Muzaffer ÇAPAR, Sezar KARACA, Ahmet Serdar KARACA, Rıdvan ALİ

Genel cerrahi endoskopi ünitemizdeki rektal kanamalarda kolonoskopi deneyimlerimiz

Amaç: Bu çalışmada rektal kanama nedeniyle kolonoskopi yaptığımız hastaların sonuçlarını değerlendirmekamaçlanmıştır.Materyal ve Metod: Ocak 2008 Haziran 2012 tarihleri arasında elektif kolonoskopi yapılmış olan 2356 hastanınsonuçları retrospektif olarak incelendi. Bunların içerisinde 787 adet rektal kanamalı hasta olduğu belirlendi.Polipektomi ve biyopsi yapılan hastaların histopatolojik inceleme sonuçları da değerlendirmeye alındı. Bulgular: 4 yıl içinde elektif kolonoskopik inceleme yapılan 2356 hastanın 787si (%33.2) rektal kanama nedeniylemüracaat etmişti.. Rektal kanama nedeniyle başvuran 787 hasta retrospektif olarak değerlendirildi. Bu hastaların456sında (%58). hemoroidal hastalık, 149sında (%19) kolon veya rektumda polip, 86sında (%11) divertiküler hastalık,62sinde (%8) kolon veya rektum tümörü, 23ünde (%3) inflamatuvar barsak hastalığı, 11 hastada ise kolonoskopikinceleme normal bulundu. Sonuç: Kolonoskopinin, rektal kanamalarda, hem kanayan lezyonun gözle görülebilmesine olanak sağlaması, hem demalignite şüphesi olan olgularda histopatolojik tanının sağlanabilmesi avantajlarını içermesinden dolayı önemli birtetkik olduğunu düşünmekteyiz.

Our colonoscopy experiences for rectal hemorrhages in our endoscopy department of general surgery

Purpose: Our aim was to evaluate the outcomes of the colonoscopy patients in which colonoscopy was carried outbecause of rectal bleeding.Materials and Methods: Between January 2008 and June 2012, the results of 2356 patients who underwent electivecolonoscopy were analyzed retrospectively. 787 patients were identified as rectal bleeding. Histopathologicalexamination results of the patients who underwent polypectomy and biopsy were evaluated.Results: 787 (33.2%) of the 2356 patients undergoing elective colonoscopy within 4 years were admitted with rectalbleeding. 787 patients presented with rectal bleeding were evaluated retrospectively. Of these patients, these anomalieswere respectively found; hemorrhoidal disease in 456 (58%), colon or rectal polyps, in 149 (19%) diverticular diseasein 86 (11%), colon or rectum tumor in 62 (8%), inflammatory bowel disease in 23 (3%) and colonoscopic examinationwere normal 11 patients.Conclusion: We suggest that colonoscopy is an important examination, because rectal bleeding and bleeding lesionscan be seen with the naked eye and also histopathological diagnosis can be ensured when malignancy is suspected.

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