Bleeding per rectum is one of the most alarming symptoms for patients and one of the most clinically diverse presentations for healthcare professionals. It may represent a benign anorectal condition such as haemorrhoids, or signal life-threatening pathology including colorectal cancer, inflammatory bowel disease, diverticular haemorrhage, ischaemic colitis, or massive lower gastrointestinal bleeding.
This highly academic and practical Grand Round will provide a world-class multidisciplinary review of rectal bleeding—from first presentation in the clinic or emergency room to advanced diagnostic pathways, endoscopic management, radiologic intervention, and definitive colorectal surgery. Through real-life cases, expert insights, and evidence-based algorithms, attendees will gain the confidence to distinguish benign from dangerous causes and intervene appropriately.
This session is designed to transform fear into foresight, delay into diagnosis, and bleeding into healing.
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Where This Course Fits In
This Grand Round fits within:
- General Surgery & Colorectal Surgery Education
- Gastroenterology & Endoscopy Practice
- Emergency Medicine and Acute Care
- Internal Medicine & Family Medicine
- Oncology Screening & Early Cancer Detection
- Nursing and Perioperative Care
- Continuing Professional Development (CPD/CME)
It is particularly relevant in an era where colorectal cancer is rising globally and delayed presentation remains common across Africa.
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Learning Outcomes
At the end of this Grand Round, participants should be able to:
- Classify rectal bleeding by colour, volume, chronicity, and likely anatomical source.
- Differentiate benign anorectal causes from sinister colorectal pathology.
- Recognize red-flag symptoms requiring urgent intervention.
- Apply evidence-based diagnostic pathways including DRE, proctoscopy, colonoscopy, CT angiography, and laboratory work-up.
- Understand modern endoscopic haemostasis techniques for lower gastrointestinal bleeding.
- Discuss surgical indications in massive haemorrhage, malignancy, and refractory disease.
- Appreciate the importance of colorectal cancer screening in patients with bleeding per rectum.
- Improve multidisciplinary collaboration between surgeons, physicians, nurses, radiologists, and endoscopists.
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Target Audience (Who Should Attend?)
- General Surgeons
- Colorectal Surgeons
- Gastroenterologists
- Family Physicians
- Internal Medicine Physicians
- Emergency Physicians
- Residents / Medical Officers / House Officers
- Nurses (Ward, Theatre, Endoscopy, Emergency)
- Radiologists
- Oncologists
- Medical Students
- Hospital Administrators interested in service-line growth
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Speakers
- Dr. David Olatayo Olayiwola
Consultant Surgeon | Head of Surgery | Grand Round Lead Speaker - Dr. Oghenekevwe Ikumariegbe
Resident Medical Officer in Surgery | Case Presenter
- Nurse Ayomide Ajani
Center Manager for Endoscopy, Cardiac Theatre and Surgical Specialties
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Suggested Guest Faculty
- Consultant Gastroenterologist
- Consultant Radiologist
- Consultant Oncologist
- Senior Perioperative Nurse Specialist