[年轻患者的慢性大结肠:流行病学,临床和人体测量特征]
Daniela Milito1, Juan Pablo Stefanolo2, Irina Riccobene1
1Grupo de trabajo Motilidad digestiva, Hospital de Gastroenterología Dr. C. Bonorino Udaondo. Ciudad Autónoma de Buenos Aires, Argentina. Grupo de trabajo Motilidad digestiva Hospital de Gastroenterología Dr. C. Bonorino Udaondo Ciudad Autónoma de Buenos Aires Argentina.
这项针对40岁以下的慢性大结肠患者的研究发现,骨盆底功能失调和直肠过敏率高. 医疗治疗似乎有效地管理这种运动障碍及其相关便秘.
科学领域:
- 胃肠病学 胃肠病学
- 儿科胃肠病学 儿科胃肠病学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 慢性大结肠是一种运动障碍,经常导致严重的便秘.
- 病因包括先天性,获得性和特异性病因.
- 了解年轻人群的特征对于有效管理至关重要.
研究的目的:
- 详细介绍40岁以下个体慢性大结肠和便秘的流行病学,临床和测量特征.
- 为了评估这一人口群体的治疗结果.
主要方法:
- 一项描述性的横截面研究招募了23名40岁以下的慢性大结肠和便秘患者.
- 诊断使用大结肠和罗马IV标准的便秘的酸浸泡剂.
- 直肠测量测量评估了功能结果.
主要成果:
- 主要原因是异常病 (60.9%),其次是可能的希尔施普朗格病 (26.1%).
- 骨盆地不协同 (64%) 和直肠过敏 (59%) 是普遍存在的测量结果.
- 瘤 (52.2%) 和 (30.4%) 是显著的并发症,在巨肠中瘤风险更高.
结论:
- 所有患者都表现出 manometric 异常,超过一半患有便瘤.
- 包括聚乙烯糖醇和普鲁卡洛普里德在内的医疗管理在年轻患者中显示出有效性.
- 进一步的外科手术只适用于耐火病例.
相关概念视频
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...


