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Pattern of colo-rectal surgery at Dammam Central Hospital
المؤلفون المشاركون
al-Biladi, Abd al-Qadir
al-Tufaif, Ahmad
al-Khamis, Said
al-Mubarak, Muhammad
Mishikhis, Abd al-Wahid N.
المصدر
العدد
المجلد 22، العدد 4 (31 ديسمبر/كانون الأول 2000)، ص ص. 1-4، 4ص.
الناشر
تاريخ النشر
2000-12-31
دولة النشر
البحرين
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Objective: This study aims to analyse the patterns of presentation, investigation and surgical management of major colo-rectal diseases admitted to the Department of Surgery, Dammam Central Hospital, one of the major hospitals in the Eastern Province of Saudi Arabia.
Methods: The case notes of all patients who underwent major colo-rectal procedure (excluding piles and ano-rectal sepsis) over 2-year period (1995 and 1996) were retrospectively reviewed.
Results: There were 23 colo-rectal procedures carried out in 21 patients (15 males, 6 females) with mean age of 45 (range 15-75) years during the two year period (1995-1996).
Fifteen patients (70.4%) were Saudis.
The commonest presenting symptoms were: constipation (81%), bleeding per rectum (57%), abdominal pain and discomfort (47.6%), weight loss (42.8%), abdominal mass (19%) and tenesmus (19%).
Ultrasonography was performed in 20 and was informative in 5 cases (mass 3, liver metastases 1 and mesenteric lymphadenopathy in 1).
CT scan was performed in 8 patients and was abnormal in 4.
Nineteen patients (90.5%) underwent colonoscopy, which revealed colonic lesions in fifteen patients.
Only 3 patients had barium enema that showed malignant lesion in 2.
The operations performed were hemicolectomy (eight), anterior resections (four), abdomino-perineal resection of rectum (three), Hartmann’s procedures (two), reversal of Hartmann’s (two), subtotal and total colectomies (three).
Majority of the procedures was carried out for cancer (66.7%), followed by adenoma (9.5%).
There were 4 complications (17%) and 5 deaths (21.7%); all in patients with cancer.
The mean hospital stay was 20 (range 10-67) days.
Conclusion: We conclude that colonoscopy is efficiently used at Dammam Central Hospital to investigate large bowel symptoms replacing barium enema.
Major colo-rectal procedures are conducted at a rate of 1 per month.
Majority (66.5%) of colonic operations performed were for cancer and that surgery for inflammatory bowel conditions seem to be uncommon.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mishikhis, Abd al-Wahid N.& al-Mubarak, Muhammad& al-Biladi, Abd al-Qadir& al-Tufaif, Ahmad& al-Khamis, Said. 2000. Pattern of colo-rectal surgery at Dammam Central Hospital. Bahrain Medical Bulletin،Vol. 22, no. 4, pp.1-4.
https://search.emarefa.net/detail/BIM-602500
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mishikhis, Abd al-Wahid N.…[et al.]. Pattern of colo-rectal surgery at Dammam Central Hospital. Bahrain Medical Bulletin Vol. 22, no. 4 (Dec. 2000), pp.1-4.
https://search.emarefa.net/detail/BIM-602500
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mishikhis, Abd al-Wahid N.& al-Mubarak, Muhammad& al-Biladi, Abd al-Qadir& al-Tufaif, Ahmad& al-Khamis, Said. Pattern of colo-rectal surgery at Dammam Central Hospital. Bahrain Medical Bulletin. 2000. Vol. 22, no. 4, pp.1-4.
https://search.emarefa.net/detail/BIM-602500
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-602500
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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