COLONOSCOPY-BASED DIAGNOSTIC TRENDS IN COLORECTAL DISEASES: EVIDENCE FROM A TERTIARY CARE HOSPITAL IN KARACHI, PAKISTAN
DOI:
https://doi.org/10.69656/pjp.v21i4.1848Keywords:
Colonoscopy, Hemorrhoids, colorectal cancer, Inflammatory bowel diseaseAbstract
Background: Colonoscopy is an essential diagnostic and therapeutic modality for evaluating a wide range of colorectal diseases, including polyps, inflammatory bowel disease (IBD), intestinal tuberculosis, haemorrhoids, and colorectal malignancies. This study aims to evaluate the spectrum of colonoscopic findings at a tertiary care hospital in Karachi and explore their association with patients’ age and gender. Methods: It was a retrospective cross-sectional review conducted in the endoscopy suite of Medical Unit III, Ward 7, Jinnah Postgraduate Medical Centre, Karachi. The data of 527 patients who underwent colonoscopy from 1st Jan 2020 to 31st Dec 2022 was recorded. Collected data was analysed through SPSS-25, and data were tabulated as frequencies and percentages. Results: Out of a total of 527 patients of mean age of 37.09 years, 209 (39.7%) were female patients. Abdominal pain 168 (31.9%), followed by per rectal bleed 165 (31.3%) were the commonest presenting complaints, 83 (15.7%) patients had chronic diarrhoea. The most frequent finding of colonoscopy was internal haemorrhoids in 140 (26.6%) patients, followed by IBD 44 (8.4%). Intestinal tuberculosis (TB) was 25 (4.7%), colon cancer was 17 (3.2%), rectal cancer was 13 (2.5%), and anal cancer was 7 (1.3%). Conclusion: The most common colonoscopic finding was internal haemorrhoids, followed by IBD and intestinal tuberculosis. Malignancies including colon, rectal, and anal cancers were also identified, though less frequently. These findings emphasize the diverse spectrum of colorectal diseases in clinical practice.
Pak J Physiol 2025;21(4):15–8, DOI: https://doi.org/10.69656/pjp.v21i4.1848
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Copyright (c) 2025 Aina Marzia Syed, Marium Waqar, Zeeshan Ali, Shabnam Naveed, Saleem Shahzad, Syed Masroor Ahmed
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