Medication, surgical treatment, care and IBD

• Published in: Zeitschrift für Gastroenterologie
• Main Authors: Rózsa, V, Kupcsulik, P, Szijártó, A, Szipli, B, Torma, N, Weltner, J, Wacha, J
• Format: Conference Proceeding
• Language: English
• Published: 07.05.2010
• ISSN: 0044-2771; 1439-7803
• DOI: 10.1055/s-0030-1254810

Introduction: The analysis of medication's habits, care and calculated surgical risk belongs to the complex treatment of IBD. Objective: What are the medication's habits of patients like, what are the most common complications leading to operation and what are typical for care? Methods: The study was performed on 50 patients with Crohn's disease (CD) and 54 ones with ulcerative colitis (UC) were asked by self-made questionnaires and analyzed by statistical methods. Results: The average time between appearance of symptoms and setting up the diagnosis was longer in CD (4.4 years) than in UC (2.71 years). This difference does not affect the prevalence of complications and operations (p=0.534) among the two groups. Especially male, young (under 20-year-old) and disabled patients forget to take their medicines – mainly at noon and in the evening, but this does not increase the frequency of relapses (p=0.543). 75% of patients apply complementary therapies, mainly probiotics, vitamins and herbs. This correlates to seriousness of physical symptoms (p=0.035) and frequency of relapses (p=0.082). The surgical intervention among patients with CD was more frequent (25%) than with UC (5.56%). The most common cause of operation was ileus (50%), abscess (42.86%) and fistula (35.51%) respectively. The need of operation is not influenced by late diagnosis (p=0.534) and falling out from care (p=0.499). Those patients who underwent surgery more often go to controls (p=0.051) and forget to take in medicines (p=0.094). Patients with CD go to control examinations more frequently and see more gastroenterologist. Falling out from care does not affect the frequency of relapses (p=0.610). The quality of patient education does not influence the rate of relapses (p=0.509) and the consistency of taking medicines (p=0.557). Conclusions: Close control related to endangered groups is needed (male, young, disabled and operated patients). The good quality patient education could influence the compliance of patients.