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O Síndrome do Intestino Irritável constitui um dos distúrbios gastrointestinais mais comuns. À semelhança de outras doenças crónicas, a redução da qualidade de vida destes doentes tem sido documentada, bem como o papel da interacção entre factores psicológicos e alterações da motilidade intestinal na patofisiologia deste síndrome. A avaliação do cólon através da ultra-sonografia tem sido sugerida por alguns estudos na abordagem dos pacientes com esta patologia. A presente investigação visa observar, através do recurso à ultra-sonografia abdominal, os padrões de motilidade intestinal em pacientes com critérios de Roma III para síndrome do intestino irritável, bem como documentar os respectivos níveis de ansiedade, depressão, stress e qualidade de vida. Para tal, desenvolveu-se um estudo tipo série de casos, com base numa amostra de conveniência. Esta foi constituída por pacientes com dor ou desconforto abdominal e/ou alteração dos hábitos intestinais, referenciados para realização de ecografia abdominal no serviço de gastrenterologia do HAL, no período decorrente entre Dezembro de 2009 e Março de 2010. Os resultados obtidos não evidenciam um compromisso da qualidade de vida, avaliada através da versão abreviada do World Health Organization Quality of Life (WHOQOL-Breef), nem demonstram comorbilidade psicológica significativa quando efectuada a avaliação do estado emocional com base na Escala de Ansiedade, Depressão e Stress (EADS-21). No que respeita às observações obtidas através da ultra-sonografia abdominal, todos os participantes apresentam imagens sugestivas de motilidade intestinal alterada, sendo a mais comum a que traduz um padrão de “estase do cólon ascendente e transverso”. A reduzida dimensão da amostra é um factor limitante do estudo pelo que outros estudos serão necessários para avaliar o papel da ultra-sonografia abdominal na abordagem dos doentes com sintomas positivos para SII.
Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders and its impact on quality of life has been widely study. Interactions between psychological factors and altered gut’s motility have also been described in the pathophysiology of this syndrome. Ultrasonographic assessment of colon has been suggested in the management of patients with irritable bowel syndrome. The present study aimed to observe intestinal motility patterns, in patients with Rome III criteria for IBS, using abdominal ultrassonography, as well as to document their anxiety, depression, stress and quality of life levels. A case series study was performed based on a sample constituted by five consecutive patients with Rome III criteria for IBS, undergoing abdominal ultrasound studies at gastroenterology service of Hospital Amato Lusitano, between December of 2009 and March of 2010. World Health Organization Quality of Life (WHOQOL-Breef) and of the shortened version Depression, Anxiety and Stress Scale (DASS-21) were administered to assess quality of life and psychological morbidity. The results didn’t show a reduction in quality of life neither a significant psychological morbidity. In what concern the images obtained by abdominal ultrasound, all participants showed suggestive images of altered intestinal motility, being the most common a stasis pattern in ascending and transverse colon. This study is limited by the small sample size. Further studies are needed to evaluate the utility of abdominal ultrasound in management of patients with positive symptoms to IBS.
Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders and its impact on quality of life has been widely study. Interactions between psychological factors and altered gut’s motility have also been described in the pathophysiology of this syndrome. Ultrasonographic assessment of colon has been suggested in the management of patients with irritable bowel syndrome. The present study aimed to observe intestinal motility patterns, in patients with Rome III criteria for IBS, using abdominal ultrassonography, as well as to document their anxiety, depression, stress and quality of life levels. A case series study was performed based on a sample constituted by five consecutive patients with Rome III criteria for IBS, undergoing abdominal ultrasound studies at gastroenterology service of Hospital Amato Lusitano, between December of 2009 and March of 2010. World Health Organization Quality of Life (WHOQOL-Breef) and of the shortened version Depression, Anxiety and Stress Scale (DASS-21) were administered to assess quality of life and psychological morbidity. The results didn’t show a reduction in quality of life neither a significant psychological morbidity. In what concern the images obtained by abdominal ultrasound, all participants showed suggestive images of altered intestinal motility, being the most common a stasis pattern in ascending and transverse colon. This study is limited by the small sample size. Further studies are needed to evaluate the utility of abdominal ultrasound in management of patients with positive symptoms to IBS.
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Keywords
Síndrome do intestino irritável Síndrome do intestino irritável - Qualidade de vida Síndrome do intestino irritável - Aspectos psicológicos Síndrome do intestino irritável - Ultrassonografia
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Universidade da Beira Interior