Well-differentiated adenocarcinoma associated with ulcerative colitis

Yamamoto, Tomoko; Hiroi, Atsuko; Itagaki, Hiroko; Kato, Yoichiro; Iizuka, Bunei; Itabashi, Michio; Shibata, Noriyuki; Nagashima, Yoji

doi:10.1177/2050313x17692902

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…Por último, el diagnóstico de CCR en el paciente con CUCI es una indicación quirúrgica absoluta. Entre los factores de riesgo asociados se encuentran el diagnóstico a una edad temprana, la duración prolongada de la enfermedad (> 8 años) y la extensión de la enfermedad (pancolitis), así como antecedentes familiares de EII y colangitis esclerosante primaria concomitante [14][15][16] .…”

Section: Cirugía Electivaunclassified

Indicaciones y complicaciones de la cirugía en enfermedad inflamatoria intestinal

De León-Rendón,

Sánchez-Rosado,

Villanueva-Herrero

et al. 2023

IMIDS

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La enfermedad inflamatoria intestinal (EII) abarca un grupo heterogéneo de patologías inflamatorias del tracto gastrointestinal que afectan de manera significativa las actividades laborales, educativas y sociales de las personas que la padecen. Debido a la innovación en el manejo farmacológico, el tratamiento quirúrgico se ha reducido en las últimas décadas; sin embargo, sigue teniendo un papel importante. Las indicaciones quirúrgicas se dividen en cirugía electiva (por falla o intolerancia al tratamiento médico, displasias, estenosis, cáncer, etc.) y de urgencia (colitis grave refractaria a tratamiento médico, megacolon tóxico, obstrucción intestinal, perforación, sangrado masivo, etc.). Existen múltiples opciones quirúrgicas dependiendo del tipo de afección, el sitio y la extensión, entre las que se pueden mencionar la proctocolectomía restaurativa con reservorio ileoanal, la proctocolectomía con ileostomía terminal, la proctocolectomía con ileostomía continente, la colectomía subtotal con anastomosis ileorrectal, la segmentectomía y la estricturoplastia, entre otras, cada una con sus indicaciones y complicaciones propias que se deben tener presentes al momento de elegir una opción. Este estudio tiene como objetivo realizar una revisión actualizada de las indicaciones y las complicaciones quirúrgicas en pacientes con EII.

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Section: Cirugía Electivaunclassified

Indicaciones y complicaciones de la cirugía en enfermedad inflamatoria intestinal

De León-Rendón,

Sánchez-Rosado,

Villanueva-Herrero

et al. 2023

IMIDS

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“…Laboratory parameters including measurement of C-reactive protein (CRP) and fecal calprotectin are important tools for the initial diagnosis of IBD. The appearance of inflammation and the localization and identification of extra-intestinal manifestations (EIMs) are important in the diagnostic evaluation, and intestinal infections with similar symptoms must be excluded (37)(38)(39)(40).…”

Section: Diagnosticsmentioning

confidence: 99%

“…Development of colon cancer is increased among patients with CD and UC. Patients with UC have an increased risk of dysplasia and adenocarcinoma (39). Immune modulators protect against cancer development by controlling the inflammation that can cause cancer.…”

Section: Disease Severity and Complicationsmentioning

confidence: 99%

Self-care: the way to find balance in life : Development and evaluation of a self-care questionnaire for patients with inflammatory bowel disease

Wickman

2019

Linköping University Medical Dissertations

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Introduction: Inflammatory bowel disease (IBD), ulcerative colitis (UC), and Crohn's disease (CD) occur worldwide and are lifelong chronic conditions. The symptoms, which include abdominal pain and frequent diarrhea, cause limitations in life. Thus, patients with IBD need self-care in accordance with their symptoms, their own commitment to maintaining health, and decisions on symptom management. To strengthen self-care, there is a need for a tool that assesses self-care in patients with IBD, which aims to support the patient dialogue about self-care. The overall aim of this thesis was to develop and evaluate a questionnaire for the clinical assessment of self-care, and to explore self-care in relation to disease activity and to health-related quality of life (HRQOL) in patients with IBD. Design and method: The thesis includes four studies, where studies I, II and IV were conducted in Sweden, and study III was conducted in the United States (U.S.). In study I, a descriptive design, interviews were conducted with twenty adult patients, in order to explore self-care in patients with IBD. In study II, the self-care questionnaire was developed and tested with 193 patients with IBD in Sweden. In study III, a cross-sectional descriptive design, the self-care questionnaire was translated into English, and the responses of 67 patients in the U.S. were evaluated. Finally, in study IV, a cross-sectional exploratory design was used to explore self-care in relation to patient characteristics, disease activity, and HRQOL among 234 patients. For a total of 421 patients, the data was analyzed using content analysis, and descriptive and analytic statistics (studies I, II, III and IV). Results: Among patients with IBD, self-care relates to symptom recognition, handling symptoms, planning life, and seeking new options. Self-care varied according to how the patient managed daily life with regard to the symptoms of the disease (study I). Based on the results from study I, the self-care questionnaire was developed in Swedish, resulting in a valid and reliable questionnaire comprising 22 items (study II). The questionnaire was translated to English, and performed self-care activities were associated with a lower degree of well-being in relation to age and gender (study III). The patients were taking medication for IBD, paying attention to their Abstract intestinal symptoms, adapting their diet, managing their stress, planning their day and avoiding activities (studies III and IV). Self-care was more frequent in patients with CD when it came to paying attention to psychological symptoms; diet adaption; avoiding various activities including sex; and looking for new approaches to living with IBD. A greater degree of selfcare activities was associated with a lower degree of HRQOL (IV). Conclusion: The results indicate the importance of identifying the total symptom experience, and of the patient's need to discuss self-care, in order to strengthen self-care and achieve better treatment. The self-care questionnaire can be a useful tool to be...

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