بررسي پنج ساله بيماران با خونريزي گوارش تحتاني در بخشهاي جراحي بيمارستانهاي آموزشي دانشگاه جندي شاپور اهواز

A Five year Evaluation of Patients with Lower Gastrointestinal Bleeding in Surgery Ward of Jundishapour University Hospitals

Objectives: GI bleeding is accompanied with high mortality rate which can be especially massive in the elderly. There are various causes of lower GI bleeding with colorectal source that depends on the age of the patient, colorectal cancer, polyps, infections, diverticulosis and vascular ectasis are common causes. In this study we report the epidemiologic pattern of rectorrhagia with colorectal causes with regarding to age, and sexes and etiology among patients who were admitted, due to GI bleeding, to our hospital over five years in our patients. Subjects and Methods: This is a retrospective and cognitive study from 1379 to 1383 over 5 years. This study was evaluated 100 patients that referred to surgery ward of Imam Khomeini hospital with chief complain of rectorrhagia due to colorectal source and we evaluated the incidence in relation to age, sex and causes of bleeding. Results: In this study 62% patients were male. The maximum incidence was in sixth decade of life. The most common cause was amebiasis (32%) and second most common cause was cancer of rectum (23%) and then polyps (22%). The most common age for colorectal cancer was in the fifth and sixth decade of life and most common age of patient with polyps was first decade of life. Amebiasis was more common in the 2"d and 4th decade of life. In this study there was no patient with vascular angiodysplasia. Conclusion: Rectorrhagia with colorectal source must be considered in relation to the age of the patient. In childhood age, the most common cause is polyp and in adolescents and young adult amebiasis and colorectal cancer and then diverticaulitis are more common causes. In our patients there was lower incidence of IBD and diverticulitis than West Country. In elderly patients, malignancy are common causes in elderly patients.