Hanis, M and Elagili, Faisal and Md Nor, Azmi
(2021)
Treatment and outcome of lower gastrointestinal bleeding: an observational multicentre study in East Coast region of Peninsular Malaysia.
In: Coloproctology 2021, Virtual.
Abstract
OBJECTIVE
The objective of this study is to determine the type of treatment and its patients’ outcome with new onset of LGIB in the East Coast of Peninsular Malaysia.
METHOD
This was a cross-sectional study conducted at hospitals in the East Coast region of Peninsular Malaysia. Observational data were collected from patients
with a new onset of non-traumatic LGIB. The patient was observed from beginning of treatment until discharged from the hospital to study its outcome.
This study commenced from September 2019 until September 2020.
RESULT
54 patients with LGIB were recruited. Male was reported to be more common than female to have lower gastrointestinal bleeding (40.7% vs 59.3%).
The incidence of LGIB is most common at the age of 65 years and above (35.2%). The most common cause of LGIB is haemorrhoid. 8 patients from the
study came with massive bleeding. 27 patients underwent colonoscopy. 64% of the patients were treated conservatively. 47 patients (87%) were resolved
upon the same admission and 7 patients (12.9%) had a recurrence. 2 patients died due to sepsis which was non-bleeding related. The amount of blood
transfusion ranges from 0-18 pints of packed cells. The bivariate analysis revealed that there was no statistical significance in the findings.
CONCLUSION
LGIB is common among Malay, males aged more than 65 years old. The common cause of bleeding is haemorrhoid and most patients were treated
conservatively. The majority of bleeding was resolved and rarely caused morbidity
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