ABSTRACT
Objetivos. Evaluar la satisfacción y las preferencias sobre la colonoscopia (CL) y la entero-resonancia (ERM) de los pacientes que padecen enfermedad de Crohn a los que se les ha realizado ambas pruebas. Valorar también la eficacia del sistema de información para la recogida de estos datos. Método. Estudio piloto transversal, mediante una encuesta telefónica de satisfacción realizada a pacientes diagnosticados de enfermedad de Crohn (EC). Los pacientes del estudio se seleccionaron en la consulta del Servicio de Aparato Digestivo del Hospital Universitario Príncipe de Asturias. Se les realizaron las dos pruebas objeto del estudio durante el periodo comprendido entre el 1 de enero de 2011 y el 30 de junio de 2012. Las encuestas se efectuaron durante los meses de julio y agosto de 2012. Resultados. Han participado un total de 48 pacientes con enfermedad de Crohn. De ellos, 24 eran mujeres y 24 hombres. Con una media de edad de 43 años (DE: 13.8). La peor valoración se obtuvo en la preparación previa de ambas. Si los pacientes pudieran elegir, 23 preferían CL, 16 ERM y a 9 les era indiferente. Conclusiones. La preferencia de los pacientes hacia la CL pudo deberse a la administración previa de sedación. Una prueba como la CL, que a priori puede resultar desagradable para el paciente, resulta mucho mejor tolerada gracias a la sedación. En ambas pruebas las preparaciones previas se perciben como molestas. Nos plantearemos cómo poder mejorar la tolerancia a dicha preparación, quizá dando más información, puesto que muchas veces no se realiza correctamente y eso puede acentuar dicha percepción desagradable (AU)
Objectives. To evaluate satisfaction and preferences in Crohn's disease patients who have undergone a colonoscopy (CL) and a MRI colonography (MRI). As well as evaluate the effectiveness of the information system to collect the data. Method. A sectional pilot study conducted through a satisfaction survey questionnaire for patients diagnosed with Crohns disease (CD). Study patients were selected from the Gastroenterology Department in the Principe de Asturias University Hospital, where both the colonoscopy and the entero magnetic resonance imaging tests were done from the 1st of January to the 30th of June 2012. Surveys were conducted during July and August 2012. Results. A total of 48 patients with Crohns disease participated. Out of these, 24 were women and 24 were men. The mean age was 43 years (SD: 13.8). The worst score was obtained at the time of preparation for both procedures. If patients could choose they would prefer CL 23, 16 MRI and 9 were indifferent. Conclusions. The patients preference for CL could be due to the administration of sedatives prior to the procedure. A procedure such as the CL which initially may result unpleasant for the patient is tolerated much better as a result of the sedation. In both tests, the preparations prior to the procedures are perceived as unpleasant. We will think about how to improve patients tolerance to these preparations, maybe by giving more information as patients, because we dont know often how to do it properly, which could magnify this unpleasant perception (AU)
Subject(s)
Humans , Male , Female , Patient Satisfaction , Crohn Disease/nursing , Colonoscopy/methods , Colonoscopy/nursing , Magnetic Resonance Imaging/nursing , Magnetic Resonance Spectroscopy/methods , Patient Acceptance of Health Care , Treatment Outcome , Evaluation of the Efficacy-Effectiveness of Interventions , Health Surveys/trendsABSTRACT
OBJECTIVES: To evaluate satisfaction and preferences in Crohn's disease patients who have undergone a colonoscopy (CL) and a MRI colonography (MRI). As well as evaluate the effectiveness of the information system to collect the data. METHOD: A sectional pilot study conducted through a satisfaction survey questionnaire for patients diagnosed with Crohn's disease (CD). Study patients were selected from the Gastroenterology Department in the Principe de Asturias University Hospital, where both the colonoscopy and the entero magnetic resonance imaging tests were done from the 1st of January to the 30th of June 2012. Surveys were conducted during July and August 2012. RESULTS: A total of 48 patients with Crohn's disease participated. Out of these, 24 were women and 24 were men. The mean age was 43 years (SD: 13.8). The worst score was obtained at the time of preparation for both procedures. If patients could choose they would prefer CL 23, 16 MRI and 9 were indifferent. CONCLUSIONS: The patients' preference for CL could be due to the administration of sedatives prior to the procedure. A procedure such as the CL which initially may result unpleasant for the patient is tolerated much better as a result of the sedation. In both tests, the preparations prior to the procedures are perceived as unpleasant. We will think about how to improve patients' tolerance to these preparations, maybe by giving more information as patients, because we don't know often how to do it properly, which could magnify this unpleasant perception.
Subject(s)
Colonoscopy , Crohn Disease/diagnosis , Magnetic Resonance Imaging , Patient Preference , Adolescent , Adult , Aged , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Pilot Projects , Young AdultSubject(s)
Adenocarcinoma/diagnosis , Carcinoid Tumor/diagnosis , Neoplasms, Multiple Primary/diagnosis , Stomach Neoplasms/diagnosis , Adenocarcinoma/surgery , Aged , Carcinoid Tumor/surgery , Female , Gastrectomy , Gastritis, Atrophic/complications , Gastroscopy , Humans , Neoplasms, Multiple Primary/surgery , Stomach Neoplasms/surgerySubject(s)
Humans , Female , Middle Aged , Adenocarcinoma/diagnosis , Adenocarcinoma/surgery , Carcinoid Tumor/diagnosis , Carcinoid Tumor/surgery , Neoplasms, Multiple Primary/diagnosis , Neoplasms, Multiple Primary/surgery , Stomach Neoplasms/diagnosis , Gastrectomy/trends , Gastrectomy , Gastritis, Atrophic/complications , Gastroscopy , Stomach Neoplasms/surgeryABSTRACT
La invaginación intestinal es una causa poco frecuente de dolor abdominal en adultos. Ocurre en menos del 1% de obstrucción intestinal de delgado. En adultos la mayoría de los casos son el resultado de una lesión intestinal; la invaginación idiopática es extremadamente rara. Presentamos un caso de obstrucción intestinal diagnosticado mediante tomografía computadorizada de invaginación de intestino delgado secundaria a un tumor. Se discute la etiología, diagnóstico y tratamiento de la invaginación intestinal del adulto (AU)
Intussusception is a rare cause of abdominal pain in adults. It occurs in less than 1% of all cases of adult small bowel obstruction. In adult population, most cases are the result of some type of intestinal lesion; idiopathic intussusceptions are an extremely rare occurrence in adults. This report describes one case of intestinal obstruction caused by an intussusception diagnosed by computed tomography(CT) scan. This report discusses the etiology, diagnosis, and treatment of adult intususcepción (AU)
