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TITLE :

ANALYSIS OF FREQUENCY OF COLORECTAL CANCER IN ELDERLY PATIENTS PRESENTING WITH HAEMORRHOIDS

AUTHORS:

Dr. Muhammad Abdullah Ahmad, Dr. Shysta Shaukat, Dr. Faseeha Mariam

ABSTRACT :

Introduction: BRBPR (Minimal bright red bleeding per rectum) is a clinical problem frequently found in adults of all ages. Incidental Rectal Cancer is the problem which may be even more common in adults because of under-reporting to physicians. Aims and objectives: The basic aim of the study was to analyze the frequency of Colorectal Cancer in Elderly Patients presenting with Haemorrhoids. Methodology of the study: This cross-sectional study was conducted at THQ hospital Chishtian during February 2018 to August 2018. This study was done with the permission of ethical committee of hospital. Incidental Rectal Cancer with minimal BRBPR, was defined as small amounts of red blood after wiping or a few drops of blood in the toilet bowl after defecation. Small amounts of blood on the surface of the stool were also considered minimal BRBPR, but red blood intermixed with stool was not. Results: During the study period, 402 patients with minimal BRBPR were enrolled. This study group was composed of 219 males (54.5%) and 183 females (45.5%). Their ages ranged from 51 to 83 years. Of these, 177 (44.0%) were in the one age group. There were another 94 patients (41 male, 53 female), who met the eligibility criteria, but did not agree to participate and undergo colonoscopy. Conclusion: Our findings should be interpreted in the context of the limitations of our study. First, not all patients with minimal BRBPR are referred to gastroenterologists for evaluation, and this is particularly true for younger patients. Keywords: Colonoscopy, Gastrointestinal hemorrhage, Colorectal Neoplasms, Incidental Rectal Cancer.

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