▲ Colonoscopy showed that the “pedunculated polyp” was bleeding (arrow). The image has been discolored. (Photo delivered by Wu Mingjun)
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Textual content / Wu Mingjun
An 84-year-old guy has substantial blood stress and continual obstructive pulmonary disease. He started out to mend from bloody stools 3 times back, so he went to the healthcare facility for an exam and organized for hospitalization. In the beginning his critical indicators were being stable, the blood on the index was in the usual array and there was nothing at all in the gastroscope report. Bleeding signs, he was nervous to be discharged from the medical center. Nonetheless, by the 2nd working day of hospitalization, he had a huge amount of money of blood in his stool and dizziness and his hemoglobin dropped substantially.
A colonoscopy was established up, and a 3 cm huge “pedunculated polyp” was located in the sigmoid colon and bleeding (as proven in the photograph). Diagnosis was colorectal polyp haemorrhage the patient underwent a “hot snare polypectomy”. The wound immediately after the removing of the polyp was addressed with a hemostatic clip, ultimately the patient’s hemoglobin healed and he was no for a longer time disturbed by bloody stools.
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The bleeding fee of colorectal polyps is somewhere around 10%. Hazard elements include polyps more substantial than 1 cm, pedunculated polyps, and a cherry purple physical appearance. As opposed with basic polyps, bleeding colorectal polyps do not have a far more critical diploma of malignancy. Mucosal stagnation is frequent.If there is still gastrointestinal bleeding soon after polyp elimination, soon after ruling out the likelihood of higher gastrointestinal bleeding, consider no matter if it is induced by hemorrhoids, diverticulum bleeding, or modest bowel condition.
There are many reasons for bloody stools: whilst most of them are benign lesions, there are continue to lethal threats, which really should not be overlooked.
(The author is the attending medical doctor of the Office of Gastroenterology, Hepatobiliary, Dongshi Farmers Clinic)
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