Dr Muhammad Muhboob Khan, Dr Zeeshan Khalid, Dr Ashiq Hussain
Objectives: The basic aim of this study is to assess the role of colonoscopy in incidental rectal cancer in elderly patients presenting with hemorrhoids. Material and methods: This cross-sectional study was conducted in Nishtar Hospital, Multan during October 2019 to January 2020. A total of 200 patients, the range of age was 51-83 years, were studied. Anal Fissures 14.2%, Hemorrhoids (54.2%) and ulcerative colitis (14.2%) were the most common lesions and colonoscopy was normal in 8.0%. Results: Noteworthy injuries were found in 30.1% (121) patients, comprising 6.5% (26) patients with adenocarcinoma and 7.5% (30) with adenomatous polyps. Almost all patients with important injuries had at least one lesion in the distal colon; adenomatous and adenocarcinoma polyp in the proximal colon were found in two patients with hemorrhoids. Conclusion: Severe sigmoidoscopy may be used as an alternative in patients less than 60 years of age in settings where the former is not available. The choice of colonoscopy over flexible sigmoidoscopy in patients aged over 60 years should be individualized.