Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore
Background/Aims Sigmoidoscopy is performed in most medical centers to evaluate the distal colons of young adults presenting with hematochezia who are at risk of developing proximal lesions. Colonoscopies offer more complete evaluations but are associated with a higher incidence of complications and...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2020-07-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2019-029.pdf |
| _version_ | 1797669192016592896 |
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| author | Man Hon Tang Fung Joon Foo Chee Yung Ng |
| author_facet | Man Hon Tang Fung Joon Foo Chee Yung Ng |
| author_sort | Man Hon Tang |
| collection | DOAJ |
| description | Background/Aims Sigmoidoscopy is performed in most medical centers to evaluate the distal colons of young adults presenting with hematochezia who are at risk of developing proximal lesions. Colonoscopies offer more complete evaluations but are associated with a higher incidence of complications and possible low yield. Methods An analysis was conducted on colonoscopies performed in our center on patients 40 years of age or younger. The study population was sub-divided into 2 age groups for analysis: <30 years of age and 30–39 years of age. Results We recruited 453 patients for the study. Patients were 115 and 338 individuals that were <30 and 30–39 years of age, respectively. Hemorrhoids was identified as the cause of bleeding in the majority of cases. The overall incidence of polyps was 6.5%; this was significantly higher in the 30–39 age group (7.4% vs. 1.7%, p=0.026). There were two cases of advanced/malignant polyps. While the majority of the polyps were in the distal colon, 28% of the polyps in the older age group were found in the proximal colon. There was one case of colonic perforation. Conclusions Colonic polyps are more prevalent in patients aged 30–39. Colonoscopies should be considered for patients over the age of 30 with rectal bleeding. |
| first_indexed | 2024-03-11T20:40:34Z |
| format | Article |
| id | doaj.art-b08bb50170b5436faacd772ad877103d |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:40:34Z |
| publishDate | 2020-07-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-b08bb50170b5436faacd772ad877103d2023-10-02T02:58:30ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432020-07-0153446647010.5946/ce.2019.0297374Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in SingaporeMan Hon TangFung Joon Foo0Chee Yung Ng1 Department of Colorectal Surgery, Singapore General Hospital, Singapore Department of Colorectal Surgery, Singapore General Hospital, SingaporeBackground/Aims Sigmoidoscopy is performed in most medical centers to evaluate the distal colons of young adults presenting with hematochezia who are at risk of developing proximal lesions. Colonoscopies offer more complete evaluations but are associated with a higher incidence of complications and possible low yield. Methods An analysis was conducted on colonoscopies performed in our center on patients 40 years of age or younger. The study population was sub-divided into 2 age groups for analysis: <30 years of age and 30–39 years of age. Results We recruited 453 patients for the study. Patients were 115 and 338 individuals that were <30 and 30–39 years of age, respectively. Hemorrhoids was identified as the cause of bleeding in the majority of cases. The overall incidence of polyps was 6.5%; this was significantly higher in the 30–39 age group (7.4% vs. 1.7%, p=0.026). There were two cases of advanced/malignant polyps. While the majority of the polyps were in the distal colon, 28% of the polyps in the older age group were found in the proximal colon. There was one case of colonic perforation. Conclusions Colonic polyps are more prevalent in patients aged 30–39. Colonoscopies should be considered for patients over the age of 30 with rectal bleeding.http://www.e-ce.org/upload/pdf/ce-2019-029.pdfcolonic neoplasmcolonoscopygastrointestinal hemorrhage |
| spellingShingle | Man Hon Tang Fung Joon Foo Chee Yung Ng Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore Clinical Endoscopy colonic neoplasm colonoscopy gastrointestinal hemorrhage |
| title | Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore |
| title_full | Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore |
| title_fullStr | Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore |
| title_full_unstemmed | Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore |
| title_short | Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore |
| title_sort | endoscopic findings in patients under the age of 40 years with hematochezia in singapore |
| topic | colonic neoplasm colonoscopy gastrointestinal hemorrhage |
| url | http://www.e-ce.org/upload/pdf/ce-2019-029.pdf |
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