1. Rectal bleeding in Egyptian children
- Author
-
Hamed A. El-Khayat, Mostafa A. El-Hodhod, Hoda Y. Tomoum, Hisham A. El-Safory, Fatma Z. Abd El-Basset, and Ahmed M. Hamdy
- Subjects
Diarrhea ,Male ,medicine.medical_specialty ,Adolescent ,Rectum ,Infectious Enterocolitis ,Gastroenterology ,Gastro ,Intussusception (medical disorder) ,Internal medicine ,medicine ,Humans ,Prospective Studies ,Intestinal Diseases, Parasitic ,Colitis ,Child ,Rectal hemorrhage ,Enterocolitis ,business.industry ,Age Factors ,Infant ,Intestinal Polyps ,Bacterial Infections ,medicine.disease ,Solitary rectal ulcer syndrome ,Diagnostic Techniques, Digestive System ,medicine.anatomical_structure ,Child, Preschool ,Acute Disease ,Chronic Disease ,Pediatrics, Perinatology and Child Health ,Female ,medicine.symptom ,Gastrointestinal Hemorrhage ,business - Abstract
In a prospective study to outline the aetiology of bleeding per rectum (BPR) in Egyptian infants and children, a subsidiary aim was to define some of the clinical characteristics of the different aetiologies.194 children with BPR are described. The diagnostic work-up included laboratory investigations, radiological and endoscopic assessment, radio-isotope scanning, angiography and histopathological examination of mucosal biopsies, as appropriate.Ages ranged from 3 to 192 months with a mean (SD) of 49.8 (43.5). Infectious enterocolitis was the most common cause (37.1%). Others included colorectal polyps (21.1%), chronic colitis (16%) including inflammatory bowel diseases (5.2%), allergic colitis (2.6%), solitary rectal ulcer syndrome (1.5%) and non-specific colitis (6.7%). Intussusception and Meckel's diverticulae were the cause in 7.3% and 2.6%, respectively, while other aetiologies included vascular (6.2%), systemic (3.6%), local anal (3.1%) and upper gastro-intestinal causes (1.5%). In 1.5% of cases, the cause remained 'obscure'.In Egyptian children, infectious enterocolitis followed by colorectal polyps and chronic colitis are major causes of BPR.
- Published
- 2006