| 직장출혈력이 없는 빈혈 환자에서의 대장내시경의 역할 |
| 강인숙·정성애·임석아*·김성은·심기남·유 권·문일환 |
| 이화여자대학교 의과대학 내과학교실, *서울대학교 의과대학 내과학교실 |
| Colonoscopic Findings in Anemia Patients without Active Rectal Bleeding |
| In Sook Kang, M.D., Sung-Ae Jung, M.D., Seock-Ah Im, M.D.*, Seong Eun Kim, M.D., |
| Department of Internal Medicine, Ewha Womans University College of Medicine, Ewha Medical |
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| Abstract |
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Background/Aims:
For evaluation of anemia, esophagogastroduodenoscopy (EGD) is
widely used. However, there is no sufficient information on the efficiency and role of colonoscopic
evaluation for these anemia patients. We aimed to evaluate the diagnostic yield of colonoscopy in
anemia patients with nonactive rectal bleeding.
Methods:
This was a retrospective study from January
2001 to December 2002. We reviewed 147 patients who underwent colonoscopy for anemia
evaluation.
Results:
The mean age was 48⁑17 years (range 15∼90), and male to female ratio was
1：4.3. Ninety-four patients (63.9%) had iron deficiency anemia and 21.8% of them have less than
7 g/dL of hemoglobin. Abnormal colonoscopic findings were observed in 84 patients (57.1%)
including hemorrhoid (35), polyp (31), tuberculosis (9), cancer (8), diverticulum (8), endometriosis
(1), angiodysplasia (1), and ulcerative colitis (1). The presence of abnormal colonoscopic findings
was more frequently observed in older population (≥55 years old, p=0.034). Intestinal tuberculosis,
endometriosis, and ulcerative colitis were observed only in younger population (＜55 years old), and
2 of 8 cancer patients were 39 and 49 years old males.
Conclusions:
Although the diagnostic yield
of colonoscopy is relatively higher in older population, colonoscopy is one of the valuable tools in
anemia evaluation of both older and younger populations. (Korean J Gastrointest Endosc 2004;28:173
178) |
| Key Words:
IColonoscopy, Anemia, Rectal bleeding |
| 주요어:
대장내시경, 빈혈, 직장출혈력 |
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