Nisan 2009
Hemodiyaliz ve periton diyalizine giren kronik böbrek yetmezligi olan hastalarda dispepsi ve Helikobakter pilori prevalansi
The prevalence of Helicobacter pylori and dyspepsia in patients with chronic renal failure with hemodialysis and peritoneal dialysis
- Ana Sayfa
- Sayılar
- Nisan 2009
- Hemodiyaliz ve periton diyalizine giren kronik böbrek yetmezligi olan hastalarda dispepsi ve Helikobakter pilori prevalansi...
Özet
Giris ve amaç: Kronik böbrek yetmezligi hastalarinda dispeptik yakinmalar artmistir. Üre yüksekligi ve kullanilan ilaçlar bu semptomlarin olusmasinda rol oynamaktadir. Yine Helikobakter pilori sikligi açisindan kronik böbrek yetmezligi hastalarinda çeliskili sonuçlar vardir. Çali smamizin amaci periton diyalizi ve hemodiyalize giren kronik böbrek yetmezligi hastalarinda dispeptik semptomlarla, Helikobakter pilori sikli gini arastirmaktir. Materyal ve metod: Kronik böbrek yetmezligi nedeniyle hemodiyalize giren 33 hasta, periton diyalizine giren 23 hasta ile 34 kontrol olgusunda dispeptik semtomlarla, Helikobakter pilori varli- gi arastirildi. Bulgular: Hemodiyalize giren hastalarin %27.2?sinde, periton diyalizine giren hastalarin %47.8?inde, kronik böbrek yetmezligi olan hastalarin %35.7?sinde ve kontrol grubunun %26.4?ünde dispeptik semptomlar saptandi. Helikobakter pilori varligi ise dispepsi semptomlari olan hemodiyalize giren hastalarin %11.1?inde, periton diyalizine girenlerin %45.4?ünde ve kontrol grubunun %44.4?ünde saptandi. Sonuç: Periton diyalizine ve hemodiyalize giren hastalarda Helikobakter pilori varligi ve dispepsi semptomlari yönünden anlamli bir fark bulunmadi. Yine kontrol grubu ile kronik böbrek yetmezligi hastalari arasinda da Helikobakter pilori varligi ve dispepsi semptomlari yönünden anlamli bir fark bulunmadi.
Abstract
Background and Aims: We evaluated the frequency of dyspeptic complaints in patients with chronic renal failure. Higher urea and drug use have a role in the development of these kinds of symptoms. There is controversy on the frequency of Helicobacter pylori in patients with chronic renal failure. We aimed to investigate the prevalence of both Helicobacter pylori and dyspepsia in patients with chronic renal failure with hemodialysis and peritoneal dialysis and compared our results with a control group. Materials and Methods: The prevalence of Helicobacter pylori and dyspepsia was evaluated in 33 patients with chronic renal failure with hemodialysis and 23 patients with peritoneal dialysis, and results were compared to 34 control cases without renal failure. Results: Dyspepsia was detected in 27.2% with hemodialysis, in 47.8% with peritoneal dialysis, in 35.7% with chronic renal failure and in 26.4% of controls. Additionally, the frequency of Helicobacter pylori in patients with dyspepsia was detected in 11.1% with hemodialysis, in 45.4% with peritoneal dialysis, in 30% with chronic renal failure, and in 44.4% of controls. Conclusions: We did not find any significant difference regarding the prevalence of Helicobacter pylori and dyspepsia in patients with chronic renal failure with hemodialysis and peritoneal dialysis. Similarly, there was no difference regarding the prevalence of Helicobacter pylori and dyspepsia between patients with chronic renal failure and controls.
