08. Velayos
نویسندگان
چکیده
Aim: when programming a medical test such as capsule endoscopy (CE), finding the closest point between the patient’s experience and his/her expectation is essential to improve any further explorations. For this purpose we designed a form which tries to collect the information required. Material and methods: from December 2003 to January 2005 we examined the small intestine of 98 patients with the help of CE. Later they were sent an anonymous questionnaire in July 2005, which included 10 questions upon the origin and previous knowledge of the patient about this technique, their tolerance to it, and the value they attached to it with regard to finding a new diagnosis and assigning different treatments, and also the incidence in the positive or negative evolution of their disease in particular and of medicine in general. Results: answer rate reached 58% and was slightly higher among women and people over 70 years; 80% of repliers had been informed about CE by a physician, while nearly all the rest had received previous information from the media; 37% had had symptoms for more than 12 months, while only 17% had suffered them for one month before the exploration. A bit over 30% did not know what the specific diagnostic field of the test was (most of them women and young people), although most of them were not surprised by the procedure. Over 75% showed “acceptable” or “excellent” tolerance, while 5.5% (most of them young people) found it hard to bear. The opinion about its utility in the diagnosis was 37%, and although 70% thought that CE had revealed nothing new about their pathology, over 60% declared feeling better after the test; 84% pointed out that it had achieved a breakthrough for their quality of life (most of them men and very old people), and only 13% thought it was worthless. However, nearly all the answers agreed in that CE was an “important” or “very important” diagnostic device. Conclusions: after the test using CE, the diagnostic benefit detected by the patient is not the same as that shown by technical studies. Nevertheless, the test can be highly satisfactory for the patient in particular, and also in an overall view. CE is a well-tolerated test, applied in our setting to chronic diseases and that, contrary to what we supposed, is explained to patients mainly by a physician. Most of them are not familiar with its specific indications.
منابع مشابه
Trafficking of the Menkes copper transporter ATP7A is regulated by clathrin-, AP-2–, AP-1–, and Rab22-dependent steps
The transporter ATP7A mediates systemic copper absorption and provides cuproenzymes in the trans-Golgi network (TGN) with copper. To regulate metal homeostasis, ATP7A constitutively cycles between the TGN and plasma membrane (PM). ATP7A trafficking to the PM is elevated in response to increased copper load and is reversed when copper concentrations are lowered. Molecular mechanisms underlying t...
متن کاملCat Scratch Colon
Over the past few years, we have read several publications regarding the term "cat scratch colon." This neologism was developed to define some bright red linear markings seen in the colonic mucosa that resemble scratches made by a cat. We would like to communicate a recent case attended at our institution.
متن کاملA Study on QoS Provision for IP-Based Radio Access Networks
The fast adoption of IP-based communications for hand-held devices equipped with wireless interfaces is creating new challenges for the Internet evolution. Users expect flexible access to Internet based services, including not only traditional data services but also multimedia applications. This generates a new challenge for QoS provision, as it will have to deal with fast mobility of terminals...
متن کاملGlucocorticoid resistance syndrome caused by two novel mutations in the NR3C1 gene.
Otra preocupación de mujeres con OI que reciben tratamiento con bifosfonatos durante la edad fértil es su seguridad en relación con futuras gestaciones, dado que permanecen durante años en la matriz ósea y traspasan la barrera placentaria. La supresión del recambio óseo podría ocasionar hipocalcemia fetal. Los datos en mujeres son escasos, pero en los casos descritos no se presentaron efectos a...
متن کاملHepatocolic fistula managed with a novel Padlock® device for endoscopic closure.
Recent advances in endoscopic therapeutics allow conditions such as fistulas of the digestive system to be treated endoscopically. These cases were recently managed with surgery. The Padlock® system includes a nitinol clip that was recently introduced for endoscopic therapy. There are few reports with regard to its use in the daily clinical practice. We report a case of a colonic fistula that w...
متن کامل