An assessment of the causes of lower gastrointestinal bleeding in a children’s hospital in northeastern Romania
The aims of this five-year retrospective study was to investigate the common etiologies, clinical, biological and pathological patterns of lower gastrointestinal bleeding in children from a hospital center in northeastern Romania. We included in the study 118 children with lower gastrointes...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
University of Belgrade, University of Novi Sad
2015-01-01
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| Series: | Archives of Biological Sciences |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0354-4664/2015/0354-46641400043G.pdf |
| Summary: | The aims of this five-year retrospective study was to investigate the common
etiologies, clinical, biological and pathological patterns of lower
gastrointestinal bleeding in children from a hospital center in northeastern
Romania. We included in the study 118 children with lower gastrointestinal
hemorrhage or two consecutive positive fecal occult blood tests. Patients
were divided into three age groups (0-2 years, 3-10 years, 11-18 years) and
the findings were reported separately for each group. Gastrointestinal
bleeding was more common among 3-10-year-old children. Hematochezia was the
most common form of presentation (54.2%), followed by rectorrhagia (40.7%).
Each patient underwent a colonoscopy with bioptic mapping. The most common
colonoscopy finding was solitary colorectal polyps in 39 cases (33.1%),
followed by suggestive aspects for ulcerative colitis in 26 patients (22.0%);
only 15 (12.7%) were histologically confirmed. Endoscopic polypectomy was
performed in all cases. We report two perforations and one hemorrhage that
required surgery. |
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| ISSN: | 0354-4664 1821-4339 |