Is Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?

Background Functional gastrointestinal (GI) disorders are very common and many patients with such disorders are not satisfied with treatment outcomes. Psychological aspects of functional disorders need special attention that may play an important role in patient management. Objectives In this s...

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Autor principal:	Ahmad Izadpanah
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2015
Materias:	wounds penetrating trauma peritonitis laparotomy peritoneal lavage Medicine R
Acceso en línea:	https://doaj.org/article/3c733f3e1f094a4db4f14cf5d65714f0
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spelling	oai:doaj.org-article:3c733f3e1f094a4db4f14cf5d65714f02021-11-15T09:41:04ZIs Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?2783-243010.17795/acr-28187https://doaj.org/article/3c733f3e1f094a4db4f14cf5d65714f02015-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45488_02c3c3c1288e07faf87b322de611e614.pdfhttps://doaj.org/toc/2783-2430Background Functional gastrointestinal (GI) disorders are very common and many patients with such disorders are not satisfied with treatment outcomes. Psychological aspects of functional disorders need special attention that may play an important role in patient management. Objectives In this study, psychology evaluation was performed for a population of patients with functional bowel disorders. Patients and Methods One hundred patients with functional bowel disorders including 50 patients with irritable bowel syndrome (IBS) referred to GI clinics were candidates for psychiatry evaluation; of those 60 patients completed the study. Psychiatric disorders were diagnosed using a structured clinical interview based on diagnostic and statistical manual of mental disorders IV (DSM IV). Results Of 60 patients with functional bowel disorders (including 39 IBS), 51 (85%) were diagnosed with at least one psychiatry disorder. The most common disorders were dysthymia (25%) and obsessive-compulsive disorder (20%). There was no significant difference between IBS patients and other functional bowel disorders regarding the prevalence of psychiatric disorders. Conclusions Psychiatric disorders are very prevalent among patients with functional bowel disorders. Prompt diagnosis and appropriate management of associated psychiatric disorders along with GI targeted treatments may lead to a better outcome in these patients.Ahmad IzadpanahShiraz University of Medical Sciencesarticlewoundspenetratingtraumaperitonitislaparotomyperitoneal lavageMedicineRENIranian Journal of Colorectal Research, Vol 3, Iss 2, Pp 0-0 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	wounds penetrating trauma peritonitis laparotomy peritoneal lavage Medicine R
spellingShingle	wounds penetrating trauma peritonitis laparotomy peritoneal lavage Medicine R Ahmad Izadpanah Is Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?
description	Background Functional gastrointestinal (GI) disorders are very common and many patients with such disorders are not satisfied with treatment outcomes. Psychological aspects of functional disorders need special attention that may play an important role in patient management. Objectives In this study, psychology evaluation was performed for a population of patients with functional bowel disorders. Patients and Methods One hundred patients with functional bowel disorders including 50 patients with irritable bowel syndrome (IBS) referred to GI clinics were candidates for psychiatry evaluation; of those 60 patients completed the study. Psychiatric disorders were diagnosed using a structured clinical interview based on diagnostic and statistical manual of mental disorders IV (DSM IV). Results Of 60 patients with functional bowel disorders (including 39 IBS), 51 (85%) were diagnosed with at least one psychiatry disorder. The most common disorders were dysthymia (25%) and obsessive-compulsive disorder (20%). There was no significant difference between IBS patients and other functional bowel disorders regarding the prevalence of psychiatric disorders. Conclusions Psychiatric disorders are very prevalent among patients with functional bowel disorders. Prompt diagnosis and appropriate management of associated psychiatric disorders along with GI targeted treatments may lead to a better outcome in these patients.
format	article
author	Ahmad Izadpanah
author_facet	Ahmad Izadpanah
author_sort	Ahmad Izadpanah
title	Is Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?
title_short	Is Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?
title_full	Is Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?
title_fullStr	Is Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?
title_full_unstemmed	Is Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?
title_sort	is clinical evaluation sufficient for decision making in patients with penetrating abdominal trauma?
publisher	Shiraz University of Medical Sciences
publishDate	2015
url	https://doaj.org/article/3c733f3e1f094a4db4f14cf5d65714f0
work_keys_str_mv	AT ahmadizadpanah isclinicalevaluationsufficientfordecisionmakinginpatientswithpenetratingabdominaltrauma
_version_	1718428490101948416

Is Clinical Evaluation Sufficient for Decision Making in Patients With Penetrating Abdominal Trauma?

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