Document Detail

One stop rectal bleeding clinic: the coventry experience.
MedLine Citation:
PMID:  17061675     Owner:  NLM     Status:  MEDLINE    
Among most patients attending a rectal clinic, rectal bleeding is a common presenting feature. In most patients, the cause is attributed to a benign lesion. In a small percentage, the cause is neoplastic, and for this reason, rectal bleeding merits further study. Left-sided tumors account for the majority of these tumors and are within the reach of a flexible sigmoidoscopy. This study aimed at examining the diagnostic performance of the one stop rectal clinic in Coventry. Between November 2001 and May 2002, 250 consecutive patients were seen in the one stop rectal bleeding clinic of a tertiary referral hospital. Patients were asked of the nature of rectal bleed and altered bowel habits and were examined by digital rectal examination, with a proctoscopy and rigid sigmoidoscopy before either a full colonoscopic examination or flexible sigmoidoscopy with a completion Barium enema. During the study period, colorectal cancer was detected in 4 patients (1.6%), adenomatous polyps in 36 patients (14.4%), and ulcerative colitis in 8 patients (3.2%). In 98 patients (39.2%), no abnormality was present, and in the remaining patients, diverticulosis (n = 60; 24%) and hemorrhoids were present (n = 44; 17.6%).
A E Agaba; N Berry; P O Agaba; N Charaklias; L S Wong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  91     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-10-25     Completed Date:  2007-04-06     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  288-90     Citation Subset:  IM    
Department of Colorectal Surgery, Walsgrave Hospital, Coventry, United Kingdom.
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MeSH Terms
Aged, 80 and over
Gastrointestinal Hemorrhage / diagnosis*,  etiology*
Middle Aged

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