Ileri referans merkezinde yatirilan irritabl barsak sendromlularda batin ve anorektal cerrahi sikligi
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 sikligi...
Özet
Giris ve amaç: Irritabl Barsak Sendromlu olgularda batin cerrahisi girisimlerinin arttigi bilinmektedir. Bu çalismada irritabl barsak sendromlu olgularda batin cerrahisi ve anorektal cerrahisi sikligi arastirilmistir. Gereç ve yöntem: Ocak 1998-Aralik 2002 tarihleri arasinda klinigimizde yatmis 116 irritabl barsak sendromlu olgu geçirilmis batin cerrahisi yönünden retrospektif incelenmistir. Kontrol grubunu ise 53 saglikli olgu ve Ocak 1998–Aralik 2002 tarihleri arasinda klinigimizde yatmis 48 gastroözofageal reflü hastaligi tanili olgu olusturmustur. Gastroözofageal reflü hastaligi nedeniyle opere olmus olgular çalisma disi birakilmisti r. Gruplar geçirilmis batin cerrahisi ve anorektal cerrahisi sikligi baki- mindan karsilastirilmistir. Bulgular: Batin cerrahisi sikligi irritabl barsak sendromlu olgularda kontrol grubuna göre daha sik bulunmustur. Anorektal cerrahi sikligi ise irritabl barsak sendromlu olgularda saglikli kisilere göre farkli bulunmamistir. Anorektal cerrahi sikligi irritabl barsak sendromlu olgularda gastroözofageal reflü hastaligi olanlara göre daha yüksek bulunmustur. Sonuç: Kolelitiasisi bulunan irritabl barsak sendromlu olgularda kolesistektomi karari bakimindan daha dikkatli degerlendirilmelidir.
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.
