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Fluoroscopy in Písek Hospital a.s.
VYSOKOMÝTSKÁ, Jiřina
The Fluoroscopy is nowadays increasingly replaced by other investigative methods, including CT examinations and more. Their number is currently falling slowly. The aim of the bachelor thesis was to analyze the possibilities of Fluoroscopy examinations in Hospital Písek, a.s. during 11 years (2006-2016) and potential substitution by other imaging methods. Another target was to compare the results with the statistics in the Czech Republic, which deals in particular with the total number of digestive tract tests carried out from 2007 till 2015 in all radio-diagnostic facilities. The theoretical part deals with Fluoroscopy and everything that belongs to it. It describes what X-ray radiation and its biological effects are. The largest part is devoted to X-ray techniques, contrast substances and Fluoroscopic examination. Describes parts from which Fluoroscopy is comprising. It also focuses on contrast substances, their classification and what double contrast examination is. The last chapters deal with Fluoroscopic examination, which were carried out at the Písek Hospital, a.s.. The data for a practical part of statistic evaluation was obtained from Písek Hospital, a.s. during the four months from December 2016 till March 2017, data collection was carried out in the form of printed operation report. The data was written in tables for each year separately, then divided into tables according to type of examination, sex and age. The simple abstract of the radiology activities and imaging methods for the period 2007-2015 was downloaded from ÚZIS. The downloaded data was focused only for a gastrointestinal tract radiology and a table to compares the data with the research.
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Investigative algorithm of the gastrointestinal tract
BAUEROVÁ, Anna
Digestive diseases are increasing constantly due to the lifestyle of the people. For that reason number of the people with necessity to have some of the radiodiagnostic examinations of the digestive tract is increasing. The radiodiagnostics is one the fundamental pillars to discover not only cancers, but also other digestive diseases. Every part of the digestive tract has its specific and unique role and may be affected by a disease. A wide range of diseases may be very dangerous given the digestive function importance. So, it is necessary not to underestimate disease signs and to detect the disease at the earliest stages. The bachelor thesis Gastrointestinal tract examination algorithm resumes the methods necessary to early and proper diagnosis of the structural, functional and other diseases. The theoretic part of the bachelor thesis includes an overview of the radiodiagnostic methods used to examine particular parts of the gastrointestinal tract. The direction of the particular digestive tract part description is craniocaudal. Every digestive tract part contains examination progress description, patient preparation and a list of the most common indications. Additionally, the paper includes a chapter about the liver, bile ducts, pancreas and spleen. The bachelor thesis aims are to create algorithms to examine the gastrointestinal tract using radiodiagnostic examination methods along with information leaflets which may make a contribution to patients better knowledge before gastrointestinal tract examination. Quantitative data collection method is used in the practival part. The anonymous questioning method was used to get responded the research questions about the preliminary information of patients before the gastrointestinal tract examination and preference regarding the oral or written form of communication. The questionnare contains 13 closed questions regarding the patient information on the received examinations. The questionnares were answered by the patients receiving a gastrointestinal tract examination at the radiodiagnostic department of the Hospital of České Budějovice a. s. and at another anonymous hospital. In total 66 respondents got the questionnares of which 64 has been returned. Gathered data were evaluated, then sorted and processed into graphical output including descriptions. The results confirmed legitimacy of the initial research question and the fact that patients feel to be enough informed. Nevertheless, there is obvious the information should be continually improved in quality. The results indicate that patients like live interviewing with health care personnel as well as having the written information - leaflets, brochures. This finding also answered the second research question of the thesis. The bachelor thesis output presents a coherent review including the description of radiodiagnostic methods to examine gastrointestinal tract. The results are prepared for the real use in form of leaflets. This means fluoroscopy of pharynge, esophagus, stomach and duodenum, digestive tract, enteroclysis, CT enteroclysis, CT enterography, MRI enterography, irigography, defecography, virtual CT colonoscopy, ultrasonography, ERCP and PTC. The leaflets are aimed to prepare patient for various upcoming examinations completed with adequate psychosocial information. Also the information associated with pain or accompanying person, hospital stay, etc. were included. The leaflets are created to be easy to understand. The leaflets are to avoid specific technical terms as much as possible.
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