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Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore
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Man Hon Tang, Fung Joon Foo, Chee Yung Ng
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Clin Endosc 2020;53(4):466-470. Published online June 18, 2020
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DOI: https://doi.org/10.5946/ce.2019.029
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 Abstract
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- Background
/Aims: Sigmoidoscopy is performed in most medical centers to evaluate the distal colons of young adults presenting with hematochezia who are at risk of developing proximal lesions. Colonoscopies offer more complete evaluations but are associated with a higher incidence of complications and possible low yield.
Methods
An analysis was conducted on colonoscopies performed in our center on patients 40 years of age or younger. The study population was sub-divided into 2 age groups for analysis: <30 years of age and 30–39 years of age.
Results
We recruited 453 patients for the study. Patients were 115 and 338 individuals that were <30 and 30–39 years of age, respectively. Hemorrhoids was identified as the cause of bleeding in the majority of cases. The overall incidence of polyps was 6.5%; this was significantly higher in the 30–39 age group (7.4% vs. 1.7%, p=0.026). There were two cases of advanced/malignant polyps. While the majority of the polyps were in the distal colon, 28% of the polyps in the older age group were found in the proximal colon. There was one case of colonic perforation.
Conclusions
Colonic polyps are more prevalent in patients aged 30–39. Colonoscopies should be considered for patients over the age of 30 with rectal bleeding.
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Citations
Citations to this article as recorded by  - The Italian Unitary Society of Colon-Proctology (Società Italiana Unitaria di Colonproctologia) guidelines for the management of acute and chronic hemorrhoidal disease
Antonio Brillantino, Adolfo Renzi, Pasquale Talento, Luigi Brusciano, Luigi Marano, Maurizio Grillo, Mauro Natale Maglio, Fabrizio Foroni, Alessio Palumbo, Maria Laura Sandoval Sotelo, Luciano Vicenzo, Michele Lanza, Giovanna Frezza, Massimo Antropoli, Cl
Annals of Coloproctology.2024; 40(4): 287. CrossRef - The Value of Colonoscopy in Assessing Rectal Bleeding in Patients Referred From Outpatient Care Units in Erbil, Iraq
Rawand Haweizy, Farman N Qader
Cureus.2024;[Epub] CrossRef - Comparing efficacy and factors of postoperative bleeding in endoscopic mucosal resection vs coagulation for intestinal polyps
Zhiang Li, Fei Yu, Chaoqian Wang, Zhang Du
Medicine.2023; 102(37): e34941. CrossRef - The role of colonoscopy in young patients with rectal bleeding: a systematic review and meta-analysis
Tuane Colles, Patrícia K. Ziegelmann, Daniel C. Damin
International Journal of Colorectal Disease.2023;[Epub] CrossRef - Usefulness of Colonoscopy in Patients with Hematochezia Aged under 40 Years
Hee Chan Yang, Sang Wook Kim
Clinical Endoscopy.2020; 53(4): 385. CrossRef
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