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MİDE REZEKSiYONLU HASTALARIN ENDOSKOPİK DEĞERLENDİRİLMESİ

ENDOSCOPIC EVALUATION OF PATIENTS WITH GASTRIC RESECTION

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2006

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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%)
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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›.
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  • 4
102-104
  • Turkish

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‹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)
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