Year 2017, Volume 1 , Issue 2, Pages 21 - 23 2017-08-20

On yıl önce intestinal obstrüksiyonlarda ana etiyoloji neydi? Tarihsel açıdan inceleme: Retrospektif kohort çalışma
Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study.

Yahya Kemal ÇALIŞKAN [1]


Amaç: İntestinal obstrüksiyon etiyolojisi ülkeler arasında farklılık göstermektedir. Bu çalışma Türkiye’deki 10 yıl önceki deneyimlerimizi temsilen geniş bir hasta serisini sunmayı amaçlamaktadır.

Metod: Sekiz yıllık sure içerisinde (2000 – 2007) intestinal obstrüksiyon nedeniyle başvuran 1381 hastanın dosyası incelendi.

Bulgular: Olgular iki gruba ayrıldı. A Grubunu ameliyata alınan 1186 (%85.5) hasta oluşturdu. Geriye kalan 201 ameliyat dışı tedavi uygulanan hasta B grubunu oluşturdu. Eksternal boğulmuş fıtıkların (%46) (inguinal, femoral, umblikal ve insizyonel) A grubu içerisinde intestinal obstrüksiyona sebep olan en sık neden olduğu saptandı. Tümör ve adezyonlar; %19 ve %18’lik oranla sık görülen nedenler içinde yer aldı.

Sonuç: Eksternal herniler intestinal obstrüksiyon nedenleri arasında en sık neden olarak saptandı. Eksternal hernileri olan hastaları elektif şartlarda boğulma gerçekleşmeden ameliyata teşvik etmek bu sıklığı düşürebilir. Mevcut literatürde etiyoloji sıralamasında bazı önemli değişiklikler mevcuttur. Yeni çalışmalar mevcut durumu ortaya çıkarmak için yapılmalıdır.

Aims: Etiology of intestinal obstruction differs between countries. This study was designed to review a large series of patients with intestinal obstruction in an attempt to represent our historical aspect of experience in Turkey 10 years ago.

Methods: A review of the charts of 1387 patients admitted for intestinal obstruction during an 8-year period (2000 through 2007) was carried out.

Results: Cases were divided into two groups. Group A consisted of 1186 (85.5%) patients underwent operation. The remaining 201 (14.5%) patients managed non-operatively constituted group B. External strangulated hernias (inguinal, femoral, umbilical and incisional) were the most common cause of intestinal obstruction in group A, accounting for 46% of cases. Neoplasms and adhesions were common cause accounting for 19% and 18% of cases respectively.

Conclusion: External hernias are the most common cause of intestinal obstruction in our hospital. Increased efforts to repair external hernias electively before strangulation occurs are likely to reduce the incidence. Some major changes in etiology rank are present in current literature. New studies have to be performed to reveal current condition.

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Subjects Surgery
Journal Section Research article
Authors

Author: Yahya Kemal ÇALIŞKAN
Country: Turkey


Dates

Publication Date : August 20, 2017

Bibtex @research article { josam342129, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2017}, volume = {1}, pages = {21 - 23}, doi = {10.28982/josam.342129}, title = {Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study.}, key = {cite}, author = {Çalışkan, Yahya Kemal} }
APA Çalışkan, Y . (2017). Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study. . Journal of Surgery and Medicine , 1 (2) , 21-23 . DOI: 10.28982/josam.342129
MLA Çalışkan, Y . "Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study." . Journal of Surgery and Medicine 1 (2017 ): 21-23 <http://jsurgmed.com/en/pub/issue/31222/342129>
Chicago Çalışkan, Y . "Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study.". Journal of Surgery and Medicine 1 (2017 ): 21-23
RIS TY - JOUR T1 - Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study. AU - Yahya Kemal Çalışkan Y1 - 2017 PY - 2017 N1 - doi: 10.28982/josam.342129 DO - 10.28982/josam.342129 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 21 EP - 23 VL - 1 IS - 2 SN - -2602-2079 M3 - doi: 10.28982/josam.342129 UR - https://doi.org/10.28982/josam.342129 Y2 - 2017 ER -
EndNote %0 Journal of Surgery and Medicine Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study. %A Yahya Kemal Çalışkan %T Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study. %D 2017 %J Journal of Surgery and Medicine %P -2602-2079 %V 1 %N 2 %R doi: 10.28982/josam.342129 %U 10.28982/josam.342129
ISNAD Çalışkan, Yahya Kemal . "Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study.". Journal of Surgery and Medicine 1 / 2 (August 2017): 21-23 . https://doi.org/10.28982/josam.342129
AMA Çalışkan Y . Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study.. J Surg Med. 2017; 1(2): 21-23.
Vancouver Çalışkan Y . Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study.. Journal of Surgery and Medicine. 2017; 1(2): 21-23.