Gastroent Hepat Barc
-
Gastroent Hepat Barc · Apr 2007
Psychometric properties of the original Inflammatory Bowel Disease Questionnaire, a Spanish version.
The Inflammatory Bowel Disease Questionnaire (IBDQ) was developed by Guyatt et al. (1989) and it is the most widely used health-related quality of life instrument for patients with Crohn's disease (CD) and ulcerative colitis (UC). The aim of this study was to assess the psychometric properties of a Spanish version of the original IBDQ by examining the instrument's underlying factor structure, the internal and external validity, and the internal consistency reliability. ⋯ Although confirmatory factor analyses failed to reproduce the original psychometric structure of IBDQ, it seems that the Spanish version of this instrument proved to be valid and reliable for assessing health related quality of life in inflammatory bowel disease patients.
-
Gastroent Hepat Barc · Apr 2007
Review[Pain originating from the abdominal wall: a forgotten diagnostic option].
Chronic abdominal pain is a common clinical problem in primary care, and is usually referred to gastroenterologists or general surgeons. Although up to 20% of cases of idiopathic abdominal pain arise in structures of the abdominal wall, this is frequently overlooked as a possible cause. ⋯ Carnett's sign is a simple maneuver that discriminates between parietal and visceral pain. Management with topical anesthesia is effective in a majority of patients and can help to confirm the diagnosis.
-
Gastroent Hepat Barc · Mar 2007
Review Comparative Study[Role of biological markers in inflammatory bowel disease].
The role played by the distinct biological markers in chronic inflammatory bowel disease (IBD) remains insufficiently characterized. C-reactive protein (CRP) has a short half-life and consequently it is elevated early after the onset of the inflammatory process and rapidly decreases after its resolution, making it an attractive marker of disease activity. Moreover, this test is inexpensive and easy to perform and is unaffected by medication. ⋯ Several gastrointestinal diseases, including chronic IBD, show greater leukocyte elimination in feces and a close correlation has been described between fecal calprotectin concentration and leukocyte excretion quantified by 111indium. Advantages of this fecal marker are that it can be detected through a simple and inexpensive technique and also shows excellent stability in feces for prolonged periods. Like calprotectin, fecal lactoferrin is also quantified by a simple and inexpensive ELISA method, although there is considerably less experience with this latter marker.
-
Gastroent Hepat Barc · Mar 2007
Comparative Study[Safety of propofol administration by the staff of a gastrointestinal endoscopy unit].
Deep sedation controlled by the staff of gastrointestinal endoscopy units is currently controversial. In the last few years, numerous studies have provided data supporting the safety of propofol use in these techniques. We present a large series of patients who underwent gastroscopy or colonoscopy under endoscopist-controlled deep sedation. ⋯ In the group of patients undergoing colonoscopy, simultaneous midazolam administration allowed reduction of the propofol dose required to achieve deep sedation. In conclusion, propofol shows a good safety profile and excellent tolerance in patients undergoing gastroscopy and colonoscopy and can be administrated by the endoscopy team. At least in the case of colonoscopy, the associated use of midazolam allows the propofol dose to be decreased, thus, theoretically, reducing the drug's adverse effects.
-
Spontaneous intramural dissection of the esophagus (SIDE) is an unusual clinical entity. It is a benign disease that, despite its alarming endoscopic appearance, usually responds well to conservative management and has an excellent prognosis. Nevertheless, some situations require emergency surgical treatment. ⋯ We present the case of a 42-year-old woman who was admitted to our hospital complaining of acute chest pain, dysphagia, and odynophagia. Because of the persistence of symptoms and diagnostic uncertainty (SIDE versus complicated esophageal duplication cyst) surgery was performed. The definitive diagnosis was SIDE.