ABSTRACT
The use of an upper endoscope has been considered as a back-up method in case of incomplete caecal intubation. We compared caecal intubation rates between colonoscopic examinations done with a standard colonosope and those in which a standard gastroscope was used, to determine if routine colonosocpies could be performed with gastrocope if no colonoscope is available. A prospective comparative study, analyzing continuous date was designed to evaluate the usefulness of a standard gastroscope in a group of outpatients with indication for colonoscopy in colorectal cancer screening. At total of 170 adult patients were randomly assigned to two similar study groups. All examinations were performed by a single endoscopist. Our primary end point was to achieve caecal intubation. Successful caecal intubation was achieved in 162 patients that fulfilled our inclusion criteria. 83 patients in the colonoscope and 79 in the gastroscope group. Failure of caecal intubation was similar in male and female patients in both groups [p- 0.34]. Caecal intubation failure rates were similar in both study groups. We used the gastroscope as a first line method or routine colonosocpies and found no statistical difference between the colonoscope and gastroscope groups. If these results can be verified in larger mulicenter studies, it may be possible in the future, to work with only one endoscope for both upper and lower digestive tract examinations in small centers, particularly in developing countries
Subject(s)
Humans , Male , Female , Gastroscopes , Hospitals, General , Prospective Studies , Randomized Controlled Trials as TopicABSTRACT
La clasificación de Child-Pugh mide la severidad de la enfermedad hepática crónica en pacientes con cirrosis hepática. El nivel de sodio (Na) sérico en estos pacientes disminuye a medida que progresa la enfermedad hepática. Objetivo: determinar la relación de la severidad de la enfermedad hepática crónica medida con la escala de Child-Pugh, con el nivel de sodio sérico. Metodología: se realizó un estudio retrospectivo descriptivo, analizando las historias clínicas de los pacientes evaluados en las consultas externas y hospitalizados en el servicio de Gastroenterología del Hospital "Jesús Yerena" de Lídice entre los años 2002 y 2006. Se calculó el puntaje de Child-Pugh a cada paciente, y luego se relacionó con los valores séricos de Na. Resultados: se hallaron 12 pacientes (24,49%) en la categoría Child- Pugh A, 21 (42,86%) clase B, y 16 (32,65%) clase C. Se encontró una relación inversa en cuanto al nivel sérico de Na y el puntaje de Child-Pugh. Conclusión: La severidad de la enfermedad hepática crónica, medida por la escala Child-Pugh, es inversamente proporcional con en nivel de Na sérico de estos paciente.
The Child-Pugh classification assesses the severity of chronic hepatic disease in patients with hepatic cirrhosis. Serum sodium level in these patients decreases along with the severity of the hepatic disease. Objective: to determine the relationship between the severity of chronic hepatic disease, measured with the Child-Pugh scale, and serum sodium levels. Methods: we made a retrospective descriptive study, analyzing the clinical history of outpatients and hospitalized patients of the Gastroenterology Service of "Jesús Yerena Hospital of Lidice" between 2002 and 2006. We calculated the Child-Pugh scale of each patient, and then correlated it to serum sodium levels. Results: we found 12 patients (24, 49%) in the Child- Pugh A category, 21 (42, 86%) in the class B category, and 16 (32, 65%) in the class C category. They all had an inverse relationship with serum sodium levels. Conclusion: the severity of chronic hepatic disease, measured in the Child-Pugh scale, is inversely proportional to the serum sodium level in these patients.