19. Frequency of Inflammatory Bowel Disease in Patients who Underwent Colonoscopy for Lower Gastrointestinal Bleeding
Dilaram Khan1, Inayat Ullah2, Mohammad Sohail1 and Aamir Ghaffoor1
ABSTRACT
Objective: To determine the frequency of inflammatory bowel disease in patients undergoing colonoscopy for lower gastrointestinal (GI) bleeding.
Study Design: Cross-sectional study
Place and Duration of Study: This study was conducted at the Department of Gastrointestinal Diseases, Lady Reading Hospital Peshawar from 1st June 2023 till 30th November 2023.
Methods: One hundred and twenty-one patients were included in this study Patients of both gender and age more than 18 years with lower GI bleeding were included while patients with hemodynamic instability, patient with past history of colonoscopy for bleeding per rectum and those not willing for study were excluded. Baseline demographic information’s of patients were taken and baseline complete blood count and prothrombin time were done, informed consent was taken. Every patient was stabilized hemodynamically, bowel was prepare using 2 litres of Poly Ethylene Glycol given 8 hours before the procedure and patients were kept on liquid diet from 24 hours before the colonoscopy, conscious sedation with midazolam and nalbuphine given and colonoscopy was performed using a flexible colonoscope.
Results: Age ranged from 18 to 60 years with mean age of 41.958±6.83 years. Seventy-five (62%) patients were male and 46 (38%) were female. Pain in the abdomen was the most the frequently occurring complaint in addition to rectal bleeding which was present in 34 (28.9%) diarrhoea in 30(24.79%), fever in 10 (8.26%) and constipation in 4 (3.30%) patients. Inflammatory bowel disease was found in 14% of patients.
Conclusion: Lower GI bleeding represents a common problem, and inflammatory bowel disease is among the leading causes of Lower GI bleeding.
Key Words: Lower GI bleeding, Colonoscopy, Inflammatory bowel disease
Citation of article: Khan D, Inayat Ullah, Sohail M, Ghaffoor A. Frequency of Inflammatory Bowel Disease in Patients who Underwent Colonoscopy for Lower Gastrointestinal Bleeding. Med Forum 2024;35(1):83-86. doi:10.60110/medforum.350119.