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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2016 / Cilt: 22 - Sayı: 5

Akut apandisit hastalarında gaitada gizli kan ve intestinal parazitler içinameliyat öncesi gaita analizi

Pre-operative stool analysis for intestinal parasites and fecal occult blood in patients with acute appendicitis

HAMİT SİNAN HATİPOĞLU
Uğur LÖK
Umut GÜLAÇTI
Tuncay ÇELİK
Pages
471–476
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A positive FOBT may be a predictor for PA.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: Etiology of acute appendicitis (AA) rarely involves parasitic infections of gastrointestinal (GI) tract.
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Key Findings & Data:The aim of the present study was to prospectively screen prevalence and species of intestinal parasites and adherence of fecal occult blood (FOB) in patients admitted to emergency department (ED) with clinical symptoms of AA who underwent appendectomy.METHODS: Demographic and stool analysis data of a total of 136 patients (>=13 years old) who underwent appendectomy between July 2009 and December 2014 were prospectively assessed, and histopathological data of all patients were retrospectively assessed.RESULTS: In histopathological examination after appendectomy, of 136 patients, 75.5% (n=103) had AA, 11.1% (n=15) had perforated appendicitis (PA), and 13.2% (n=18) had a negative appendicitis (normal appendix, NA).
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Conclusion & Impact:A positive FOBT may be a predictor for PA.
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Etiology of acute appendicitis (AA) rarely involves parasitic infections of gastrointestinal (GI) tract. Preoperative diagnosis of parasitic infections in appendix remains difficult, although parasites can sometimes be observed inside the lumen during histopathological examination. The aim of the present study was to prospectively screen prevalence and species of intestinal parasites and adherence of fecal occult blood (FOB) in patients admitted to emergency department (ED) with clinical symptoms of AA who underwent appendectomy.METHODS: Demographic and stool analysis data of a total of 136 patients (>=13 years old) who underwent appendectomy between July 2009 and December 2014 were prospectively assessed, and histopathological data of all patients were retrospectively assessed.RESULTS: In histopathological examination after appendectomy, of 136 patients, 75.5% (n=103) had AA, 11.1% (n=15) had perforated appendicitis (PA), and 13.2% (n=18) had a negative appendicitis (normal appendix, NA). Pre-operative stool analysis revealed that 25% (n=34) had intestinal parasites and 14.7% (n=20) of patients had positive fecal occult blood test (FOBT). Those with positive FOBT represented 9.7% (n=10) of 103 AA patients, 53.3% (n=8) of 15 PA patients, and 11.1% (n=2) of 18 NA patients; this was statistically more significant for PA than other groups (p<0.001).CONCLUSION: Presence of intestinal parasites in stool might not be associated with appendicitis, but it can occasionally lead to pathological findings of appendicitis. A positive FOBT may be a predictor for PA.

Özet

AMAÇ: Akut apandisitin etiyolojisi nadir olarak gastrointesitinal sistemin parazitik enfeksiyonlarını içermektedir. Parazitler bazen histopatolojik inceleme sırasında lümen içinde gözlemlenebilmesine rağmen ameliyat öncesi tanısı zor bir durum olarak kalmaya devam etmektedir. Bu çalışmanın amacı, akut apandisitin klinik semptomları ile acil servise getirilen ve apendektomi yapılan hastalarda gaitada gizli kan, intestinal parazitlerin tür ve prevelansını ileriye yönelik olarak taramaktır.GEREÇ VE YÖNTEM: Haziran 2009 ile Aralık 2014 tarihleri arasında apendektomi geçiren 13 yaş üstü 136 hasta ileriye yönelik olarak ve tüm hastaların histopatolojik analiz verileri geriye dönük olarak değerlendirildi.BULGULAR: Apendektomi sonrası histopatolojik incelemede, hastaların %75.5 (n=103) akut apandisit (AA), %13.2'si negatif apandisit (normal appendiks, NA) (n=18), %11.1 (n=15) perfore apandisit (PA) idi. Ameliyat öncesi gaita analizinde, tüm hastaların %25'inde (n=34) intestinal parazitlerin var olduğu, %14.7'sinde (n=20) gaitada gizli kanın pozitif olduğu görüldü. Akut apandisit olgularının %9.7'sinde (n=10), PA olgularının %53.3'ünde (n=8) ve NA olgularının %11.1'inde (n=2) gaitada gizli kan pozitifliği tespit edildi ve PA olgularındaki gaitada gizli kan pozitifliği anlamlı derecede yüksek idi (p<0.001).TARTIŞMA: Gaitada intestinal parazitler, apandisit ile ilişkili olmayabilir fakat apandisitin patolojik bulgularına sıklıkla yol açarlar. Gaitada gizli kan pozitifliği apandisit perforasyonu için önemli bir kanıt olabilir.

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Cite This Article

HATİPOĞLU, H. S., LÖK, U., GÜLAÇTI, U., ÇELİK, T. (2016). Akut apandisit hastalarında gaitada gizli kan ve intestinal parazitler içinameliyat öncesi gaita analizi. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 22 - Sayı: 5, 471–476. https://ajindex.com/articles/324032

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