11 results
Search Results
Now showing 1 - 10 of 11
Publication Open Access The Effect of Comfort Program on Satisfaction, Anxiety, and Pain among Patients Receiving Colonoscopy(2017) Truong Thi Thuy Huong; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To evaluate the effect of comfort program on satisfaction, anxiety, and pain among patients receiving colonoscopy. Design: A quasi-experiment design. Methods: The sample was 152 patients both males and females with the age of 18 years... and older who received colonoscopy at the Functional Examination Department of Bach Mai Hospital, Hanoi, Vietnam. The sample was divided into control and experimental groups. The comfort program was provided to the experimental group, and the control groupItem Open Access คู่มือการปฏิบัติงาน เรื่อง Computed Tomography Colonography (Virtual Colonoscopy)วิมลรัตน์ หล่อนิมิตดี; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาล. สาขารังสีวินิจฉัยPublication Open Access ผลของโปรแกรมการดูแลต่อเนื่องต่อคุณภาพของการเตรียมลำไส้ และความวิตกกังวลในผู้ที่เข้ารับการส่องกล้องลำไส้ใหญ่และทวารหนักแบบผู้ป่วยนอก(2558) ภัคภร เกตุสีสังข์; Pukkaporn katseesung; อุษาวดี อัศดรวิเศษ; Usavadee Asdornwised; วันเพ็ญ ภิญโญภาสกุล; Wanpen Pinyopasakul; ธวัชชัย อัครวิพุธ; Thawatchai Akaraviputh; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาลPurpose: To investigate effects of continuing care program on quality of bowel preparation and anxiety in patients receiving ambulatory colonoscopy. Design: Quasi-experimental research design. Methods: The study sample consisted of 83 patients... who had an appointment to undergo ambulatory colonoscopy at Siriraj Hospital. Forty-one were assigned into the control group, while 42 were assigned into the experimental group. The control group received routine care, whereas the experimental groupPublication Open Access Hydroxyurea and colonic ulcers: a case report(2014) Kochawan Boonyawat; Sansanee Wongwaisayawan; Prawat Nitiyanant; Vichai Atichartakarn; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Pathologyincident. From 2008 to April 2010, episodes of hematochezia, mucous diarrhea and epigastric pain intermittently manifested. Four colonoscopies done during the period repeatedly showed ulcerative lesions from the terminal ileum to the ascending colonPublication Open Access Intestinal capillariasis in the 21st century: clinical presentations and role of endoscopy and imaging(2014) Julajak Limsrivilai; Supot Pongprasobchai; Piyaporn Apisarnthanarak; Sathaporn Manatsathit; Mahidol University. Faculty of Medicine, Siriraj Hospital. Division of Gastroenterology, parasites were discovered in tissue biopsy from endoscopy in 1 from 10 esophagogastroduodenoscopies (EGD), 0 from 7 colonoscopies, 3 from 5 push enteroscopies, and 3 from 5 balloon-assisted enteroscopies (BAE). Endoscopic findings included scallopingPublication Open Access Hybrid approach for left-sided colonic carcinoma obstruction; a case report(2011) Atthaphorn Trakarnsanga; Thawatchai Akaraviputh; Asada Methasate; Vitoon Chinswangwatanakul; Mahidol University. Faculty of Medicine Siriraj Hospital. Minimally Invasive Surgery unitobstruction. He underwent emergency colonoscopy with metallic stent placement. One week later, he was performed SILC. He recovered well after the operation without any postoperative complications. The pathological result showed adequacy of oncologicPublication Open Access Development of Scoring System for Screening Colorectal Cancer: An Alternative Access to Health Care Services(2016) Napaphat Poprom; Chumpon Wilasrusmee; Chakrapan Euanorasetr; Weerapat Suwanthanma; Sirima Mongkolsomlit; ณปภัช โพธิ์พรหม; จุมพล วิลาศรัศมี; จักรพันธ์ เอื้อนรเศรษฐ์; วีรพัฒน์ สุวรรณธรรมา; สิริมา มงคลสัมฤทธิ์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of surgery; Thammasat University. Faculty of Public HealthWe aimed to develop a screening scoring scheme for colorectal cancer (CRC). The baseline and clinical information from the patients at the outpatient unit of Surgery Department, Faculty of Medicine Ramathibodi Hospital was used to develop a screening model. A binary logistic regression model was used to identify the independent risk variables and the beta-coefficients and a simple point scoring system was developed. The risk variables scoring system was based on 8 risk parameters: gender, family history of CRC in the first-degree relatives, exercise, bleeding per rectum, abdominal pain, weight loss, low density lipoprotein level and high density lipoprotein. The total score ranged from 0 to 11.5. The likelihood of colorectal cancer in people with low risk (scores < 3) was 1.77, moderate risk (scores 3.0-4.5) was 3.00, almost high risk (scores 4.5-5.5) was 5.91 and high risk patients (scores > 5.5) was 6.50. The receiver operating characteristic (ROC) curve of the study was 0.85 (95% CI 0.81-0.90). Our screening scoring system is simple and easy to use especially in primary care units. However, this study is the primary phase of developing of screening scoring system for colorectal cancer.Publication Open Access Visceral Fat Quantitated From CT Colonography Is Associated With the Presence of Colorectal Polyps(2020) Saowanee Srirattanapong; Yasinee Panyawaraporn; Wichan Prasertsilpakul; Jiraporn Laothamatas; เสาวณีย์ ศรีรัตนพงษ์; ญาศินี ปัญญาวราภรณ์; วิชาญ ประเสริฐศิลปกุล; จิรพร เหล่าธรรมทัศน์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Diagnostic and Therapeutic Radiology; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Advanced Diagnostic Imaging Center (AIMC)Background: An adenomatous polyp is known as a precancerous lesion of colorectal cancer. Detection and removal of adenomatous polyps are essential for colon cancer prevention. Previous studies have found the association between obesity and adenomatous polyp using many parameters. Objective: To determine the association between visceral fat visualized on computed tomography (CT) colonography (CTC) and colorectal polyps. Methods: This retrospective case-control study consisted of 280 adult subjects who underwent colon cancer screening by CTC at Ramathibodi Hospital; 129 cases with CT detected colorectal polyps who underwent polypectomy within 6 months, and 151 control subjects who were negative for significant polyps on CTC. Visceral fat areas of all subjects were measured on CT at the umbilical level by a semiautomatic method. Statistical analysis was performed to ascertain associations with the presence of colorectal polyps. Results: Of 280 adult subjects, there were classified into 4 groups; no polyps (n = 151), hyperplastic polyp (n = 23), low-risk adenomatous polyp (n = 75), and high-risk adenomatous polyp (n = 31). The mean visceral fat areas in 4 groups were 125.1 ± 55.7 cm2, 140.2 ± 63.8 cm2, 147.9 ± 74.2 cm2, and 156.6 ± 63.7 cm2, respectively. There were statistically significant differences in these means visceral fat between the no polyp group and both the low-risk and high-risk adenomatous polyp groups. In multivariate analyses, subjects who had visceral fat areas more than 168.60 cm2 were more likely to have polyps than subjects whose visceral fat areas were less than 93.65 cm2 (P < .05). Conclusions: Visceral fat was positively associated with the presence of adenomatous colorectal polyps.Publication Open Access การตรวจคัดกรองโรคมะเร็งในสตรี(2559) อัจจิมา ตันกุล; ไอรีน เรืองขจร; Achjima Tankul; Irene Ruengkhachorna; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาล. ภาควิชาสูติศาสตร์-นรีเวชวิทยามะเร็งเป็นสาเหตุการเสียชีวิตอันดับต้นๆของประเทศไทย การตรวจคัดกรองมะเร็งจึงเป็นแนวทางสำคัญในการป้องกันโรคมะเร็งหรือสามารถตรวจเจอได้ตั้งแต่ระยะแรก ซึ่งจะช่วยให้ลดอัตราการเสียชีวิตจากโรคมะเร็งลงได้ ในปัจจุบันนี้มีเพียงโรคมะเร็งปากมดลูก มะเร็งเต้านม มะเร็งลำไส้ใหญ่ และมะเร็งปอดที่มีแนวทางในการคัดกรองโรค แต่สำหรับมะเร็งรังไข่และมะเร็งเยื่อบุโพรงมดลูกนั้น ยังไม่มีวิธีคัดกรองมะเร็งอย่างชัดเจน รวมทั้งในประเทศไทยเองก็ยังไม่มีแนวทางการตรวจคัดกรองมะเร็งในสตรีอย่างชัดเจนPublication Open Access The utility of single-balloon enteroscopy for the diagnosis and management of small bowel disorders according to their clinical manifestations: a retrospective review(2013) Varayu Prachayakul; Morakod Deesomsak; Pitulak Aswakul; Somchai Leelakusolvong; Mahidol University. Siriraj Hospital. Department of Internal MedicineBackground: The advent of double-balloon enteroscopy has enabled more accurate diagnosis and treatment of small bowel disorders. Single-balloon enteroscopy permits visualization of the entire small intestine less often than does double-balloon enteroscopy. However, the relative clinical advantages of the 2 methods remain controversial. This study therefore aimed to identify the indications for and therapeutic impact of performing single-balloon enteroscopy. Methods: We retrospectively reviewed prospectively collected data from adults who underwent single-balloon enteroscopy from January 2007 through November 2011 and analyzed their baseline characteristics, endoscopic findings, pathological diagnoses, and clinical outcomes. Results: A total of 145 procedures were performed in 116 patients with a mean age of 58.1 ± 17.7 years (range, 18–89 years). The most common indications for performing single-balloon enteroscopy were overt gastrointestinal (GI) bleeding, chronic diarrhea, and occult GI bleeding, accounting for 57.9%, 12.4%, and 9.7% of the patients, respectively. The area of interest was achieved in 80.7% of the cases, with a 5.5% rate of technical failure. An overall positive finding was detected in 65.5% of the cases, of which 33.8% were ulcers and erosions; 8.3%, masses; and 3.4%, angiodysplasia. The diagnostic yields were 42.9%, 52.4%, 78.6%, 50.0%, and 25.0% for patients with overt GI bleeding, occult GI bleeding, abdominal pain, chronic diarrhea, and abnormal imaging results, respectively. Therapeutic procedures were performed in 11% of patients with GI bleeding and achieved a therapeutic yield of 14.6% with a minor complication rate of 11.7%. Conclusions: Single-balloon enteroscopy was effective for the diagnosis and treatment of small bowel disorders, especially in patients who presented with abdominal pain, GI bleeding, or focal abnormalities on imaging scans.