal, Amjad Saeed Mian, Muhammad Adnan Khan, Saadia Javid, Moeen Yaseen.
The diagnostic yield of colonoscopy among 114 patients presenting with bleeding per rectum for early detection of colorectal cancer: an audit of multicenter trial.
J Sharif Med Dent Coll Jan ;1(2):67-71.

Objective: To study the diagnostic yield of colonoscopy in patients presenting with bleeding per rectum for early detection of colorectal cancer. Methodology: A total of 114 patients of both genders, age between 20-80 years and having a history of bleeding per rectum were included. The study was conducted from May 2013 to June 2015. Patients having a recent history of abdominopelvic trauma, bleeding disorders and acute anal fissure were excluded from the study. Selected patients underwent digital rectal examination, proctoscopy and colonoscopy and diagnosed for underlying pathology. Any suspicious lesion, detected on examination, was biopsied for confirmation of diagnosis. Results: The mean age of patients in our study was 47.57 +1.2 years. Out of 114 patients, 55 (48.2%) were male and 59 (51.8%) were females. The mean duration of bleeding per rectum was 7.11 4.5 weeks. Malignancy suspected on clinical examination was confirmed on histopathology as colorectal cancer in 16 (14.03%) patients. Curative treatment was offered to all diagnosed colorectal cancer patients after staging of malignancy. Conclusion: Being the earliest symptom of colorectal carcinoma, the bleeding per rectum facilities in the detection of colorectal cancer at an early stage and restores better prognosis. Keywords: Bleeding per rectum. Colorectal carcinom. Hemorrhoids.

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