RESUMO
INTRODUCTION: Abuse has been considered a significant factor on the development of functional gastrointestinal disorders (FGID), especially for severe and treatment-refractory patients. The aim of our study was to evaluate the presence of all FGID according to Rome II criteria, in a group of women with history of physical, psychological and/or sexual abuse. MATERIAL AND METHODS: A cross sectional study was performed in 96 women (37 +/- 12 years of age) with history of physical, psychological and/or sexual abuse (cases); and 96 open population women (36 +/- 14 years of age) (controls). The following evaluations were administered: Rome II questionnaire, a self-administered instrument to evaluate history of physical (beating), psychological(insults, public humiliation) and/or sexual abuse (rape, coercion), and HAD questionnaire. RESULTS: Among 96 women with history of abuse,91 (95%) reported to have suffered psychological abuse, 72 (75%) physical abuse, and 24 (25%)sexual abuse. Women with history of abuse had a higher prevalence of rumination (6% vs. 0%, p= 0.02), functional heartburn (26% vs. 13%, p =0.04), aerofagia (17% vs. 5%, p = 0.019), irritable bowel syndrome (38% vs. 18%, p = 0.002), fecalin continence (16% vs. 4%, p = 0.01), elevator anisyndrome (5% vs. 0%, p = 0.05), and proctalgia fugax (29% vs. 15%, p = 0.02) compared to controls. There was a positive correlation between anxiety (r = 0.5, p = 0.001) and depression scores(r = 0.45, p = 0.001), and the number of FGID. CONCLUSION: We demonstrated a high prevalence of FGID among women with history of physical,psychological, and/or sexual abuse. In this association,concomitant anxiety and depression play a significant role.
Assuntos
Abuso Sexual na Infância/psicologia , Maus-Tratos Infantis , Doenças do Sistema Digestório/etiologia , Doenças do Sistema Digestório/psicologia , Maus-Tratos Conjugais/psicologia , Adulto , Ansiedade/complicações , Ansiedade/etiologia , Ansiedade/psicologia , Criança , Estudos Transversais , Depressão/complicações , Depressão/etiologia , Depressão/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários , ViolênciaRESUMO
The case of a patient with past history of rheumatoid arthritis and chronic use of non-steroidal anti-inflammatory drugs that presented a solitary yeyunal ulcer with perilesional stenosis is described. Clinically it was manifested as intermitent bowel obstruction and the diagnosis was made during the exploratory laparotomy. Literature was reviewed and the importance of the diagnosis, specially the radiological one is emphasized.