Escala Bristol de forma fecal no diagnóstico clínico da constipação na infância, Porto Alegre, Brasil / The Bristol Stool Scale in the clinical diagnosis of childhood constipation

Introdução: A constipação é frequente na infância, podendo evoluir até a adolescência e vida adulta.O diagnóstico é clínico, realizado através da descrição subjetiva das fezes. A Escala Bristol facilita o diagnóstico, analisando a consistência das fezes. O objetivo deste estudo é descrever a utilização dessa escala no diagnóstico da constipação na infância. Métodos: Foi realizado um estudo transversal, no Ambulatório do HMIPV/Porto Alegre/RS, de abril a outubro de 2015, com pacientes consecutivos, de idade entre 05 e 12 anos. Todos foram submetidos à anamnese, para descrição subjetiva das fezes pelo responsável e pelo paciente. A médica pontuava a Escala Bristol baseada nesta descrição, seguida pela pontuação do paciente e do responsável. Resultados: Foram estudados 30 pacientes, com média de idade de 8,1± 2,5 anos. A pontuação da médica na Escala Bristol foi 1,83±0,38, a da mãe, 2,43±0,97 (P=0,001) e a do paciente, 2,27±0,87 (P=0,003). O coeficiente kappa entre o Bristol medido pela médica e pela mãe do paciente foi baixo, igual a 0,30 (P< <0,001) , bem como o coeficiente kappa entre o Bristol medido pela médica e pela criança, igual a 0,34(P< 0001). Conclusão: Houve diferença entre o Bristol pontuado pela médica e o Bristol pontuado pelas mães e pacientes. Os pacientes e as mães, ao pontuar na Escala Bristol, concordam pouco com a pontuação da médica. Os autores sugerem a multiplicação desta experiência em outros locais para continuar avaliando a utilização da Escala Bristol para Consistência Fecal na constipação da infância(AU)

Introduction: Constipation is common in childhood and can progress through adolescence and adulthood. Clinical diagnosis is performed by subjective description of the stools. The Bristol Scale facilitates the diagnosis by analyzing stool consistency. The aim of this study is to describe the use of this scale in the diagnosis of childhood constipation. Methods: A cross-sectional study was conducted at the Clinic of HMIPV/Porto Alegre from Apr to Oct 2015, with consecutive patients aged between 5 and 12 years. All were submitted to anamnesis for a subjective description of the stools by parent and patient. First the physician scored this description using the Bristol scale, followed by the patient's and parent's scores. Results: Thirty patients were studied with a mean age of 8.1 ± 2.5 years. The Bristol scale score by physician was 1.83 ± 0.38, by parent 2.43 ± 0.97 (P = 0.001), and by patient 2.27 ± 0.87 (P = 0.003). The kappa coefficient between physician and parent scores was low, 0.30 (P< 0.001), as well as between physician and child scores, 0.34 (P< 0001). Conclusion: There was a difference between the Bristol Scale scores by the physician and by the parents/patients. The Bristol scale scores by the patients/parents showed little agreement with those by the physician. The authors suggest the replication of this experience elsewhere to continue evaluating the use of the Bristol Stool Scale in childhood constipation(AU)

Evaluación del hábito intestinal en una población de personal hospitalario / Evaluation of bowel habits in a population of hospital staff

Introducción: La función evacuatoria y sus alteraciones constituyen un motivo de consulta muy frecuente. En Venezuela no disponemos de información para definir cuál es el patrón intestinal normal de nuestra población, ni de la frecuencia con que se presentan dichas alteraciones.Objetivo: Evaluar el hábito intestinal en una población de personal hospitalario, entre 18 a 70 años, del Hospital “Dr. Domingo Luciani” entre abril - septiembre del 2008.Método: Es un estudio descriptivo y transversal en el que participaron 507 trabajadores del hospital, a los cuales se les practicó una encuesta personalizada.Resultados: Participaron 380 (75 %) mujeres y 127 (25 %) hombres con una edad 39,2 ±10 años. El 51,1% son universitarios. Menos de la mitad consumen medicamentos o sufren de enfermedades. La mayoría no fuma e ingiere menos de 2 litros de agua/día. El 73,4 % evacúa diariamente, una vez/día y en la mañana, con heces tipo 3. 12 (2,36 %) presentan constipación según ROMA III, edad 39 años, femenino, la mayoría son TSU y enfermeras (p=0,03) e ingieren menos de 2 litros de agua/día, consumen algunas veces frutas y cereales y muy poco realizan ejercicios. Los síntomas predominantes fueron: dispepsia, dolor y distensión abdominal, dolor al evacuar y sensación de evacuación incompleta. Todos evacuan heces tipo 1 y el 41,66 % empleo laxantes. El 50 % manifestó algún grado de alteración de su calidad de vida.Conclusiones: El hábito intestinal de nuestra población se caracterizó por frecuencia evacuatoria diaria, una vez/día; heces tipo 3 y 4, sin sensación de evacuación incompleta, dolor o esfuerzo al evacuar.

Introduction: Bowel function and related disorders are common consulting problems. Because in Venezuela we lack of adequate information to define both bowel normal habit and the frequency of its alterations in our population we decided to perform this study. Objective: To assess bowel function of the “Dr. Domingo Luciani” hospital staff between April and September of 2008.Method: In a descriptive and transversal study, we apply a personalized survey to all the hospital staff who participated.Results: 507 hospital staff members were studied. 380 females (75 %) /127 males (25 %). The average age was 39,2 ±10 years. The 51,1% have an universitary degree, and less than half used medications or suffer diseases. Most of them were no smokers and drink less than 2 liters of water per day. The 73,4 % of the subjects passed a stool on a daily basis, in the morning with feces type 3. 12 patients (2,36 %) had constipation according to Roma III criteria. In those subjects predominant symptoms were: dyspepsia, abdominal pain and bloating, pain during evacuation and incomplete evacuation sensation. All had a type I stool pattern and the 41,66 % used laxatives regularly. The 50 % exhibit some degree of quality of life impairment. Average age in this group was 39 years, female sex, nurses and Higher University Technicians (p=0, 03). They drink less than 2 liters of water/day, sometimes consume fruits and cereals and do very little exercise

Weight,Length and Bristol′s Scale of Normal Children / 实用儿科临床杂志

Objective To investigate the weight,length and scale of normal children′ stools and discuss clinical signification.Met-(hods) The fresh stools of 60 normal children (male 34,female 26)were measured,classify the stools according to Bristol′s scale.Results 1.The average weight of stools in 60 cases was (109.53?52.00) g,of male was (123.79?55.87) g,of female was (90.12?(39.66)) g,there was significant difference between them (t=0.013 P0.05);3.The stools was classified into 7 group according to Bristol′s scale.From 1 grade to 6 grade were 3.30%,(5.10%),5.10%,64.40%,15.30% and 6.80%,respectively,but there was no 7 grade stools.Conclusion The weight,length and scales of normal children′s stools can be used as a sign to evaluate the clonic movement of children,especially in diagnosis and treatment of constipation and stools dryness