Colonoscopic Screening for Colorectal Disorder in Patients with Haemorrhoids in a Tertiary setup

Author(s): Naziya Rahim Bhatia, Gautham Mohan, MS Moosabba

Background

Even though relationship between rectal bleeding and colorectal cancer has been studied extensively, association between rectal bleeding, haemorrhoids and other pathology remains unclear. Colorectal cancer (CRC) is one of the leading causes of Cancer mortality and morbidity. Although the incidence of CRC in India has increased only marginally, it is now the fifth most common cause of cancer mortality among Indian men and women. In this study we will evaluate role of colonoscopic screening for any colorectal disorder in patients with haemorrhoids in a tertiary care set up.

Methods

A tertiary care hospital based, descriptive, cross sectional, observational study carried out over 2 year period. A total of 90 patients were included who were clinically diagnosed with haemorrhoids, patients included were between age of 45-65 years. Colonoscopy was performed, and biopsy was taken from suspicious areas and scopy findings were observed and tabulated.

Results

The study was male preponderant at 91.1% whereas females constituted 8.9%. Colonoscopy revealed polyps in 8.89% of the participants, 6.67% had diverticular disease, 3.33% had intestinal growth, 11.11% had colitis, 2.22% had rectal ulcer, 1.11% had bleeding haemorrhoids. Histopathological analysis revealed 4.44% had intestinal malignancy, 7.78% had hyperplastic polyp, 2.22% had ulcerative colitis, 2.22% of the samples were normal and 11.11% were non-specific.

Conclusion

The analysis of our study was based on the fact that colonoscopies should be performed regularly for screening purposes and not only for evaluating a sign or symptom.