Perfil dos pacientes ambulatoriais com doenças inflamatórias intestinais

Abstract

-Introduction -The inflammatory bowel diseases are chronic illnesses that significantly affect the quality and patients life expectancy. There is clinical polymorphism and the therapeutic approach has been modified in recent years. Aim -To re-analyze the profile of outpatient patients studying the behavior of the disease, its prevalence and therapeutic approach. Methods -Was conducted a cross-sectional study of the last 2010 update database of patients with inflammatory bowel disease. The items analyzed were age and sex of patients, type of disease (ulcerative colitis or Crohn's disease), disease location, type of medication used, and whether patients were symptomatic or asymptomatic at the last visit. Results -In a total of 171 patients women were found to be predominant (60.8%) and the mean age was 42.3, ranging from 16 to 84 years. Regarding the type of inflammatory disease, ulcerative colitis was more prevalent (58.5%). The most common locations on ulcerative colitis were pancolitis and rectitis, both with 26% (n = 26). In Crohn's disease ileocolic location was the most prevalent, with 47.9% (n = 34), followed by colonic 25.4% (n = 18). Monotherapy was the most used, accounting for 54.4% of patients, the immunosuppressive drugs were the most frequently used (35.5%). The combination of drugs was necessary in 36.3% of cases, being the most frequent combination with systemic salicylate in 33.9%. In patients with ulcerative colitis 82% were using salicylates, whether local or systemic. In Crohn's disease 57.7% were taking immunosuppressive drugs. In relation to the disease in the last visit, 71.3% of patients were asymptomatic. Conclusion -The ulcerative colitis was slightly more prevalent than Crohn's disease, pancolitis and rectitis being the most common locations. In Crohn's disease ileocolic location was the most common followed by colonic. Monotherapy immunosuppressive regimen was the most popular. Most of the patients were asymptomatic at last visit. ABCDDV/793RESUMO -Introdução -As doenças inflamatórias intestinais são enfermidades crônicas, que afetam significativamente a qualidade e expectativa de vida dos pacientes. Existe polimorfismo clínico e a abordagem terapêutica tem sido modificada nos últimos anos. Objetivo -Reavaliar o perfil dos pacientes em acompanhamento ambulatorial analisando o comportamento das doenças, sua prevalência e conduta terapêutica. Métodos -Foi realizado um estudo transversal da última atualização da base de dados dos pacientes de ambulatório de doença inflamatória intestinal em 2010. Os itens analisados foram sexo e idade dos pacientes, tipo da doença (retocolite ulcerativa ou doença de Crohn), localização da doença, tipo de medicação em uso, e se os pacientes estavam sintomáticos ou assintomáticos na última consulta. Resultados -Foram estudados 171 pacientes. O sexo feminino mostrou-se predominante (60,8%) e a média de idade dos pacientes foi de 42,3, variando de 16 a 84 anos. Em relação ao tipo de doença inflamatória, a retocolite ulcerativa mostrou-se mais prevalen...

Inflammatory Bowel Disease: Outpatient Treatment Profile

“…Although telehealth defined as health-care services provided to people separated by distance and time is available by using technologies such as telephones, computers, or interactive video streaming, these resources are underutilized in South America for improving patient assistance programs despite the widespread use of both landlines and cell phones by these populations (13) . Similar to the epidemiological studies on the profile of patients with IBD conducted by Kleinubing-Júnior et al and Barros et al, the extent of involvement of UC in this study showed a prevalence of extensive colitis (E3) and rectitis/proctitis (E1) (3,8) . The Montreal classification, owing to its diagnostic and therapeutic implications, has been increasingly used in patients with CD.…”

“…The data released in April 2016 by the department of pharmaceutical care and strategic inputs of the state of Rio de Janeiro are consistent with those obtained in the outpatient service. That publication indicated that 58.92% of patients with IBD were women and 41.08% were men (3,4,8,14) . In contrast, most European studies showed a higher prevalence of IBD among men; in European countries, women primarily develop CD and men develop UC (2,12) .…”

“…In Brazil, patients with CD and UC are not necessarily reported resulting in a lack of epidemiologic data with respect to these diseases. This situation places patients in a vulnerable state, as incipient studies and the poor publication records on this group of diseases contribute to their late diagnosis and increased morbidity (3,4,6,8,9,14) . It is difficult to determine the epidemiologic data of IBD in Brazil and all developing countries owing to deficiencies in data recording systems and the inability to access data other than those in the public health system.…”

“…It is difficult to determine the epidemiologic data of IBD in Brazil and all developing countries owing to deficiencies in data recording systems and the inability to access data other than those in the public health system. Given this reality, specialty pharmacies and reference centers for the treatment of IBD are favorable places for performing IBD-related studies (6,8,9,14) . The outpatient follow-up of patients with IBD aims to control symptoms and induce disease remission, adapt patients to their chronic condition and improve their quality of life, minimize toxicity and monitor the adverse effects of prescribed drugs, and postpone or reduce the incidence of relapse (1) .…”

Perfil De Pessoas Estomizadas De Uma Região De Saúde Mineira

“…Estomias intestinais podem ser realizadas por doenças benignas ou malignas, criadas em condições de cirurgia eletiva ou de emergência, construídas no intestino delgado ou colón, podendo ser consideradas temporária ou permanente, e ainda para fins curativos ou paliativos (4) . Esses estomas são causados por traumatismos, doenças congênitas, doenças inflamatórias (doença de Crohn, retocolite ulcerativa crônica, diverticulite), tumores e câncer do intestino (cólon) (5) .…”