أسباب النزف الهضمي السفلي في الطفولة

الملخص EN

Objective : The aim of this study was to determine the most common causes of lower intestinal bleeding (LIB) in childhood period for correct diagnosis, and to reach to the best management that achieve good prognosis.

Methods : One hundred ninety eight (198) patients with lower intestinal bleeding were studied in Children Hospital of Damascus University.

This study involved ages between the neonatal period and the adolescent.

Results : We found that polyps, necrotizing colitis (NEC), intestinal intussusceptions and enteritis are the most common causes of LIB.

The commonest causes of LIB are : NEC in neonatal period, intestinal intussusceptions in infants, polyps in childhood, Henoch-Schonlein purpura and rectal lesions in adolescent.

LIB was more common in males than females.

The commonest symptoms and signs associated with LIB are: anemia, pallor, abdominal pain, mucous stool and diarrhea.

Conclusions : We conclude that appropriate approach for LIB leads to correct diagnosis and management which achieve lower mortality and good prognosis.