JOSE MARCIO NEVES JORGE
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Gastroenterologia, Faculdade de Medicina - Docente
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
4 resultados
Resultados de Busca
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- Prevalence of self-reported constipation in adults from the general population(2015) SCHMIDT, Fernanda Mateus Queiroz; SANTOS, Vera Lúcia Conceição de Gouveia; DOMANSKY, Rita de Cássia; BARROS, Elaine; BANDEIRA, Mariana Alves; TENÓRIO, Mariana Alves de Melo; JORGE, José Marcio NevesOBJECTIVE To estimate the prevalence of self-reported constipation and associated factors in the general population of a Brazilian city. METHOD Secondary analysis of an epidemiological study, population-based, cross-sectional study, about bowel habits of Brazilian population. A total of 2,162 individuals were interviewed using two instruments: sociodemographic data and the adapted and validated Brazilian version of the ""Bowel Function in the Community"" tool. RESULTS There was a prevalence of 25.2% for the self-reported constipation, 37.2% among women and 10.2% among men. Stroke and old age were associated with constipation in the three statistical models used. CONCLUSION The prevalence found showed to be similar to the findings in the literature, although some associated factors obtained here have never been investigated.
- CONSTIPATION SCORING SYSTEM VALIDATED FOR THE PORTUGUESE LANGUAGE (ÍNDICE DE GRAVIDADE DA CONSTIPAÇÃO INTESTINAL): IS IT RELIABLE IN ASSESSING THE SEVERITY OF INTESTINAL CHRONIC CONSTIPATION IN OUR POPULATION?(2023) FROEHNER JUNIOR, Ilario; JORGE, Jose Marcio Neves; MARQUES, Carlos Frederico Sparapan; SANTOS, Vera Lucia Conceicao de Gouveia; JUKEMURA, JoseBACKGROUND: There is a lack of valid and specific tools to measure chronic constipation severity in Brazil. AIMS: To validate the Constipation Scoring System for Brazilian spoken Portuguese. METHODS: Translation, cultural adaptation, and validation itself (reliability and convergent and divergent validation). Translation: definitive version from the original version's translation and evaluation by specialists. Cultural adaptation: score content analysis of the definitive version, as an interview to patients. Interobserver reliability: application by two researchers on the same day. Intraobserver reliability: same researcher at different times, in a 7-day interval. Divergent validation: non-constipated volunteers. Convergent validation: two groups, good response to clinical treatment and refractory to treatment. RESULTS: Cultural adaptation: 81 patients, 89% female, with mean age of 55 and seven years of schooling, and overall content validity index was 96.5%. Inter and intraobserver reliability analysis: 60 patients, 86.7% female, mean age of 56 and six years of schooling, and the respective intraclass correlation coefficients were 0.991 and 0.987, p<0.001. Divergent validation: 40 volunteers, 25 male, mean age of 49 years, and the mean global score was 2. Convergent validation of patients with good response to clinical treatment: 47 patients, 39 female, mean age of 60 and six years of schooling, and the pre- and post-treatment scores were 19 and 8, respectively (p<0.001). Convergent validation of refractory to clinical treatment patients: 75 patients, 70 female, mean age of 53 and seven years of schooling, and the global average score was 22. CONCLUSIONS: The Constipation Scoring System (indice de Gravidade da Constipacao Intestinal) validated for the Brazilian population is a reliable instrument for measuring the severity of intestinal chronic constipation.
- Influence of perineal prostatectomy on anal continence(2011) GUILGER, Nadia Ricci; JORGE, Jose Marcio Neves; COSTA, Renato Prado; SALLA, Fernando Cesar; TEIXEIRA, Magaly Gemio; NAHAS, Sergio Carlos; CECCONELLO, IvanOBJECTIVE: Perineal prostatectomy has been proposed as a less invasive and safe procedure, but the risk of anal incontinence has been studied. This study aimed to evaluate the effects of perineal access on anal continence mechanisms after perineal prostatectomy. METHODS: From August 2008 to May 2009, twenty three patients underwent perineal prostatectomy. These patients were evaluated before surgery and eight months postoperatively using the Cleveland Clinic Anal Incontinence Score, the Fecal Incontinence Quality of Life Score, and anorectal manometry. RESULTS: The mean age of the subjects was 65 (range, 54-72) years, and the mean prostate weight was 34.5 (range, 24-54) grams. Gleason scores ranged from 6-7, and the mean Cleveland Clinic Anal Incontinence Score (mean +/- standard deviation) values were 0.9 +/- 1.9 and 0.7 +/- 1.2 (p>0.05) before and after surgery, respectively. The Fecal Incontinence Quality of Life Score did not change significantly after surgery. The mean values for anal manometric parameters before and after surgery were, respectively: Resting Pressures of 64 +/- 23 mmHg and 65 +/- 17 mmHg (p = 0.763), Maximum Squeezing Pressures of 130 +/- 41 mmHg and 117 +/- 40 mmHg (p = 0.259), High Pressure Zones of 3.0 +/- 0.9 cm and 2.7 +/- 0.8 cm (p = 0.398), Rectal Sensory Thresholds of 76 +/- 25 ml and 71 +/- 35 ml (p = 0.539), Maximum Tolerated Rectal Volumes of 157 +/- 48 ml and 156 +/- 56 ml (p = 0.836), and Sphincter Asymmetry Indexes 22.4 +/- 9% and 14.4 +/- 5% (p = 0.003). CONCLUSION: There was a significant decrease in the sphincter symmetry index after perineal prostatectomy. With the exception of the sphincter asymmetry index, perineal prostatectomy did not affect anal continence parameters.
- Pelvic floor anatomy(2022) JORGE, Jose Marcio N.; BUSTAMANTE-LOPEZ, Leonardo A.The pelvic floor is a complex mechanical apparatus composed by the levator ani, superficial perineal muscles, pelvic nerves, endopelvic fascia, and ligaments. The pelvic anatomy is somewhat challenging to both surgeons and anatomists. It is a narrow and deep region that encompasses intestinal, gynecologic, and urologic viscera, vessels, nerves, and fascial attachments. It is designed for content suspension and to promote coordinated action during bladder and rectal emptying. Support for the pelvic organs originates from connections to the pelvis and associated muscles. The pelvic muscles encompass five groups: levator ani, anal sphincter complex, pelvic sidewall, and anterior perineal muscles. Damage to structural and functional interactions of the pelvic floor can potentially lead to multi-compartmental dysfunction. Also, debilitating pelvic floor disorders such as pelvic organ prolapse and incontinence are usually related to injuries and deterioration of muscles, nerves, and ligaments that support and maintain normal pelvic function. The anorectum and pelvic floor are interconnected by the fascia and ligaments, which provide support for endopelvic viscera. In females, the pelvic floor is considered part of the birth canal and stretching and tearing of these structures during vaginal delivery are often underestimated causes of pelvic floor dysfunction. In addition, pelvic floor function can be affected by variation in bowel habits, particularly chronic excessive straining. Understanding pelvic floor anatomy is essential to fully diagnose and adequately treat these dysfunctions.