CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH LOWER GASTROINTESTINAL BLEEDING AT THE GASTROENTEROLOGY AND HEPATOLOGY CENTER, BACH MAI HOSPITAL

Công Long Nguyễn, Xuân Khuyến Trần

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Abstract

Objective: To investigate the clinical and paraclinical characteristics of patients with lower gastrointestinal bleeding (LGIB) at the Center for Gastroenterology and Hepatology, Bach Mai Hospital. Methods: A cross-sectional descriptive study was conducted on 110 inpatients diagnosed with LGIB at the Center for Gastroenterology and Hepatology, Bach Mai Hospital, from August 2024 to September 2025. Results: The mean age of patients was 59.0 ± 16.8 years; males accounted for 57.3%. The most common symptom was bright red rectal bleeding (80.9%), followed by melena (10.9%). Other symptoms included diarrhea (54.1%) and abdominal pain (32.7%). The mean hemoglobin level was 110.9 g/L. Colonoscopic findings showed that lesions were most frequently located in the colon (65.4%). The most common causes were hemorrhoids (19.1%) and ulcerative colitis (16.4%). Conclusion: Lower gastrointestinal bleeding commonly occurs in older patients, with the predominant symptom being bright red rectal bleeding. The colon is the most frequently affected site, with hemorrhoids and ulcerative colitis being the leading causes.

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References

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