Simona Ravnik (Author), Marjan Skalicky (Author), Pavel Skok (Author)

Abstract

Izhodišča. Pregled blata na prikrito krvavitev, hematest, sodi med uveljavljene presejalne metode za odkrivanje različnih bolezni prebavne cevi. V preteklosti je bila v randomiziranih raziskavah dokazana uporabnost te enostavne preiskave, ki lahko pomembno usmerja diagnostični postopek. Bolniki in metode. V naši retrospektivni analizi smo upoštevali bolnike, ki smo jih bolnišnično zdravili na oddelku za gastroenterologijo in endoskopijo Splošne bolnišnice Maribor v zadnjem četrtletju leta 2005 in pri katerih smo opravili test na prikrito krvavitev. Rezultati. Pregledali smo 200 bolnikov, 104 ženske in 96 moških povprečne starosti 63,9 leta, SD +/- 16,9, v razponu od 21 do 97 let. Pozitiven test na prikrito krvavitev smo ugotovili pri 76 bolnikih (38%). Pri 37 bolnikih (48,6 % vseh pozitivnih hematestov) smo dokazali krvavitev iz zgornjih prebavil in pri 34 bolnikih (46 % vseh pozitivnih hematestov) izvor krvavitve v spodnji prebavni cevi. Pri slednjih je bil najpogostejši vzrok kronična vnetna črevesna bolezen s 13,1 %, sledil je rak debelega črevesa in danke z 10,5 % in polipi debelega črevesa in danke s 6,6 %. Pri petih bolnikih (6,6 % vseh pozitivnih hematestov) nismo odkrili vira krvavitve kljub skrbnemu diagnostičnemu postopku. Zaključki. S presejalnimi testi na prikrito krvavitev v blatu, ki jih izvajamo med osebami brez kliničnih težav, lahko bistveno prispevamo k ciljanim diagnostičnim postopkom in zgodnjemu odkrivanju nekaterih bolezni prebavil, tudi raka debelega črevesa in danke v zgodnji, še omejeni obliki, ko je možnost ozdravitve največja.

Keywords

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Data

Language: Slovenian
Year of publishing:
Typology: 1.01 - Original Scientific Article
Organization: UM - University of Maribor
UDC: 616.3-074
COBISS: 2490687 Link will open in a new window
ISSN: 1318-0347
Parent publication: Zdravniški vestnik
Views: 548
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Secondary language: English
Secondary title: Usefullnes of routine use of fecal occult blood test in a hospital setting
Secondary abstract: Background. Fecal occult blood test, hematest, is a well excepted non-invasive method used for detecting different diseases of the gastrointestinal tract. It was proven in different randomized studies that usage of this simple method may facilitate further diagnostic and therapeutic treatment. Patients and methods. The retrospective analysis includes patients, which were admitted to the gastroenterological and endoscopy department of the General hospital Maribor in the last quarter of the year 2005. In all patients fecal occult blood test was performed. Results. We examined 200 patients, 104 women and 96 men, average age 63.9 years, SD +/- 16.9, ranging from 21 to 97 years. Positive hematest was discovered in 76 patients (38 %). The source of hemorrhage from the upper digestive tract was confirmed in 37 patients (48.6 % of all positive tests) and from the lower digestive tract in 34 patients (46 % of all positive tests). The most frequent causes of hemorrhage from the lower digestive tract were chronic inflammatory bowel disease (13.1 % of all positive tests), colorectal cancer (10.5 %) and polyps (6.6 %). The source of hemorrhage was not located in five patients (6.6 % of all positive tests) despite the accurate diagnostic procedure. Conclusions. By performing a fecal occult blood screening in non-symptomatic patients, we can make an essential step towards discovering different gastrointestinal diseases, even colorectal cancer in its early, limited form, when the effect of treatment is greatest.
Secondary keywords: Colorectal Neoplasms;Kolorektane novotvorbe;Inflammatory Bowel Diseases;Vnetne črevesne bolezni;Digestive System Diseases;diagnosis;Prebavni sistem, bolezni;Diagnostika;Hemorrhage;Krvavitev;Feces;Blato;Diagnostic Techniques, Digestive System;Diagnostične metode, prebavni sistem;
URN: URN:NBN:SI
Type (COBISS): Not categorized
Pages: str. II-49 - II-53
Volume: ǂLetn. ǂ75
Issue: ǂsupl. ǂII
Chronology: 2006
ID: 9109834