Rectal bleeding in Egyptian children.
| Autor: | El-Khayat HA; Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt., El-Hodhod MA, Abd El-Basset FZ, Tomoum HY, El-Safory HA, Hamdy AM |
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| Jazyk: | angličtina |
| Zdroj: | Annals of tropical paediatrics [Ann Trop Paediatr] 2006 Dec; Vol. 26 (4), pp. 337-44. |
| DOI: | 10.1179/146532806X152863 |
| Abstrakt: | Aim: 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. Subjects and Methods: 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. Results: 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'. Conclusion: In Egyptian children, infectious enterocolitis followed by colorectal polyps and chronic colitis are major causes of BPR. |
| Databáze: | MEDLINE |
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