Pattern of colo-rectal surgery at Dammam Central Hospital
Joint Authors
al-Biladi, Abd al-Qadir
al-Tufaif, Ahmad
al-Khamis, Said
al-Mubarak, Muhammad
Mishikhis, Abd al-Wahid N.
Source
Issue
Vol. 22, Issue 4 (31 Dec. 2000), pp.1-4, 4 p.
Publisher
King Hamad University Hospital
Publication Date
2000-12-31
Country of Publication
Bahrain
No. of Pages
4
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-602500