Original Research

Colonoscopic Findings in Patients with Lower Gastrointestinal Symptoms at a Tertiary Care Hospital of South Punjab, Pakistan

Hafiz Muhammad Kaleem Ullah1
Department of Medicine, Bahawal Victoria Hospital, Bahawalpur
Muhammad Shafiq1
Department of Medicine, Bahawal Victoria Hospital, Bahawalpur
Qazi Masroor Ali2
Quaid-e-Azam Medical College, Bahawalpur
Shahzeb Ahmed1
Department of Medicine, Bahawal Victoria Hospital, Bahawalpur
Arooba Iftikhar1
Department of Medicine, Bahawal Victoria Hospital, Bahawalpur
Qudsia Anwar2
Quaid-e-Azam Medical College, Bahawalpur

✉ Correspondence: Hafiz Muhammad Kaleem Ullah Email: mkaleemulah@gmail.com

DOI https://doi.org/10.70302/jpsim.v2i1.2113
Volume: 2, Issue 1 Pages: 47–50 Published: 13 Mar 2021
Received: 06 Dec 2020 Accepted: 04 Jan 2021 Published Online: 13 Mar 2021

Abstract

Background

In the last few decades, lots of improvement has been seen is diagnosis and treatment of patients
with lower gastrointestinal (GI) disorders.

Objective

To determine colonoscopic findings among patients presenting with lower gastrointestinal (GI)
symptoms.

Methods

This cross-sectional descriptive study was conducted at The Department of Medicine, Civil
Hospital, Bahawalpur from January to December 2019. A total of 150 patients of both gender aged 18 to 65
years and lower GI symptoms were enrolled. All patients were enrolled from emergency or outpatient
department and admitted. Patient's demographics along with indications for colonoscopy and colonoscopic
findings were recorded. Age was represented as mean and standard deviation while qualitative variables like
gender and coloscopic findings were shown as frequency and percentages.

Results

Out of a total of 150 patients, 102 (68.0%) were male. Mean age was noted to be 42.10 years with
standard deviation of 15.4 years. Topical Xylocaine Gel only was the commonest choice adopted as
premedication in 102 (68.0%) patients. Ulcerative colitis was the most frequent colonoscopic finding seen
amongst 20 (13.3%) patients followed by hemorrhoids 19 (12.7%), anusitis 17 (11.3%), suspected CAcolon 16
(10.7%) and solitary rectal ulcer 12 (8.0%). Normal Colonoscopic finding was observed among 50 (33.3%)
patients

Conclusion

Ulcerative colitis followed by hemorrhoids, anusitis and suspected CA colon were the most
common Colonoscopic findings. Most common indications for colonoscopy were revealed to be bleeding per
rectum followed by lower abdominal pain

Keywords
Colonoscopy Lower Abdominal Pain Bleeding per Rectum Ulcerative Colitis.

How to Cite This Article

Ullah HMK, Shafiq M, Ali QM, Ahmed S, Iftikhar A, Anwar Q. Colonoscopic Findings in Patients with Lower Gastrointestinal Symptoms at a Tertiary Care Hospital of South Punjab, Pakistan. J Pak Soc Intern Med. 2021;2(1):47–50. doi:10.70302/jpsim.v2i1.2113

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

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Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2021 Journal of Pakistan Society of Internal Medicine.
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