Research Article

The Colonoscopy Outcomes Of The Patients That Present With Hematochezia

  • Gürkan Yetkin
  • İsmail Akgün
  • Mehmet Uludağ
  • Sinan Karakoç
  • Bülent Çitgez
  • Abdulcabbar Kartal

Turk J Colorectal Dis 2009;19(4):163-167


Hematochezia takes place in the first row of the indications for colonoscopy, and it is the most important finding that causes the patient to present to a health center. It is reported that one of the eight patients with hematochezia may have a serious underlying disease. In this study, we aimed to investigate the colonoscopic results of the patients with hematochezia.


The outcomes of the 234 patients who had colonoscopy for hematochezia between 2003-2008 were investigated retrospectively. The histopathological examination results of the patients who had polypectomy and biopsy were also included.


The outcomes of 720 patients who had colonoscopy in 5 years were evaluated. 234 patients (%32.5) presented with hematochezia. The indications for colonoscopy were as follows: constipation for 205 patients (%28.47), weight loss and anemia examination for 134 patients (%18.61), diarrhea for 42 patients (%5.83) and prior polypectomy or colorectal cancer operation follow-up for 105 patients (%14.58). The colonoscopic examination of the patients with hematochezia showed hemorrhoidal disease in 96 patients (%41.02), colonic or rectal polyp in 56 patients (%23.93), colon or rectum tumor in 28 patients (%11.96), diverticular disease in 16 patients (%6.83), inflammatory intestinal disease in 9 patients (%3.84) and rectal ulcer in 3 patients. 26 patients had normal outcomes of colonoscopy.


Colonoscopy is a unique method in providing the bleeding lesion to be visible, providing hystopathological diagnosis in suspicion of malignity, and giving a chance to treat a bleeding lesion.

Keywords: Colonoscopy, hematochezia, colorectal neoplasms