Abstract
Objective: To filter out the colonic cancer cases by employing either sigmoidoscopy or colonoscopy and to explore the intestinal region for prevalence of neoplastic regions.
Methods: The design of the study was cross sectional. The study was conducted at Mayo Hospital Lahore from Jan 2015 to Dec 2017. The patients were diagnosed to have CRC or polyps more than 1 cm were included in the research after colonoscopy. The polyps found away from spleen were referred to as distal lesions and those found near splenic bend were termed as proximal / central lesions.
Results: Abnormal colonic tumor growth was diagnosed in 217 patients. Out of 217, 31 patients were diagnosed with more severe polyps' formations. The mean age of the sample was 55.8 years (33.2% were less than 50 years and 66.8% were above 50 years). The prevalence of CRC was 66.4% in the distal colonic region, 30 % in central colonic location and 3.7% patients were diagnosed with both lesions. Most of the patients reported with the symptoms of rectum bleeding (39.6%), loss in weight (31.8%). The symptoms and location of neoplastic lesions was statistically insignificant among older and younger subjects.
Conclusion: The study concluded that a significant number of CNLs were found in right colonic region of relatively younger patients. Colonoscopy is the option of choice for diagnosis, early assessment and treatment of Colonic Neoplastic Lesions. A broader study with multiple variable parameters is needed for extended research.