Duodenal ülser ve ülser benzeri dispepsinin ayirici tanisinda semptomlar
Differential diagnosis of duodenal ulcer and ulcer like dyspepsia by symptomatic evaluation
Özet
Giris ve amaç: Duodenal ülserde epigastrik yanici agri tani için tipik olmasina ragmen ülser benzeri dispepside de ayni semptom vardir. Her iki hastaligin semptomlarini karsilastirabilmek için endoskopik sonuçlara göre olgular iki gruba ayrilarak semptomlar karsilastirildi. Gereç ve yöntem: Olgular demografik, beslenme, semptomlar ve sigara kullanimi gibi özelliklerine göre degerlendirildiler. Üst gastrointestinal sistem incelemesi sonrasinda ülser ve ülser benzeri dispepsi olgulari iki gruba ayrilarak daha önceki sorgulamalar degerlendirildi. Bulgular: Duodenal ülser 440 olgudan 86’da (%19) mevcuttu. Gruplar arasinda semptomlarda (agri karakteri, yeri, siddeti, yayilmasi, bulanti, kusma, erken doyma, yeme sonrasi siskinlik, pirozis vb.) anlamli farklilik izlenmedi. Gruplarda sadece cinsiyet, meslek ve sigara kullanimi ile ilgili farklar bulundu. Sonuç: Ülser benzeri semptomlar ülser ve ülser benzeri dispepsi ayirici tanisinda yeterli degildir, kesin tani için endoskopik inceleme yapilmalidir.
Abstract
Background and aims: Although duodenal ulcer is easy to diagnose, being characterized by burning epigastric pain, ulcer like dyspepsia also has similar symptoms. In this study, the clinical symptoms of duodenal ulcer and ulcer like dyspepsia were evaluated for differential diagnosis. Materials and methods: Patients were evaluated according to parameters such as demographic features, nutritional status, symptoms and smoking. Upper gastrointestinal endoscopic examination was performed on all patients and then they were divided into duodenal ulcer and ulcer like dyspepsia groups. Results: Duodenal ulcer was present in 86(19%) of the 440 patients There were no significant differences between the two groups according to the parameters of (pain character, location, severity and radiation, nausea and vomiting, early satiety and postprandial bloating, and pyrosis). However, the parameters of gender occupation and smoking were different between groups. Conclusion: Ulcer like symptoms are not helpful in the differentiation of duodenal ulcer and ulcer like dyspepsia and endoscopic evaluation is necessary for a definitive diagnosis.
