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
Autor(a) principal: | |
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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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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 |
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