- Middle Black Sea Journal of Health Science
- Vol: 5 Issue: 3
- Investigation of Hemogram, Endoscopy, Demographic Properties of Patients Applied by Fecal Occult Blo...
Investigation of Hemogram, Endoscopy, Demographic Properties of Patients Applied by Fecal Occult Blood Test Screening
Authors : Özlem Özdemir, Çağrı Akalin, Hamza Çinar
Pages : 180-185
Doi:10.19127/mbsjohs.531631
View : 18 | Download : 5
Publication Date : 2019-12-31
Article Type : Research
Abstract :Objective: Colorectal cancer (CRC) is one of the most common cancers in the world. Fecal occult blood test (FOBT) is easy and commonly used test to its screening. The aim of this study was to investigate the demographic characteristics, hemogram results and endoscopy and outcome status of the patients who underwent FOBT on history and clinical suspicion and to contribute to the literature. Methods: 400 patients who were admitted to the general surgery polyclinic between 01/12/2016 and 12/12/2017 in Ordu University Medical Faculty Training and Research Hospital were evaluated retrospectively. The data of 349 patients who underwent FOBT was reached. Age and sex, hemoglobin, hematocrit, ferritin levels, upper and lower gastrointestinal endoscopy results and pathology results of endoscopic biopsies were recorded. Results: 38 (10.9%) with FOBT (+) and 311 (89.1%) with FOBT (-) of 349 patients were detected. There was no statistically significant difference between the two groups in terms of the average age (p = 0.27) and gender (p = 0.26). There was a significant difference between the two groups in terms of the rate of upper gastrointestinal endoscopy (p = 0.03). There was a significant difference between the two groups in terms of the rate of colonoscopy (p = 0.001). Malignancy was detected in 22,2% of FOBT (+) and in 1,63% of FOBT (-) group by colonoscopy. There was a statistically significant difference between the two groups in terms of disease diagnoses (p = 0.001). There was no statistically significant difference between the two groups in terms of Helicobacter Pylori ( H. pylori ) (p = 0.31) and intestinal metaplasia (p = 0.44). There was a statistically significant difference between the two groups in terms of Hb and Htc value (p= 0.05). Conclusion: According to the results of FOBT, the application of endoscopy to the patients who are required, provide to detect the precancerous lesions as well as the malignancies of the upper and lower gastrointestinal tract. Good knowledge of the importance of this test will allow early detection of malignancy.Keywords : Fecal occult blood test, Colorectal cancer, Endoscopy