Daha önce mide cerrahisi uygulanmış hastalarda endoskopik, patolojik ve cerrahi bulgular
Küçük Resim Yok
Tarih
2003
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Üst gastrointestinal endoskopik inceleme yapılan olgulardan herhangi bir nedenle daha önce mideye cerrahi girişim uygulanmış olanlar demografik özellikleri, endoskopi ve patoloji bulguları ile özellikle yeniden cerrahi tedavi gerektiren olgular olmak üzere uygulanan tedaviler retrospektif olarak incelenmiştir. Gereç ve Yöntem: Ocak 1998 ile Aralık 2002 yılları arasında Düzce Tıp Fakültesi Genel Cerrahi ve Gastroenteroloji endoskopi ünitelerinde üst gastrointestinal endoskopik inceleme yapılan olgulardan herhangi bir nedenle daha önce mideye cerrahi girişim uygulanmış olan 51 olgu incelenmiştir. Bulgular: Bu grup hastalar çoğunlukla orta-ileri yaşta (ortalama 63 yaş) olup olguların %74.5'i (38) erkekti. Bu olgularda en sık saptanan patolojik bulgular sırasıyla post gastrektomi gastriti 24 (%47), kronik Helikobakter Pilori gastriti 10 (%19.6), alkalen reflü gastrit 6 (%11.7), malignite 5 (%9.8) olarak belirlendi. Bu olguların 8'inde; malignite (4 olgu), alkalen reflü gastrit (3 olgu), gasrokolik fistül (1 olgu) nedeniyle yeniden gastrik cerrahi uygulandı. Sonuç: Peptik ülserin medikal tedavisinde sağlanan gelişme peptik ülser cerrahisini bu hastalığın komplikasyonlarının cerrahisi şeklinde sınırlandırmış bulunmaktadır. Ancak özellikle yaşlı hasta grubunda geçirilmiş mide cerrahisi sonrası rastlanan problemler cerrahiyi yakından ilgilendirmeye devam etmektedir.
Objective: Demographic, endoscopic and pathological findings of patients with previous gastric surgery from a cohort of upper gastrointestinal endoscopy cases and a subgroup of cases indicating gastric re-operation were investigated according to their therapies retrospectively. Material and Method: Fifty one upper gastrointestinal endoscopy cases who had previous gastric surgery from the cohort of Düzce School of Medicine Department of General Surgery and Gastroenterology endoscopy units were investigated. Results: These group of patients were mostly middle aged or elder (mean 63 years) and 38 (74.5%) of them were male. The pathological findings of the cases were postgastrectomy gastritis 24 (47%), chronic Helicobacter Pylori gastritis 10 (19.6%), alkaline reflux gastritis 6 (11.7%), and malignancy 5 (9.8%) respectively. Eigth of these had gastric surgery due to malignancy (4 cases), alkaline reflux gastritis (3 cases), and gastrocolic fistula (1 case). Conclusion: The invent in medical therapy of peptic ulcer disease gained limitations in peptic ulcer surgery like surgery of the complications of the disease. However problems occurring after gastric surgery especially in elder group of patients still interest surgeons.
Objective: Demographic, endoscopic and pathological findings of patients with previous gastric surgery from a cohort of upper gastrointestinal endoscopy cases and a subgroup of cases indicating gastric re-operation were investigated according to their therapies retrospectively. Material and Method: Fifty one upper gastrointestinal endoscopy cases who had previous gastric surgery from the cohort of Düzce School of Medicine Department of General Surgery and Gastroenterology endoscopy units were investigated. Results: These group of patients were mostly middle aged or elder (mean 63 years) and 38 (74.5%) of them were male. The pathological findings of the cases were postgastrectomy gastritis 24 (47%), chronic Helicobacter Pylori gastritis 10 (19.6%), alkaline reflux gastritis 6 (11.7%), and malignancy 5 (9.8%) respectively. Eigth of these had gastric surgery due to malignancy (4 cases), alkaline reflux gastritis (3 cases), and gastrocolic fistula (1 case). Conclusion: The invent in medical therapy of peptic ulcer disease gained limitations in peptic ulcer surgery like surgery of the complications of the disease. However problems occurring after gastric surgery especially in elder group of patients still interest surgeons.
Açıklama
Anahtar Kelimeler
Anestezi, Tıbbi Araştırmalar Deneysel, Cerrahi, Patoloji, Endoskopi, Gastrointestina
Kaynak
Medical Network Klinik Bilimler ve Doktor
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
2
