Colonoscopic Evaluation of Severe Hematochezia in an Oriental Population

摘要: Background and Study Aims: Hematochezia is a common clinical problem. When the bleeding brisk continuous it requires prompt hospital admission careful diagnostic evaluation management. Colonoscopy has become first-line investigative modality in patients presenting with severe hematochezia many centers, including ours. A retrospective review was carried out to evaluate effectiveness of colonoscopy determining cause our Oriental population. Patients Methods: One hundred ninety underwent at National University Hospital, Singapore, from 1 January 1988 31 December 1994. Their records were retrieved data analyzed for sex, age, presentation, concomitant medical conditions, prevalence recent non-steroidal anti-inflammatory drugs ingestion, past history hematochezia, investigations, subsequent interventions outcome. Results: as fist-line modal- ity identified site 78 % l (148/190) cases. The remained obscure even after additional investigations 15% (29/ - 190) commonest population diverticular disease (30%, 57/190) right-sided constituting 44% (25/57) these Overall, stopped spontaneously 81% (154/190) Surgery performed 16% (30/190) mortality related this ses ries 5% (9/190). Conclusions: efficiency defining comparable most Western series. disease.