크론병 환자의 진단에서 식습관 및 성격 특성에 따른 소장조영술 적용에 관한 연구

Application of S.B.S according to Dietary Habit & Personality Characteristics in the Diagnosis Crohn’s Disase - Around the Peroral Pneumocolon(PNC) Technique -

Purpose : In this study, comparison was performed, prior to the small bowel series(SBS), on dietary habit and personality characteristics of younger patients who visited the hospital because of iron deficiency anemia(IDA) or irritable bowel syndrome(IBS) and were diagnosed as with Crohn’s disease, and thereby more positive and closer small bowel series study were conducted on the are as such as ileocecal region, ascending colon, small bowel easier to develop Crohn’s disease, in order to eliminate related problems including a lengthy diagnosis period of Chohn’s disease and misdiagnosis. Materials and Methods : In relation with ‘effect of dietary habit and personality on bowel diseases,’ a questionnaire survey was conducted on 13 patients(male : female =10 : 3, average age=24) diagnosed with Crohn’s disease, among those who underwent small and large bowels examinations in our hospital from January 2004 to June 2003. The questionnaire consisted of 88 items in total among which there were 15, 50, 19, and 4 questions about personal information, dietary habit, personality, obsessive mentality, and behavioral pattern, respectively. Results : As a result, most patients with Crohn’s disease were found to have introverted personality(69%), have 2 meals a day(62%), and prefer meats(23%) and instant food(31%). In the assessment of behavioral pattern, the majority of the patients were likely to obsess about trivial things(77%), indecisive(77%), talk less(69%), and be cautious in handling matters(85%). As for the situations prior to the development of Crohn’s disease, the most common responses were ‘highly busy’ ‘stress-stricken,’ and ‘have trouble sleeping due to anxiety. ‘In addition, as for the causes for worsening of Crohn’s disease, students pointed out the failure to adapt to school life and exams, while workers cited work-related stress. Conclusion : With the inquiries(26 questions) and clinical findings obtained in this study, this study is expected to contribute to shortening of the period for Crohn’s disease diagnosis and minimization of misdiagnosis by means of more positive use of small bowel series(Peroral pneumocolon technique) to a larger degree.