Ileri referans merkezinde yatirilan irritabl barsak sendromlularda batin ve anorektal cerrahi sıklığı
The frequency of abdominal and anorectal surgery in patients with irritable bowel syndrome hospitalized in tertiary center
- Ana Sayfa
- Sayılar
- Ileri referans merkezinde yatirilan irritabl barsak sendromlularda batin ve anorektal cerrahi sıklığı...
Özet
Giriş ve amaç: Irritabl Barsak Sendromlu olgularda batin cerrahisi Girişimlerinin arttığı bilinmektedir. Bu çalışmada irritabl barsak sendromlu olgularda batin cerrahisi ve anorektal cerrahisi sikligi arastirilmıştır. Gereç ve yöntem: Ocak 1998-Aralık 2002 tarihleri arasında klinigimizde yatmis 116 irritabl barsak sendromlu olgu geçirilmis batin cerrahisi yönünden retrospektif incelenmıştır. Kontrol grubunu ise 53 sağlıklı olgu ve Ocak 1998–Aralık 2002 tarihleri arasında klinigimizde yatmis 48 gastroözofageal reflü hastalığı tanıli olgu olusturmustur. Gastroözofageal reflü hastalığı nedeniyle opere olmus olgular çalışma dışı birakilmisti r. Gruplar geçirilmis batin cerrahisi ve anorektal cerrahisi sikligi baki- mindan karsilastirilmıştır. Bulgular: Batin cerrahisi sikligi irritabl barsak sendromlu olgularda kontrol grubuna göre daha sik bulunmustur. Anorektal cerrahi sikligi ise irritabl barsak sendromlu olgularda sağlıklı kisilere göre farkli bulunmamıştır. Anorektal cerrahi sikligi irritabl barsak sendromlu olgularda gastroözofageal reflü hastalığı olanlara göre daha yüksek bulunmustur. Sonuç: Kolelitiasisi bulunan irritabl barsak sendromlu olgularda kolesistektomi karari bakimindan daha dikkatli değerlendirilmelidir.
Abstract
Background/aim: It is known that abdominal region operations are more common in patients with irritable bowel syndrome. The aim of this study was to determine the frequency of abdominal region operations in patients with irritable bowel syndrome. Materials and methods: 116 patients hospitalized between January 1998 and December 2002 with irritable bowel syndrome were evaluated retrospectively for previous abdominal region operation. Control group was composed of 53 healthy people and patients with 48 gastroesophageal reflux disease hospitalized between January 1998 and December 2002. Patients with previous operation for gastroesophageal reflux disease were excluded. Frequency of abdominal region operation was compared between groups. Results: The frequency of abdominal surgery was found to be more common in patients with irritable bowel syndrome than in the control group. There was no difference between patients with irritable bowel syndrome and healthy individuals regarding anorectal surgery. The frequency of anorectal surgery was found to be more common in patients with irritable bowel syndrome than in patients with gastroesophageal reflux disease. Conclusion: Patients with cholelithiasis and irritable bowel syndrome have to be evaluated more carefully for cholecystectomy.
