Study on the Role of Colonoscopic Biopsy in Rectal Bleeding Patients with Ulcerated Hyperemic Mucosa only

D. Badary
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Abstract

There are several etiologies for rectal bleeding and a complete evaluation and early diagnosis is very important. Bleeding per rectum ranging from mild conditions requiring little or no treatment to severe and life-threatening ones requiring immediate intervention according to the etiologies [3]. The etiologies include hemorrhoids, anal fissures, solitary rectal ulcer, inflammatory bowel disease (IBD), diverticulosis, proctitis, ischemic colitis, infectious colitis, colonic polyps and cancer colon. Proctosigmoidoscopy followed by colonoscopy is the examination of choice for diagnosis and treatment of patients complaining of rectal bleeding [4]. As number of cases with colonoscopy shows only ulcerated hyperemic mucosa is not low, we have performed this study in order to determine the role of colonoscopy in determining the cause of bleeding per rectum in those patients by histopathological evaluation of their biopsies.
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结肠镜活检在单纯溃疡性高血粘膜直肠出血患者中的作用研究
直肠出血有几种病因,完整的评估和早期诊断非常重要。直肠出血的范围从需要很少治疗或不需要治疗的轻度疾病到需要根据病因立即干预的严重和危及生命的疾病[3]。病因包括痔疮、肛裂、直肠孤立性溃疡、炎症性肠病(IBD)、憩室病、直肠炎、缺血性结肠炎、感染性结肠炎、结肠息肉和癌症结肠。直肠结肠镜检查是诊断和治疗直肠出血患者的首选检查[4]。由于结肠镜检查显示只有溃疡充血粘膜的病例数量并不低,我们进行了这项研究,以通过对这些患者活检的组织病理学评估,确定结肠镜检查在确定这些患者每个直肠出血原因中的作用。
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