CLINICAL PROFILE OF PATIENTS WITH IBD ASSISTED AT SUS (UNIFIED HEALTH SYSTEM) IN AMAZONAS

• DOI: 10.22533/at.ed.1593612317085

• Palavras-chave: 1. Profile; 2. Inflammatory bowel disease; 3. Colitis; 4. Crohn's; 5. Amazon.

• Keywords: 1. Profile; 2. Inflammatory bowel disease; 3. Colitis; 4. Crohn's; 5. Amazon.

• Abstract:

  INTRODUCTION: Inflammatory bowel disease (IBD) is defined as a chronic intestinal inflammation, whose main forms, Crohn's Disease (CD) and Ulcerative Colitis (UC), are distinct chronic inflammatory bowel disorders. Data on Inflammatory Bowel Disease in the state of Amazonas are scarce, with no official number of diagnosed patients, although we know that many of these patients are treated in the Unified Health System (SUS) Amazonas. GOALS: General: to outline the profile of patients with IBD assisted by specialists in Amazonas. Specific: analyze the profile of patients assisted by specialists, clinical, laboratory and imaging findings most seen by these specialists; compare the data found with the relevant literature. METHOD: equalitative, prospective and non-probabilistic study, in which electronic questionnaires were prepared containing questions about the clinical practice of coloproctologists, gastroenterologists and digestive system surgeons related to the profile of patients with IBD treated, clinical status, physical examination and complementary examinations of these patients by they attended in the Unified Health System of Amazonas. RESULTS: of the 17 specialists who agreed to participate, 6 were gastroenterologists, 5 coloproctologists and 6 digestive system surgeons. Patients treated at SUS Amazonas with IBD are mostly young adults (18-40 years old) female. The most common symptoms seen in UC are diarrhea with mucus and blood. Abdominal pain and weight loss are more common in CD. About 25% of patients have already been operated on due to IBD complications; the segment from the rectum to the sigmoid is the most affected in UC and the ileum is the most affected in CD. C-reactive protein (CRP) continues to be widely used in follow-up and flexible rectosigmoidoscopy has been used to initiate diagnostic investigation, later complemented by colonoscopy. DISCUSSION:  in the researched literature, the age group is similar to that pointed out by the specialists, in relation to gender, there are divergent points even in the literature. The segments commonly affected in the practice of specialists are consistent with the literature, but some points are divergent. Clinical, laboratory and endoscopic findings considered important by specialists are consistent with the researched literature.
   CONCLUSIONS: the view of specialists from Amazonas on the clinical, laboratory and endoscopic findings in patients with IBD was confronted with the specialized literature, in order to identify the profile of these patients assisted in the State's SUS. These data can serve as a basis for the development of other studies that contribute to better care for these patients.