DOI: 10.36347/sasjs

Pages: 214-218

This is prospective study on clinical features, staging, investigations and management of colorectal carcinoma. In this study we tried to determine that what will be the common clinical manifestation while presenting here at our institute and patient would be having which stage and various methods of investigations to investigate carcinoma properly and to give appropriate stage and to manage these patients accordingly. This randomized observational prospective cohort study has been carried out in 50 cases of colorectal carcinoma, admitted to department of Colorectal Surgery BSMMU (Bangabandhu Sheikh Mujib Medical University) from July 2014 to September 2015. All patients were examined clinically and their history and examinations and necessary imaging and blood investigations were done. It included 50 cases of colorectal cancer which were operated with exploratory laparotomy. In my study it revealed that the maximum number of patients was in the 41-60 years age group, i.e., 28 and the youngest patient was 23 years old and the oldest one being 75 years old. The mean age of the patients was 55.32 years. In my study it revealed that male patients (28) have higher chances of incidence of colorectal carcinoma than female patients (22). In my study it suggested that majority of the patients were having sigmoid colon carcinoma (16) and descending colon carcinoma (14) was also that much common. The most common associated risk factor for colorectal carcinoma was smoking (36%), and alcohol (20%) and obesity (16%) were slightly less common than smoking and there were many patients (28%) who had no any risk factors present. In my study it revealed that mostly patients were presented here during 3rdstaging (52%) of colorectal carcinoma and then less common presenting stages were 2nd& 4th and not a single patient was presented during 1st stage. In my study it revealed that 40% of patients died after emergency surgery, this rate was way higher than death after elective surgery (6