Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon

Detalhes bibliográficos
Autor(a) principal: Penhavel, Felix André Sanches
Data de Publicação: 2014
Tipo de documento: Tese
Idioma: por
Título da fonte: Repositório Institucional da UFG
dARK ID: ark:/38995/0013000001frv
Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/4584
Resumo: American Tripanosomiasis is one of the most prevalente tropical disease in Latin America. One third of brazilian territory is considered endemic for Chagas disease. Vectorial transmission is not complitely interrupted. In Central Brazil, specially Goiás State, digestive forms with megasyndormes have a high frequence. The involvement of small bowel has been discribed with functional disturbances. Patients with acquired megacolon may have normal bowel movements or long lasting constipation. Until now the influence of small bowel on the frequence of bowel movements is not clear. This prospective study addressed the small bowel motility measuring the orocecal transit time (OCTT) and the occurence of small bowel intestinal bacterial overgrowth (SIBO) by hydrogen breath test. 45 patients with positive serology for Chagas disease were divided into four groups: A – without megacolon and no constipation (17); B – with megacolon and no constipation (8); C – with megacolon and constipation (10) and D – without megacolon and constipation (10). Constipation was defined by at least 7 days without bowel movements. 15 healthy volunteers were taken as a control group (CG). Non hydrogen producers: 10/45 patients and 1/15 controls. The OCTT (medium time in minutes) was longer in patients than in controls: A=108.18, B=108.0, C=112.5, D=130.0 and CG=68.46. Patients together showed difference compared to controls (P=0.001). No difference was found among groups (P>0.05). The prevalence of SIBO was: 66.7% in constipated patients (C and D), 25% in non constipated patients (A and B) and 8.3% in controls. Significant statistical difference was found only comparing constipated patients and controls (P=0.017). The presence of megacolon did not show influence the frequence of SIBO (P=0.181). Lactose and D-xylose malabsorption was higher in controls. The number of patients with symptoms during the test was the same for chagasic and controls independently of the test result. Patients with Chagas disease have a prolonged OCTT and those with constipation showed a higher prevalence of SIBO and both factors are not related to megacolon. Chagasic patients showed a less frequency of lactose and D- xylose malabsorption.
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spelling Oliveira, Enio Chaves dehttp://lattes.cnpq.br/7046861881778720Alves Neto, OnofreRezende Filho, JoffreBarbosa, Maria AlvesBafutto, MauroOliveira, Enio Chaveshttp://lattes.cnpq.br/1628245325934303Penhavel, Felix André Sanches2015-05-25T13:34:49Z2014-12-15Penhavel, F. A. S. Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon. 2014. 206 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.http://repositorio.bc.ufg.br/tede/handle/tede/4584ark:/38995/0013000001frvAmerican Tripanosomiasis is one of the most prevalente tropical disease in Latin America. One third of brazilian territory is considered endemic for Chagas disease. Vectorial transmission is not complitely interrupted. In Central Brazil, specially Goiás State, digestive forms with megasyndormes have a high frequence. The involvement of small bowel has been discribed with functional disturbances. Patients with acquired megacolon may have normal bowel movements or long lasting constipation. Until now the influence of small bowel on the frequence of bowel movements is not clear. This prospective study addressed the small bowel motility measuring the orocecal transit time (OCTT) and the occurence of small bowel intestinal bacterial overgrowth (SIBO) by hydrogen breath test. 45 patients with positive serology for Chagas disease were divided into four groups: A – without megacolon and no constipation (17); B – with megacolon and no constipation (8); C – with megacolon and constipation (10) and D – without megacolon and constipation (10). Constipation was defined by at least 7 days without bowel movements. 15 healthy volunteers were taken as a control group (CG). Non hydrogen producers: 10/45 patients and 1/15 controls. The OCTT (medium time in minutes) was longer in patients than in controls: A=108.18, B=108.0, C=112.5, D=130.0 and CG=68.46. Patients together showed difference compared to controls (P=0.001). No difference was found among groups (P>0.05). The prevalence of SIBO was: 66.7% in constipated patients (C and D), 25% in non constipated patients (A and B) and 8.3% in controls. Significant statistical difference was found only comparing constipated patients and controls (P=0.017). The presence of megacolon did not show influence the frequence of SIBO (P=0.181). Lactose and D-xylose malabsorption was higher in controls. The number of patients with symptoms during the test was the same for chagasic and controls independently of the test result. Patients with Chagas disease have a prolonged OCTT and those with constipation showed a higher prevalence of SIBO and both factors are not related to megacolon. Chagasic patients showed a less frequency of lactose and D- xylose malabsorption.A Tripanossomíase Americana é uma das doenças tropicais mais prevalentes na América Latina. Mais de um terço do território brasileiro é área endêmica, e a transmissão vetorial ainda não se interrompeu em todos os estados. Em Goiás, as megassíndromes do tubo digestivo são muito frequentes. O comprometimento do tubo digestivo não se restringe à víscera dilatada e alterações funcionais têm sido descritas no intestino delgado. O objetivo geral deste estudo foi investigar alterações de motilidade e de absorção de carboidratos no intestino delgado de pacientes chagásicos com e sem constipação e megacólon. Avaliou-se 45 pacientes com sorologia positiva para doença de Chagas, divididos em quatro grupos: A - sem constipação, sem megacólon (17); B - sem constipação, com megacólon (8); C - com constipação, com megacólon (10) e D - com constipação, sem megacólon (10). Quinze voluntários sadios foram usados como controles (GC). Todos os pacientes e controles realizaram três testes respiratórios com os substratos: lactulose, lactose e D-xilose. Identificou-se não produção de hidrogênio em 10 pacientes e um controle. O tempo de trânsito orocecal (TTOC) (média em minutos) foi maior nos pacientes do que nos controles: A=108,18; B=108,0; C=112,5; D=130,0 e GC=68,46 (P=0,001). Não houve diferença no TTOC entre os grupos de pacientes (P<0,05). A prevalência de supercrescimento bacteriano no intestino delgado (SBID) foi de 66,7% nos pacientes constipados (C e D), 25% nos não constipados (A e B) e de 8,3% nos controles (P=0,017). A presença de megacólon não influenciou a frequência de SBID (P=0,181). A má absorção de lactose foi maior entre os controles. O número de pacientes que apresentava sintomas ou não durante o teste da lactose foi igual para pacientes e controles, independentemente do resultado do teste. A má absorção de D-xilose foi mais frequente no grupo controle. Concluiu-se que os pacientes chagásicos têm o tempo de trânsito orocecal prolongado e que aqueles com constipação apresentam uma maior prevalência de SBID, ambos os fatores não sofrem influência da presença do megacólon. A má absorção de lactose e D-xilose foi maior entre controles.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2015-05-25T13:09:16Z No. of bitstreams: 2 Tese - Felix André Sanches Penhavel - 2014.pdf: 2537517 bytes, checksum: 2edff02f8a1f3fa50c180c2222a53b17 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-05-25T13:34:49Z (GMT) No. of bitstreams: 2 Tese - Felix André Sanches Penhavel - 2014.pdf: 2537517 bytes, checksum: 2edff02f8a1f3fa50c180c2222a53b17 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-05-25T13:34:49Z (GMT). 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dc.title.por.fl_str_mv Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon
dc.title.alternative.eng.fl_str_mv Orocecal transit time and absorption of lactose and D-xylose evaluation in Chagas patients constipated or not and with or without megacolon
title Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon
spellingShingle Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon
Penhavel, Felix André Sanches
Doença de Chagas
Crescimento bacteriano
Megacólon
Teste respiratório da lactulose
Intestino delgado
Chagas disease
Bacterial overgrowth
Megacolon
Lactulose breath test
Small intestine
CIENCIAS DA SAUDE::MEDICINA
title_short Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon
title_full Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon
title_fullStr Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon
title_full_unstemmed Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon
title_sort Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon
author Penhavel, Felix André Sanches
author_facet Penhavel, Felix André Sanches
author_role author
dc.contributor.advisor1.fl_str_mv Oliveira, Enio Chaves de
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/7046861881778720
dc.contributor.referee1.fl_str_mv Alves Neto, Onofre
dc.contributor.referee2.fl_str_mv Rezende Filho, Joffre
dc.contributor.referee3.fl_str_mv Barbosa, Maria Alves
dc.contributor.referee4.fl_str_mv Bafutto, Mauro
dc.contributor.referee5.fl_str_mv Oliveira, Enio Chaves
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/1628245325934303
dc.contributor.author.fl_str_mv Penhavel, Felix André Sanches
contributor_str_mv Oliveira, Enio Chaves de
Alves Neto, Onofre
Rezende Filho, Joffre
Barbosa, Maria Alves
Bafutto, Mauro
Oliveira, Enio Chaves
dc.subject.por.fl_str_mv Doença de Chagas
Crescimento bacteriano
Megacólon
Teste respiratório da lactulose
Intestino delgado
topic Doença de Chagas
Crescimento bacteriano
Megacólon
Teste respiratório da lactulose
Intestino delgado
Chagas disease
Bacterial overgrowth
Megacolon
Lactulose breath test
Small intestine
CIENCIAS DA SAUDE::MEDICINA
dc.subject.eng.fl_str_mv Chagas disease
Bacterial overgrowth
Megacolon
Lactulose breath test
Small intestine
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::MEDICINA
description American Tripanosomiasis is one of the most prevalente tropical disease in Latin America. One third of brazilian territory is considered endemic for Chagas disease. Vectorial transmission is not complitely interrupted. In Central Brazil, specially Goiás State, digestive forms with megasyndormes have a high frequence. The involvement of small bowel has been discribed with functional disturbances. Patients with acquired megacolon may have normal bowel movements or long lasting constipation. Until now the influence of small bowel on the frequence of bowel movements is not clear. This prospective study addressed the small bowel motility measuring the orocecal transit time (OCTT) and the occurence of small bowel intestinal bacterial overgrowth (SIBO) by hydrogen breath test. 45 patients with positive serology for Chagas disease were divided into four groups: A – without megacolon and no constipation (17); B – with megacolon and no constipation (8); C – with megacolon and constipation (10) and D – without megacolon and constipation (10). Constipation was defined by at least 7 days without bowel movements. 15 healthy volunteers were taken as a control group (CG). Non hydrogen producers: 10/45 patients and 1/15 controls. The OCTT (medium time in minutes) was longer in patients than in controls: A=108.18, B=108.0, C=112.5, D=130.0 and CG=68.46. Patients together showed difference compared to controls (P=0.001). No difference was found among groups (P>0.05). The prevalence of SIBO was: 66.7% in constipated patients (C and D), 25% in non constipated patients (A and B) and 8.3% in controls. Significant statistical difference was found only comparing constipated patients and controls (P=0.017). The presence of megacolon did not show influence the frequence of SIBO (P=0.181). Lactose and D-xylose malabsorption was higher in controls. The number of patients with symptoms during the test was the same for chagasic and controls independently of the test result. Patients with Chagas disease have a prolonged OCTT and those with constipation showed a higher prevalence of SIBO and both factors are not related to megacolon. Chagasic patients showed a less frequency of lactose and D- xylose malabsorption.
publishDate 2014
dc.date.issued.fl_str_mv 2014-12-15
dc.date.accessioned.fl_str_mv 2015-05-25T13:34:49Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv Penhavel, F. A. S. Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon. 2014. 206 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.
dc.identifier.uri.fl_str_mv http://repositorio.bc.ufg.br/tede/handle/tede/4584
dc.identifier.dark.fl_str_mv ark:/38995/0013000001frv
identifier_str_mv Penhavel, F. A. S. Avaliação do tempo de trânsito orocecal e da absorção de lactose e D- xilose em pacientes chagásicos constipados ou não e com e sem megacólon. 2014. 206 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.
ark:/38995/0013000001frv
url http://repositorio.bc.ufg.br/tede/handle/tede/4584
dc.language.iso.fl_str_mv por
language por
dc.relation.program.fl_str_mv -1006864312617745310
dc.relation.confidence.fl_str_mv 600
600
600
dc.relation.department.fl_str_mv 1545772475950486338
dc.relation.cnpq.fl_str_mv -969369452308786627
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Universidade Federal de Goiás
dc.publisher.program.fl_str_mv Programa de Pós-graduação em Ciências da Saúde (FM)
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dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade de Medicina - FM (RG)
publisher.none.fl_str_mv Universidade Federal de Goiás
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repository.name.fl_str_mv Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)
repository.mail.fl_str_mv tasesdissertacoes.bc@ufg.br
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