Özet:

Background and Aims: Hemorrhoids and anal fissures, which are among the anal diseases, may trigger intermittent bleeding and then iron deficiency anemia. Internal hemorrhoids are the most frequent gastrointestinal cause of hemorrhage and iron deficiency in the elderly people. Intermittent bleeding from the anus must be considered while evaluating patients with iron deficiency, even though they present no complaint, as they frequently experience an asymptomatic course without pain. Material and Methods: We retrospectively analyzed the colonoscopy operations performed by our gastroenterologist at Celal Bayar University, Hafta Sultan Hospital, Department of Gastroenterology, from July 1, 2013, to May 1, 2016. The study included the colonoscopy reports of patients who underwent colonoscopy for screening purposes due to family history of cancer and for rectal bleeding and iron deficiency anemia. We compared the rates of anal diseases among the patients. Results: Of the patients who underwent colonoscopy for screening purposes due to family history of cancer, 32% had internal hemorrhoids, five of them had external hemorrhoids, three had colon cancer, and one patient had an anal polyp. The iron deficiency anemia group presented a higher rate than the control group, and the difference was statistically significant. The rectal bleeding group had significantly higher internal hemorrhoid rates than the control group. Discussion: We detected significantly higher internal hemorrhoid rates in the rectal bleeding and iron deficiency anemia groups than those in the control group. These findings were in agreement with those reported in the relevant literature.

Anahtar Kelimeler: