SOLITARY RECTAL ULCER DISEASE IN PATIENTS PRESENTING WITH LOWER GASTROINTESTINAL BLEEDING: A STUDY AT THE GASTROENTEROLOGY WARD, HAYATABAD MEDICAL COMPLEX, PESHAWAR
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Keywords
Solitary rectal ulcer disease, lower gastrointestinal bleeding, diagnostic modalities, management outcomes
Abstract
Background: Solitary rectal ulcer disease (SRUD) is a condition that causes solitary ulcers or nodules in the rectum. It mostly affects adults, with a slight male a majority. SRUD is caused by a combination of factors, including recurrent straining during defecation, rectal prolapse, and anomalies in pelvic floor dynamics.
Aim: The aim of this research is to look at the clinical presentation, diagnostic methods, and therapeutic results of patients with SRUD who present with LGIB.
Study design: Descriptive Retrospective study.
Duration and Place of the study: This study was conduction at Gastroenterology Ward, Hayatabad Medical Complex, Peshawar between 10th September 2022 to 10th October 2023
Material and Methods: The 110 patients in this research varied in age from 18 to 93 years old and were admitted to the Gastroenterology Ward between September 10th, 2022 and October 10th, 2023 with a main complaint of LGIB. Patients with SRUD were included in the research after their medical records were evaluated. Demographic data, clinical characteristics, endoscopic results, histological data, and treatment outcomes were all examined.
Results: The 110 patients in this study ranged in age from 18 to 90, with 31.8% between 31 and 45. Second largest was 46–60 (27.3%), followed by 18–30 (22.7%). Only 13.6% of patients were 61–75, and 4.5% were 76 or older. The study included 54.5% male and 45.5% female subjects. In 63.6% of 110 instances, hematochezia was the main symptom. 22.7% of patients had stomach pain thereafter. Less prevalent were constipation (9.1%) and tenesmus (2.7%).
Conclusion: This research offers significant contributions by examining the demographic attributes, first manifestations, coexisting medical conditions, endoscopic observations, histological characteristics, and therapeutic results pertaining to patients diagnosed with SRUD. The results of this study align with other research studies, underscoring the need of promptly identifying and effectively addressing this disease.
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Dr. Salman Afridi
Postgraduate Resident, Department of Gastroenterology, Hayatabad Medical Complex, Peshawar - Pakistan
Dr. Muhammad Younas
Postgraduate Resident, Department of Gastroenterology, Hayatabad Medical Complex, Peshawar – Pakistan
Dr. Syed Hira Hassan
Postgraduate Resident, Department of Gastroenterology, Hayatabad Medical Complex, Peshawar – Pakistan
Dr. Fida Muhammad Khan
Postgraduate Resident, Department of Gastroenterology, Hayatabad Medical Complex, Peshawar - Pakistan
Dr. Shafqat Ali
Postgraduate Resident, Department of Gastroenterology, Hayatabad Medical Complex, Peshawar - Pakistan
Dr. Asif Khan
Postgraduate Resident, Department of Gastroenterology, Hayatabad Medical Complex, Peshawar - Pakistan
Dr. Aafaq Ahmad
Postgraduate Resident, Department of Gastroenterology, Hayatabad Medical Complex, Peshawar - Pakistan
Dr. Nowshad Khan
Professor, Department of Medicine, Gomal Medical College, DI Khan - Pakistan