On-site PhD conferral Rosel Sturkenboom
Supervisor: Prof. dr. D. Keszthelyi
Co-supervisors: Dr. S.O. Breukink, Dr. B.A.B. Essers
Keywords: Irritable bowel syndrome, constipation and fecal incontinence, treatment preferences, surgical outcomes
"Understanding the patient perspective for treatment outcomes and preferences in functional bowel disorders"
Functional bowel disorders, including irritable bowel syndrome (IBS), constipation and fecal incontinence, are very common in the population. Due to recurrent and persistent abdominal pain and/or stool problems, these patients have a lower quality of life and a high consumption rate of healthcare. Multiple effective treatments are available for these conditions. Nevertheless, as no single treatment works for all patients and symptoms differ per patient, the search for a suitable treatment remains a challenge.
This thesis therefore examined the treatment preferences in IBS patients. These studies showed that patients preferred dietary intervention, subsequently medication and psychological treatment.
In addition, the long-term outcomes of various surgical procedures for constipation and fecal incontinence were examined, when treatment with medication is no longer effective. The results of the Malone stoma (artificial access to the large intestines) and the artificial bowel sphincter were disappointing because of little effect on the complaints and the presence of many complications. Sacral neuromodulation did show promising results. Shared decision-making is therefore important when choosing a treatment, whereby the wishes and expectations of patients with functional abdominal complaints should be thoroughly discussed.
Click here for the live stream.
Click here for the full thesis.
Language: Dutch
Also read
-
PhD Defence Veerle Marieke Wintraecken
"The impact of omitting sentinel lymph node biopsy on radiation therapy adherence, patient-reported outcomes, and cost effectiveness"
30 Jun -
PhD Defence Katharina Rosteius
"To The Roots: Green Care Farms as long-term care setting for people living with dementia"
30 Jun -
PhD Defence Max Hubertus Mathias Carolus Scheepers
"Reducing the Impact of the Surgical Knife in (Para-) Thyroid Surgery Innovative Preoperative Diagnostics in Minimally Invasive Parathyroid and Thyroid Surgery"
1 Jul