Carlo P, Paolo RF, Carmelo B, Salvatore I, Giuseppe A, Giacomo B, Antonio R. Colonoscopic evaluation of hematochezia in low and average risk patients for colorectal cancer: A prospective study. World J Gastroenterol 2006; 12(45): 7304-7308 [PMID: 17143945 DOI: 10.3748/wjg.v12.i45.7304]
Corresponding Author of This Article
Dr. Puglisi Carlo, Azienda Ospedaliero Universitaria Policlinico, Via S. Sofia N° 78, Catania 95100, Italy. puglisicarlo@yahoo.it
Article-Type of This Article
Clinical Research
Open-Access Policy of This Article
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World J Gastroenterol. Dec 7, 2006; 12(45): 7304-7308 Published online Dec 7, 2006. doi: 10.3748/wjg.v12.i45.7304
Table 1 Demographic data of patients with hematochezia
Patients (n)
417
Men/women
244/173
Mean age (yr)
50.5 ± 14.6
Range
18-96
< 45 years old
180 (43.2%)
> 45 years old
237 (56.8%)
Table 2 Diagnosis (n = 493) in patients with hematochezia (n = 417)
Diagnosis
n
%
Anal pathology
265
63.54
Polyps
77
18.46
(< 10 mm)
60
14.38
(> 10 mm)
17
4.07
Diverticular diseases
44
10.55
IBD
42
10.07
Normal finding
55
13.18
Carcinomas
6
1.43
Angiodysplasia
4
0.95
Total
493
Table 3 Endoscopic diagnoses in patients with hematochezia
Diagnosis
Age group (yr)
P
< 45 (n = 180)
> 45 (n = 237)
n
%
n
%
Anal pathology
103
57.2
162
68.4
< 0.05
Polyps
15
8.3
62
26.2
< 0.0001
Diverticular diseases
0
-
44
18.6
< 0.0001
IBD
29
6.1
13
5.5
< 0.001
Normal finding
35
19.4
20
8.4
< 0.01
Carcinomas
0
-
6
2.5
< 0.05
Angiodysplasia
3
1.6
1
0.4
NS
Table 4 Significant lesions in relationship to age and proximal or distal location of lesions in patients with hematochezia
Significantlesions
Age group (yr)
P
LocationProximal Distal
Tot.
< 45
> 45
(n = 180)
(n = 237)
n
%
n
%
n
n
Polyps
2
1.1
15
6.3
< 0.05
1
16
17
IBD
29
16.1
13
5.5
< 0.001
5
37
42
Carcinomas
0
-
6
2.5
< 0.05
1
5
6
Total
31
34
7
58
Citation: Carlo P, Paolo RF, Carmelo B, Salvatore I, Giuseppe A, Giacomo B, Antonio R. Colonoscopic evaluation of hematochezia in low and average risk patients for colorectal cancer: A prospective study. World J Gastroenterol 2006; 12(45): 7304-7308