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Etiological Profile of Patients Presenting with Lower Gastrointestinal Bleeding in Ibb Governorate-Yemen

DOI: 10.4236/oalib.1104683, PP. 1-7

Subject Areas: Gastroenterology & Hepatology

Keywords: LGIB, Etiology, Colonoscopy, Clinical Features, Yemeni Patients

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Abstract

Objectives: To investigate the causes of lower gastrointestinal bleeding (LGIB) in Yemeni patients and to compare our results with the results of other studies. Design: Prospective study of patients with overt LGIB during the period from April 2017 to March 2018. Setting: Specialized center of gastrointestinal and liver diseases in Ibb city, Yemen. Subjects & Method: Consecutive patients who presented or referred to our center with LGIB to whom lower GI endoscopy was performed. Results: During the study period, we had 122 patients with LGIB, 72 were males and 50 were females, with male:female ratio of 1.4:1 The age ranged between 5 and 82 years and the mean age was 45 ± 17.99 years. The clinical presentations of our patients included hematochezia in 72.1%, abdominal pain in 51.7%, diarrhea in 43.3%, pallor, and anemia in 40.2%, weight loss in 39.3%, constipation in 16.4%, bloody diarrhea in 16.4%, and melena in 5.7%. The most common colonoscopic findings were hemorrhoids in 36.7% followed by colon cancer in 19.7% and nonspecific colitis in 15.6%. Conclusion: Hemorrhoids and colon cancer were the most common causes of lower GI bleeding in our patients.

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Kassim, A. , Al-Qubaty, K. , Alathwary, R. and Ameen, S. (2018). Etiological Profile of Patients Presenting with Lower Gastrointestinal Bleeding in Ibb Governorate-Yemen. Open Access Library Journal, 5, e4683. doi: http://dx.doi.org/10.4236/oalib.1104683.

References

[1]  Zuccaro, G. (1998) Management of the Adult Patient with Acute Lower Gastrointestinal Bleeding. American College of Gas-troenterology. Practice Parameters Committee. American Journal of Gastroenterology, 93, 1202-1208.
https://doi.org/10.1111/j.1572-0241.1998.00395.x
[2]  Hreinsson, J.P. (2013) Lower Gastrointestinal Bleeding: Incidence, Etiology, and Outcomes in a Population-Based Setting. European Journal of Gastroenterology & Hepatology, 25, 37-43.
https://doi.org/10.1097/MEG.0b013e32835948e3
[3]  Mark, F., Lawrence, S.F. and Lawrence, J.B. (2016) Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. 10th Edition, Vol. 1, Saunders, Philadelphia, 320-328.
[4]  Lewis, J.D., Brown, A., Locallo, A.R. and Shwartz, J.S. (2002) Initial Evaluation of Rectal Bleeding in Young Persons: A Cost Effectiveness Analysis. Annals of Internal Medicine, 136, 99-110.
https://doi.org/10.7326/0003-4819-136-2-200201150-00007
[5]  Potter, G.D. and Sellin, J.H. (1988) Lower Gastrointestinal Bleeding. Gastroenterology Clinics of North America, 17, 341-355.
[6]  Akande, O.A., Ebenezer, A.A., Olusoji, A.S. and Ekemini, U. (2014) Lower Gastrointestinal Bleeding: Spectrum of Colonoscopy Findings in Ado-Ekiti, Nigeria. International Journal of Medicine and Medical Sciences, 6, 128-133.
https://doi.org/10.5897/IJMMS2014.1031
[7]  Laine, L., Yang, H., Chang, S.C. and Datto, C. (2012) Trends for Incidence of Hospitalization and Death Due to GI Complications in the United States from 2001 to 2009. The American Journal of Gastroenterology, 107, 1190-1195.
https://doi.org/10.1038/ajg.2012.168
[8]  Kevin, A.G. and Dennis, M.J. (2013) Lower GI Bleeding: Epidemiology and Management. Current Gastroenterology Reports, 15, 1-2.
[9]  Ibrahim, M.A., Thamer, A.A., Toufic, S. and Adnan, A. (2016) Lower Gastrointestinal Bleeding in Saudi Patients: A Retrospective Longitudinal Study. Journal of Gastrointestinal & Digestive System, 6, 1-4.
[10]  Raju, H.B., Santosh, H., Ravindra, K., Ashray, K. and Deebanshu (2017) Etiological Profile of Patients Presenting with Lower Gastrointestinal Bleeding at Tertiary Care Hospital at Belagavi: A Cross Sectional Study. International Journal of Advances in Medicine, 4, 1429-1433.
https://doi.org/10.18203/2349-3933.ijam20174297
[11]  Longstreth, G.F. (1997) Epidemiology and Outcome of Patients Hospitalized with Acute Lower Gastrointestinal Hemorrhage: A Population-Based Study. The American Journal of Gastroenterology, 92, 419-424.
[12]  Attique-ur, R.J., Rahid, G., Rania, H., Adil, N.K. and Zabiullah, L.K. (2017) Causes of Lower Gastrointestinal Bleeding on Colonoscopy. Journal of Ayub Medical College Abbottabad-Pakistan, 29, 468-470.
[13]  Moayyedi, P. and Ford, A. (2002) Recent Developments in Gastroenterology. BMJ, 325, 1399-13402.
https://doi.org/10.1136/bmj.325.7377.1399
[14]  Alobaidi, Q.A., Al-shammari, A.J. and Al-Faham, A.M. (2018) Colonoscopy Finding of Lower Gastrointestinal Bleeding (LIGB) in AlSeder Medical City (in Al-Najaf)/Iraq. Journal of Pharmaceutical Sciences & Research, 10, 839-842.
[15]  Richter, J.M., Christensen, M.R., Kaplan, L.M. and Nishioka, N.S. (1995) Effectiveness of Current Technology in the Diagnosis and Management of Lower Gastrointestinal Hemorrhage. Gas-trointestinal Endoscopy, 41, 93-98.
https://doi.org/10.1016/S0016-5107(05)80588-7
[16]  Imtiyaz, A.D., Waseem, R.D., Mushtaq, A.K., Basharat, A.K., Najeeb, U.S., Moomin, H., Faheem, A., Manzoor, A.W., Muzamil, L. and Jaswinder, S.S. (2015) Etiology, Clinical Presentation, Diagnosis and Management of Lower Gastrointestinal Bleed in a Tertiary Care Hospital in India: A Retro-Prospective Study. Journal of Digestive Endoscopy, 6, 101-108.
[17]  Olookoba, A.B., Bojuwoye, M.O. and Obateru, O.A. (2013) Lower Gastrointestinal Bleeding in Ilorin, Nigeria. The Egyptian Journal of Surgery, 32, 281-285.
[18]  Dar, I.A., Dar, W.R., Khan, M.A., Kasana, B.A., Sofi, N.U., Hussain, M., et al. (2015) Etiology, Clinical Presentation, Diagnosis and Management of Lower Gastrointestinal Bleed in a Tertiary Care Hospital in India: A Retroprospective Study. Journal of Digestive Endoscopy, 6, 101-109.
http://www.jdeonline.in/
[19]  Alatise, O.I., Arigbabu, A.O., Agbakwuru, E.A., Lawal, O.O., Ndububa, D.A. and Ojo, O.S. (2012) Spectrum of Colonoscopy Findings in Ile-Ife Nigeria. The Nigerian Postgraduate Medical Journal, 19, 219-224.
[20]  Dakubo, J.C.B., Kumoji, R., Naaeder, S.B. and Clegg-Lamptey, J. (2008) Endoscopic Evaluation of the Colorectum in Patients Presenting with Haematochaezia at Korle-Bu Teaching Hospital Accra. Ghana Medical Journal, 42, 33-37.
[21]  Fernández, A.C., García, L.E.J., Fuentes, F.M., Chaparro, D., Pinto, C., Elkipe, V., et al. (2010) Management of Lower Gastro-Intestinal Bleeding in the Emergency Department Short-Stay Unit. Emergencias, 22, 269-274.
[22]  Strate, L.L. (2005) Lower GI Bleeding: Epidemiology and Diagnosis. Gastroenterology Clinics of North America, 34, 643-664.
https://doi.org/10.1016/j.gtc.2005.08.007
[23]  Georgia, D., Christos, K., Anastasia, K., Georgios, S., Georgios, T., Vasileios, T., Christos, T., Vasiliki, N. and Konstantinos, T. (2017) Acute Lower Gastrointestinal Bleeding: Characteristics and Clinical Outcome of Patients Treated with an Intensive Protocol. Gastroenterology Research, 10, 352-358.
https://doi.org/10.14740/gr914w

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