You are here

Home » Content

MİDE REZEKSiYONLU HASTALARIN ENDOSKOPİK DEĞERLENDİRİLMESİ

ENDOSCOPIC EVALUATION OF PATIENTS WITH GASTRIC RESECTION

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
ABSTRACT Objectives: The purpose of this trial was to evaluate outcomes of endoscopic findings in patients with partial gastrectomy, incedence of reflux, ulcer, and malignancy. Materials and methods: The records of one hundred and sixty eight patients with gastric resection were evaluated retrospectively. Results: One hundred and sixty eight patients (131 males, 37 females with mean age of 57 years, range 30-85) had gastric operation. 77 patients (45.8%) had alkaline reflux gastritis, 58 (34.5%) gastritis , 13 (7.8%) ulcer in the anastomosis line, 4 (2.4%) malignancy, and one (0.58%) polip. Conclucion: The most common endoscpic finding was alcalen reflux gastritis. We evaluated incidence of malignancy as 2.4%, this ratio was higher than all our gastroscopic malignancy finding (1.75%)
Bookmark/Search this post with
Abstract (Original Language): 
Amaç: Bu çal›flman›n amac›, mide rezeksiyonlu hastalar›m›z›n endoskopik bulgular›n› inceleyerek reflü, ülser ve malignite s›kl›¤›n› tesbit etmekti. Gereç ve yöntem: Bu çal›flmada Nisan 1998, Temmuz 2005 tarihleri aras›nda hastanemiz ‹ç Hastal›klar› Endoskopi Ünitesinde yap›lm›fl olan gastroskopik incelemelerden, opere mide tesbit edilen 168 vakan›n endoskopik bulgular› retrospektif olarak incelendi. Bulgular: 168 hastan›n 131’i erkek, 37’si kad›n; yafl ortalamas› 57; yafl da¤›l›m› 30-85 idi. Vakalar›n endoskopik bulgular›n›n dökümü afla¤›daki gibi idi: 77 vaka (%45,8) alkalen reflü gastrit, 58 (%34,5) gastrit, 13 (%7,8) anastomoz ülseri, 4 (%2,4) malignite ve bir vaka (%0,58) polip. Sonuç: De¤erlendirmemizde en s›k rastlad›¤›m›z endoskopik bulgu alkalen reflü gastrit oldu. Mide rezeksiyonlu hastalarda malignite geliflme oran›n›n %2,4 oldu¤u ve bu de¤erin tüm gastroskopi sonuçlar›m›z› de¤erlendirdi¤imizde elde etti¤imiz orandan (%1,75) yüksek oldu¤u sonucuna ulafl›ld›.
FULL TEXT (PDF): 
PDF icon arastirmax-mide-rezeksiyonlu-hastalarin-endoskopik-degerlendirilmesi.pdf
  • 4
102-104
  • Turkish

REFERENCES

References: 

1. Abe H, Murakami K, Satoh S, Sato R, Kodama M, Arita T, Fujioka
T. Influence of bile reflux and Helicobacter pylori infection
on gastritis in the remnant gastric mucosa after distal gastrectomy.
J Gastroenterol 2005;40:563-569.
2. Coelho-Neto Jde S, Andreollo NA, Lopes LR, Nishimura NF,
Brandalise NA, Leonardi LS. Late follow-up of gastrectomized
patients for peptic ulcer: clinical, endoscopic and histopathological
aspects. Arq Gastroenterol 2005;42:146-152.
3. Giuliani A, Caporale A, Demoro M, Benvenuto E, Scarpini M,
Spada S, Angelico F. Gastric cancer Precursor Lesions and Helicobacter
pylori Infection in Patients with Partial Gastrectomy
for Peptic Ulcer. World J Surg 2005;29:1127-1130.
4. Huang WH, Wang HH, Wu WW, Lai HC, Hsu CH, Cheng KS.
Helicobacter pylori infection in patients with ulcer recurrence after
partial gastrectomy. Hepatogastroenterology 2004;51:1551-
1553.
5. Kirsch C, Madisch A, Piehler P, Bayerdorffer E, Stolte M, Miehlke
S. Helicobacter pylori in gastric corpus of patients 20 years
after partial gastric resection. World J Gastroenterol
Endoscopic evaluation of patients with gastric resection
‹stanbul T›p Fakültesi Dergisi Cilt / Volume: 69 • Say› / Number: 4 • Y›l/Year: 2006
- 103 -
Tablo. Gastrik operasyon geçirmifl hastalarda
endoskopik bulgular›m›z
Bulgu Hasta say›s›
Alkalen reflü gastrit 77 (%45,8)
Gastrit 58 (%34,5)
Anastomoz a¤z›nda ülser 13 (%7,8)
Malignite 4 (%2,4)
Anastomoz hatt›nda polip 1 (%0,58)
2004;10:2557-2559.
6. Leivonen M, Nordling S, Haglund C. The course of Helicobacter
pylori infection after partial gastrectomy for peptic ulcer disease.
Hepatogastroenterology 1998; 45:587-591.
7. Leivonen MK, Haglund CH, Nordling SF. Helicobacter pylori
infection after partial gastrectomy for peptic ulcer and its role in
relapsing disease. Eur J Gastroenterol Hepatol 1997; 9:371-374.
8. Robles-Campos R, Lujan-Mompean JA, Parrilla-Paricio P, Bermejo-
Lopez J, Liron-Ruiz R, Torralba-Martinez JA, Morales-
Cuenca G, Molina-Martinzez JA. Role of Helicobacter pylori infection
and duodenogastric reflux in the pathogenesis of alkaline
reflux gastritis after gastric operations. Surg Gynecol Obstet
1993;176:594-598.
9. Safatle-Ribeiro AV, Ribeiro U Jr, Clarke MR, Sakai P, Ishioka S,
Garrido AB Jr, Gama-Rodrigues J, Safatle NF, Reynolds JC. Relationship
between persistence of Helicobacter pylori and
dysplasia, intestinal metaplasia, atrophy, inflammation, and cell
proliferation following partial gastrectomy. Dig Dis Sci
1999;44:243-252.
10. Schilling D, Adamek HE, Wilke J, Schauwecker P, Martin WR,
Arnold JC, Benz C, Labenz J, Riemann JF. Prevalence and clinical
importance of Helicobacter pylori infection in patients after
partial gastric resection for peptic ulcer disease. A prospective
evaluation of Helicobacter pylori infection on 50 resected patients
compared with matched nonresected controls. Z Gastroenterol
1999;37:127-132.

Thank you for copying data from http://www.arastirmax.com