Study on Colonoscopic Findinds in Positive Faecal Occult Blood Testing

Kapil Raj, S (2015) Study on Colonoscopic Findinds in Positive Faecal Occult Blood Testing. Masters thesis, Thanjavur Medical College, Thanjavur.


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INTRODUCTION: Colorectal cancer is the third most common cancer in the world and a leading cause of cancer death in the Western world. There is an increase in incidence of colorectal carcinoma in India due to, economic shift from low income to middle income economy and increase in ageing population, life style and dietary factors. AIMS OF STUDY: 1. To study colonoscopic findings in positive faecal occult blood test patients. 2. To study other screening modalities in colorectal carcinoma. MATERIALS AND METHODS: Patients admitted in various surgical units in thanjavur medical college hospital between January 2013 to July 2014 constitute the materials of this study. The exclusion criteria includes patients with complaints of bleeding PR, altered bowel habits, tenesmus, mucus discharge from PR, spurious diarrhea, mass desending PR ,FOBT within last one year, sigmoidoscopy within last 3 to 5 years, colonoscopy within last 10 years. The inclusion criteria includes patients with age of 50 and above, patients willing for further followup (invasive procedures like colonoscopy & UGI scopy). A total of 200 patients were studied, patients with positive faecal occult blood test are included in this study, those who are negative for FOBT were adviced for follow up, one year later for another FOBT test. RESULT: Only 52 patients were positive for FOBT out of 200 patients. In FOBT positive patients 12 patients are not willing for colonoscopy, 40 patients went through colonoscopy. Of them, 6 had haemorrhoids, 1 had a polyp and a carcinoma each and one other patient had diverticulum rest of patients have normal colonoscopy. CONCLUSION: 1. Faecal occult blood test screening offers no benefit without appropriate follow up diagnostic tests and treatment. 2. It is simple, safe and cost effective but is limited by lack of acceptability, compliance and adherence as well as poor sensitivity and specificity. 3. In considering all the advantages and drawbacks of FOBT in colorectal cancer screening, we can conclude that this examination is certainly better than no testing at all.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Colonoscopic Findinds ; Positive Faecal Occult Blood Testing.
Subjects: MEDICAL > General Surgery
Depositing User: Punitha K
Date Deposited: 04 May 2018 18:35
Last Modified: 04 May 2018 18:35

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