Colonoscopic findings in patients younger than 40 years
ConclusionWith the analysis of the data provided by the colonoscopies, it was possible to conclude that, when the investigation is adequate and the examination is well indicated, even under the age of 40, colonoscopy can help in the diagnostic and treatment of several pathologies, including those that may increase the risk of colorectal cancer.ResumoObjetivoAnalisar os principais achados endoscópicos nos pacientes com idade inferior a 40 anos e as principais indicações para realização das colonoscopias.MétodoEstudo retrospectivo, com análise de 362 laudos de pacientes com idade inferior a 40 anos submetidos à colon...
Source: Journal of Coloproctology - December 15, 2018 Category: Gastroenterology Source Type: research
Multiple approaches to sexually transmitted infections: from diagnosis to treatment
This study aimed to present six clinical cases with the diagnosis of sexually transmitted infections, but in which different treatment approaches were required. This demonstrates the dynamic and unique character of the disease in each individual. That is, the behavior of sexually transmitted infections will vary not only according to its causative microorganism (virus or bacteria), but also according to the characteristics of the combination of etiologic agent and host.ResumoAs infecções sexualmente transmissíveis são causadas, principalmente, por vírus e bactérias. Por meio do contato sexual, sem preservativo, com u...
Source: Journal of Coloproctology - December 15, 2018 Category: Gastroenterology Source Type: research
Fecal calprotectin role in diagnosis of ulcerative colitis and treatment follow-up
ConclusionIt seems fecal calprotectin levels are related to the disease severity. Non-invasive methods, such as fecal calprotectin assay, may seem to be an alternative to aggressive, costly and time-consuming methods, such as colonoscopy and biopsy, to reduce the suffering of patients and ultimately help improve the patients’ life quality.ResumoObjetivoA colite ulcerativa geralmente afeta o reto, podendo acometer todo o cólon. Métodos não invasivos, como a dosagem de calprotectina fecal, podem ser uma abordagem confiável e barata para a avaliação da gravidade da doença ou da estratégia de mudança de tratamento.M...
Source: Journal of Coloproctology - December 7, 2018 Category: Gastroenterology Source Type: research
Quality of life of patients with inflammatory bowel disease using immunobiological therapy
ConclusionFurther studies with larger samples are necessary to allow a more accurate delimitation of the impact of clinical and sociodemographic variables on the quality of life of patients with inflammatory bowel disease.ResumenObjectivosAvaliar a qualidade de vida de pacientes diagnosticados com doença inflamatória intestinal (DII) em uso de terapia imunobiológica e relacionar o escore geral e por domínios do “Inflammatory Bowel Disease Questionnaire” (IBDQ) com o imunobiológico em uso e as variáveis clínicas e sociodemográficas.MétodosEstudo observacional descritivo analítico transversal, realizado no per...
Source: Journal of Coloproctology - December 6, 2018 Category: Gastroenterology Source Type: research
Association of fecal occult blood tests results with colonoscopic findings in a general hospital and validation of the screening test
Publication date: Available online 23 November 2018Source: Journal of ColoproctologyAuthor(s): Ana Flávia Saraceni, Rodrigo Azevedo, Clarissa Maria Gomes Almeida, Antônio Carlos Baraviera, Desiderio Roberto Kiss, Maristela Gomes AlmeidaAbstractGlobally, colorectal cancer is the third leading cause of cancer death among men and the second among women, corresponding to about 10% of all cancers. The Brazilian Ministry of Health and National Cancer Institute recommend the screening of colorectal cancer for people over 50 years-old with Fecal Occult Blood Test. Endoscopy is limited to patients with positive screening results....
Source: Journal of Coloproctology - November 24, 2018 Category: Gastroenterology Source Type: research
Anal dysplasia among solid organ transplant recipients; a cross sectional study
ConclusionsThe rate of anal dysplasia detectable on cytology is high enough to warrant anal dysplasia screening in transplant recipients, which can then be followed up with high-resolution anoscopy with biopsy. Defining a cohort of patients among solid organ transplant recipients who are at an increased risk for the development of anal dysplasia mandating screening continues to be a challenge.ResumoIntroduçãoA incidência de câncer anal nos Estados Unidos aumentou nas últimas décadas, afetando populações imunossuprimidas, especialmente receptores de órgãos sólidos. O objetivo deste estudo foi avaliar a prevalênc...
Source: Journal of Coloproctology - November 14, 2018 Category: Gastroenterology Source Type: research
Effects of Aloe Vera on healing of colonic anastomoses: experimental rat study
ConclusionAloe Vera decreased tissue collagen content in the early postoperative period. It is advisable to call into question the concomitant usage of conventional medicine and the herbal supplements for the surgeons in their clinical practice.ResumoFundamentaçãoEmbora os medicamentos à base de plantas sejam amplamente utilizados no mundo inteiro, seus efeitos (benéficos e prejudiciais) não estão bem documentados. Este estudo teve como objetivo avaliar os efeitos da Aloe vera (AV) na cicatrização de anastomoses colônicas.Material e métodos112 ratos Wistar albinos foram distribuídos aleatoriamente em cinco grupo...
Source: Journal of Coloproctology - November 14, 2018 Category: Gastroenterology Source Type: research
Quality of Life (QoL) Among Ostomized Patients – a cross-sectional study using Stoma-care QoL questionnaire about the influence of some clinical and demographic data on patients’ QoL
ConclusionsIleostomy and colostomy patients have a significantly lower QoL than urostomy patients mostly because of its impact on social relations and self-esteem and self-image.ResumoIntroduçãoEm Portugal estima-se que cerca de 20.000 indivíduos sejam portadores de estoma, com todas as alterações associadas que podem comprometer a sua Qualidade de Vida (QdV).ObjectivosAvaliar a QdV de doentes ostomizados de acordo com o sexo, idade, tipo de cirurgia, doença primária, duração e tipo de estoma.Materiais e métodosForam incluídos todos os avaliados na consulta de Estomatoterapia entre Janeiro e Maio de 2017. A aval...
Source: Journal of Coloproctology - November 6, 2018 Category: Gastroenterology Source Type: research
Adoption rates of laparoscopic techniques for colorectal resections among Brazilian surgeons: limiting factors affecting incorporation into daily practice
ConclusionsAdoption rate of laparoscopic techniques to treat colorectal diseases is still low (at least 17%). Future efforts should focus on providing supervised training, proctorship during the initial experience and help instrumental acquisition in centers willing to change their routine and perspectives.ResumoDurante as últimas décadas, a incorporação de técnicas minimamente invasivas no tratamento de doenças colorretais testemunhou um progresso lento e firme, principalmente após o reconhecimento da segurança oncológica e melhor evolução. A adoção rotineira na prática clínica e na Residência Médica no B...
Source: Journal of Coloproctology - November 6, 2018 Category: Gastroenterology Source Type: research
Evidence-based review of methods used to reduce pain after excisional hemorrhoidectomy
ConclusionThe use of LigaSure in performing excisional hemorrhoidectomy and the application of topical glyceryl trinitrate ointment contributed to remarkable relief of postoperative pain after excisional hemorrhoidectomy according to the highest level of evidence. Perhaps a multimodality strategy that combines systemic and topical agents can be the optimal method for control of pain after excisional hemorrhoidectomy, yet further prospective trials are required to draw such conclusion.ResumoIntroduçãoA hemorroidectomia excisional (HE) é um dos procedimentos anorretais mais comumente realizados. Apesar dos resultados sati...
Source: Journal of Coloproctology - November 6, 2018 Category: Gastroenterology Source Type: research
Experiences of patients with haemorrhoidal disease – a qualitative study
ConclusionThis first qualitative study provides detailed insight into the patients’ experiences with HD, impact on daily life and results of treatment. This information may be used in daily practice to create awareness among clinicians.ResumoObjetivoEste estudo qualitativo teve como objetivo propiciar uma melhor compreensão das experiências dos pacientes com DH, o impacto em sua vida diária e os resultados do tratamento.MétodosEntre 2016 e 2017, pacientes com DH foram entrevistados individualmente. Cada entrevista foi gravada usando um gravador de áudio e transcrita na íntegra. Utilizou-se guia de entrevista semies...
Source: Journal of Coloproctology - November 3, 2018 Category: Gastroenterology Source Type: research
Local irrigation with silver nitrate, a non-surgical approach for persistent anal fistula
ConclusionsTreatment with silver nitrate 1% solution is a minimally invasive procedure, with a favourable safety profile, that can be performed in an outpatients’ basis achieving a complete healing rate of 44.4%. Therefore, this method should be considered for the treatment of recurrent or persistent anal fistula.ResumoObjetivoO tratamento da fístula anal persistente é um grande desafio para os cirurgiões, com risco de recorrência adicional e potencial comprometimento da continência. Os autores apresentam um tratamento não cirúrgico baseado na irrigação com solução de nitrato de prata a 1%.MétodosEste foi um ...
Source: Journal of Coloproctology - November 3, 2018 Category: Gastroenterology Source Type: research
A new defecographic parameter for assessing rectal emptying
ConclusionIt is possible to estimate how much barium paste is evacuated based on the variations in cross-sectional sagittal area of the rectum before and after defecation, in cinedefecography.ResumoObjetivoValidar um novo parâmetro defecográfico para avaliar o esvaziamento retal correlacionando o percentual de redução de peso da pasta baritada e a variação da porcentagem da redução da área do reto antes e depois da evacuação durante o exame de cinedefecografia.MétodosForam selecionadas 32 pacientes consecutivas do sexo feminino, portadoras de disquezia, com indicação clínica de investigação por cinedefecog...
Source: Journal of Coloproctology - November 3, 2018 Category: Gastroenterology Source Type: research
Efficacy of low residue enteral formula versus clear liquid diet during bowel preparation for colonoscopy: a randomised controlled pilot trial
ConclusionsThese data suggest that the addition of oral PEPTAMEN® as part of the bowel preparation regimen did not significantly alter the luminal cleanliness score during colonoscopy while alleviating hunger.ResumoObjetivoA preparação intestinal convencional para a colonoscopia confina o paciente à dieta líquida clara no dia anterior; esse regime dietético não nutritivo frequentemente causa desconforto e fome. O presente estudo teve como objetivo determinar a viabilidade de alimentar o paciente com fórmula enteral semielementar sem lactose e pobre em resíduos (PEPTAMEN®) em comparação com a dieta líquida clar...
Source: Journal of Coloproctology - November 3, 2018 Category: Gastroenterology Source Type: research
Colonoscopic findings in patients aged 50 years and older: a critical analysis of 1614 exams
ConclusionThe present study, which demonstrated a majority of exams with considerable alterations, shows the usefulness of the examination, besides other advantages, as a form of diagnosis of colorectal cancer.ResumoIntroduçãoA colonoscopia mostra-se útil no diagnóstico de diversas patologias. Ao permitir a visualização direta da mucosa, possibilita a tomada de medidas terapêuticas, como a remoção de pólipos, dilatação de estenoses e realização de biopsias. Tal método pode ser empregado também no rastreio do câncer colorretal, que atualmente representa importante causa de mortalidade no mundo. Os indivídu...
Source: Journal of Coloproctology - October 10, 2018 Category: Gastroenterology Source Type: research
