Konstipasyon saptanan olgularimizin degerlendirilmesi
Evaluation of patients with constipation
Özet
Giris ve amaç: Konstipasyon toplumda oldukça sik görülen, sikligi kullani lan tanimlara göre farklilik göstermekle birlikte %2-28 arasinda degisen bir gastrointestinal problemdir. Konstipasyonun tanimlanmasinda tam bir objektivitenin olmamasi sonucunda bu problemin sikligi, patogenezi, tedavisi konusunda tartismali sonuçlar ortaya çikmaktadir. Yapmis oldugumuz bu çalismada hastanemiz Gastroenteroloji poliklinigine degisik nedenlerle basvurmus hastalarda konstipasyon ve özelliklerini belirlenmeyi amaçladik. Gereç ve yöntem: Çalismamizda 1 Ocak-30 Haziran 2005 tarihleri arasinda hastanemiz Gastroenteroloji poliklinigine degisik nedenlerle basvurmus hastalarin dosyalari konstipasyon ve özellikleri açisindan retrospektif olarak incelendi. Konstipasyon tanisi için Roma II tani kriterleri kullanildi. Bulgular: Çalismaya alinan 1000 hastadan 200’ünde (%20) konstipasyon saptandi. Konstipasyon saptanan hastalari n 146’si (%73) kadin, 54’ü (%27) erkekti. Yas ortalamalari 53.45±16.72 yil idi. Hastalarin 48’inde (%24) konstipasyon primer basvuru yakinmasi iken, 152’si (%76) baska nedenlerle basvurmustu. Altmi s üç hastada (%31.5) haftada 3 veya daha seyrek diskilama baskin sikayet iken, 76 hastada (%38) zorlu diskilama, 61 hastada (%30.5) sert diskilama ana yakinma idi. Hastalarin 34’üne (%17) IBS tanisi konmustu. Yüz altmis hastada (%80) eslik eden bir hastalik bulunmazken, 24’ünde (%12) DM, 12’sinde (%6) hipotiroidizm, 3’ünde (%1.5) hipopotasemi ve 1’inde (%0.5) üremi vardi. Hastalarin 27’si (%13.5) laksatif kullanmaktaydi. Sonuç: Çalismamizda hastanemiz Gastroenteroloji poliklinigine basvuran hastalarda konstipasyon sikligini %20 olarak bulduk. Konstipasyonun hayat kalitesini etkilemesi, tetkikler ve laksatif kullani mi nedeniyle maliyetleri arttirmasi ve önemli hastaliklar ile birarada bulunabilmesi nedeniyle dikkatli olunmasi gereken bir problem oldugunu düsünüyoruz.
Abstract
Background/aim: Constipation is a frequent gastrointestinal problem. Prevalence of constipation varies between 2-28% according to different definitions. Because the definition of constipation is not definitive, it is difficult to estimate the prevalence, pathogenesis and treatment of this problem. In this study we aimed to determine constipation and its features in outpatients admitted to our Gastroenterology polyclinic for different causes. Materials and methods: In our study the files of patients admitted to the Gastroenterology polyclinic between 1 January-30 June 2005 were evaluated retrospectively for constipation and features. Rome II criteria were used for diagnosis of constipation. Results: A total of 200 patients with constipation (146 females, 54 males) were enrolled into the study. Mean age was 53±16.72 years. Constipation was the primary complaint of 48 (24%) patients and the remaining 152 (76%) were admitted with other complaints. Less than three bowel actions per week was the main symptom in 63 (31.5%) subjects, straining in 76 (38%) and hard stools in 61 (30.5%). Thirty-four (17%) patients were diagnosed as irritable bowel syndrome (IBS). There was no accompanying disease in 160 (80%) patients, but 24 (12%) had DM, 12 (6%) had hypothyroidism, 3 (1.5%) had hypopotassemia and 1 (0.5%) had uremia. Twenty-seven (13.5%) patients were using laxatives. Conclusion: In this study the prevalence of constipation in outpatients admitted to our Gastroenterology polyclinic was 20%. We think that patients with constipation have to be evaluated more carefully because of its disturbance of life quality, increasing costs, laxative use and accompaniment with important diseases.
