Volume : 6, Issue : 11, November - 2017

A clinical study of Colonoscopic findings on positive faecal occult blood test

Dr. S. Kapil Raj, Dr. Jin Reeve. S. W. Daniel

Abstract :

<p>&nbsp;<b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Background and objectives</span></b></p> <p class="MsoNormal" style="text-indent:.5in;mso-layout-grid-align:none;&#10;text-autospace:none"><span style="font-size:12.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;&nbsp;&nbsp; Colorectal cancer is the third most common cancer in the world and a leading cause of cancer death in the Western world. The life time risk of colorectal carcinoma was 6%-7%, incidence rate increases after the age of 50. Datas&nbsp; from&nbsp; rural population based registries,&nbsp; shows&nbsp; incidence rate of colon cancer was very low&nbsp; in rural setting but incidence rate&nbsp; was disproportionately more in rural India . The present study is done in faecal occult positive patients &amp; who are willing for colonoscopy. The patients who &nbsp;are willing for colonoscopy&nbsp; are subjected for the procedure and the results are evaluated.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;Methods<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Patients admitted in various surgical units in Thanjavur medical college hospital between January 2013&nbsp; to July 2014 with positive faecal occult blood&nbsp; &amp; age &gt;50yrs constitute the materials of this study. The exclusion criteria includes&nbsp; patients with complaints of bleeding PR, altered bowel habits , tenesmus , mucus discharge from PR, spurious diarrhea ,mass desending PR ,FOBT within last one year, sigmoidoscopy within last 3 to 5 years, colonoscopy within last 10 years.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results <o:p></o:p></span></b></p> <p class="MsoNormal"><span style="font-size:12.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Out of 200 patients 52 had positive occult blood test, they are subjected to colonoscopy. In our study&nbsp; 17 patients had positive findings , &nbsp;colorectal cancer -1, polyp -1, haemorrhoids -5, &nbsp;diverticulitis-1, acid peptic diseases-9.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion <o:p></o:p></span></b></p> <p class="MsoListParagraph" style="line-height:115%"><span style="font-size:12.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;Faecal&nbsp; occult blood test screening offers no benefit without appropriate follow up diagnostic tests and treatment. Colonoscopy is more superior to all other screening tests in colorectal cancer screening. Colonoscopy offers both diagnostic and therapeutic options. In India, where there is scarcity of resources, in order to have population impact FOBT is the most affordable test.<o:p></o:p></span></p>