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It is a long-term condition that results in inflammation and ulcers of the colon and rectum. [1] [7] The primary symptoms of active disease are abdominal pain and diarrhea mixed with blood (hematochezia). [1] Weight loss, fever, and anemia may also occur. [1] Often, symptoms come on slowly and can range from mild to severe. [1]
Only 40% of patients have ulcers; 20% of patients have a single ulcer, and the remaining lesions range in size and form from broad-based polypoid to hyperemic mucosa. [10] Clinical signs and symptoms include rectal bleeding , copious mucus discharge, prolonged, severe straining, abdominal and perineal pain, constipation , and, in rare cases ...
Generally, this option is reserved for only the cases in which cancer development is highly suspected or major internal bleeding from ulcers occurs. In this case the entire colon and rectum are removed which both cures the pancolitis and prevents any chance of colon cancer. [7]
A lower gastrointestinal bleed is defined as bleeding originating distal to the ileocecal valve, which includes the colon, rectum, and anus. [2] LGIB was previously defined as any bleed that occurs distal to the ligament of Treitz, which included the aforementioned parts of the intestine and also included the last 1/4 of the duodenum and the entire area of the jejunum and ileum. [1]
Additionally, fecalomas may be seen as masses in the colon. In the case of ulceration, the part of the colon adjacent to the fecaloma will be thickened. This thickening of the bowel will help differentiate from stercoral colitis and stercoral ulcer from fecal impaction as the colon is typically not thickened in cases of fecal impaction. [2]
The most common cause of melena is peptic ulcer disease. [5] However, any bleeding within the upper gastrointestinal tract or the ascending colon can lead to melena. [ 6 ] Melena may also be a complication of anticoagulant medications, such as warfarin .
An ulcer seen after polypectomy (left) with a visible vessel suggesting recent bleeding is successfully closed with two endoclips (right) Endoclips have also found an application in preventing bleeding when performing complicated endoscopic procedures.
Inflammatory bowel disease (IBD) is a group of inflammatory conditions of the colon and small intestine, with Crohn's disease and ulcerative colitis (UC) being the principal types. [3] Crohn's disease affects the small intestine and large intestine, as well as the mouth, esophagus, stomach and the anus, whereas UC primarily affects the colon ...
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