Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2012 / Cilt: 18 - Sayı: 4

Peptik ülser perforasyonuna Ramazan ayının etkisi

The impact of Ramadan on peptic ulcer perforation

Pages
339–343
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

We suggest that people with predisposing factors should be informed before making a decision to fast.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND Medical treatment has played an important role in the reduction of peptic ulcer perforation (PUP).
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Key Findings & Data:METHODS A retrospective analysis of 229 patients who were operated due to PUP between 1999-2009 was made.
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Conclusion & Impact:We suggest that people with predisposing factors should be informed before making a decision to fast.
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND Medical treatment has played an important role in the reduction of peptic ulcer perforation (PUP). The goal of this study was to evaluate the effect of fasting on PUP. METHODS A retrospective analysis of 229 patients who were operated due to PUP between 1999-2009 was made. Patients were divided into two groups. Group I (n=188) included the patients who were operated in other periods of the year, while Group II (n=41) included the patients who were operated during Ramadan, the Muslim period of fasting. Patients in Group II were analyzed in terms of duration of fasting. RESULTS The increase in surgeries per group was higher in Group II than Group I (p<0.05). Predisposing factors, anti-ulcer drug usage and demographic variables were seen to have no role in this difference. Duration of fasting may have a minimal effect on the perforation. CONCLUSION The results of this study demonstrate that PUP is detected as relatively higher during Ramadan among those who are fasting for more than 12 hours daily. We suggest that people with predisposing factors should be informed before making a decision to fast.

Özet

AMAÇ Medikal tedavi peptik ülser perforasyon (PÜP) oranlarının azalmasında önemli bir rol oynamıştır. Bu çalışmada, Ramazan ayının PÜP üzerine olan etkisi değerlendirildi. GEREÇ VE YÖNTEM PÜP nedeniyle 1999-2009 yılları arasında ameliyat edilen 229 hastanın dosyaları geriye dönük olarak analiz edildi. Hastalar iki gruba ayrıldı. Grup I (n=188) Ramazan ayı dışında ameliyat edilen hastalar, Grup II (n=41) Ramazan ayında, müslümanların oruç tutma döneminde ameliyat edilen hastalar. Grup II’deki hastalar oruç tutma sürelerine göre de değerlendirildi. BULGULAR Grup başına düşen ameliyat sayısı Grup II’de daha fazla idi (p<0.05). Bu farkın oluşmasında predispozan faktörler, antiülser ilaç kullanımı ve demografik özelliklerin rolü olmadığı saptandı. Oruç tutma süresinin perforasyon üzerine küçük bir etkisi olabileceği görüldü. SONUÇ Bu çalışmanın verileri Ramazan orucunun günde 12 saatten daha fazla sürdüğü dönemlerde PÜP’nin rölatif olarak daha fazla görüldüğünü göstermektedir. Predispozan faktörü olan hastaların oruç kararı öncesi bilgilendirilmesi gerektiği kanısındayız.

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Cite This Article

GÖKAKIN, A. K., KURT, A., ATABEY, M., KOYUNCU, A., TOPÇU, Ö., AYDIN, C., ŞEN, M., AKGÖL, G. (2012). Peptik ülser perforasyonuna Ramazan ayının etkisi. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 18 - Sayı: 4, 339–343. https://ajindex.com/articles/324144

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References (16)

  1. Christensen A, Bousfield R, Christiansen J. Incidence of perforated and bleeding peptic ulcers before and after the introduction of H2-receptor antagonists. Ann Surg 1988;207:4-6
  2. Bhogal RH, Athwal R, Durkin D, Deakin M, Cheruvu CN. Comparison between open and laparoscopic repair of perfo- rated peptic ulcer disease. World J Surg 2008;32:2371-4
  3. Song KY, Kim TH, Kim SN, Park CH. Laparoscopic repair of perforated duodenal ulcers: the simple “one-stitch” suture with omental patch technique. Surg Endosc 2008;22:1632-5
  4. Vaidya BB, Garg CP, Shah JB. Laparoscopic repair of perfo- rated peptic ulcer with delayed presentation. J Laparoendosc Adv Surg Tech A 2009;19:153-6
  5. Songne B, Jean F, Foulatier O, Khalil H, Scotté M. Non op- erative treatment for perforated peptic ulcer: results of a pro- spective study. [Article in French] Ann Chir 2004;129:578- 82
  6. Bertleff MJ, Lange JF. Laparoscopic correction of perforated peptic ulcer: first choice? A review of literature. Surg Endosc 2010;24:1231-9
  7. Svanes C. Trends in perforated peptic ulcer: incidence, etiol- ogy, treatment, and prognosis. World J Surg 2000;24:277-83
  8. Doherty GM, Way LW. Stomach and duodenum. In: Doherty GM, Way LW, editors. Current surgical diagnosis and treat- ment. 11th ed. New York: McGraw-Hill; 2003 p. 533-64
  9. M. Johnston D, Martin I. Duodenal ulcer and peptic ulcer- ation. In: Zinner JZ, Schwartz SI, Ellis H, editors. Main- got’s abdominal operations. 10th ed. Vol. 1., Connecticut: Appleton&Lange; 1997. p. 941-70
  10. Irvin TT. Mortality and perforated peptic ulcer: a case for risk stratification in elderly patients. Br J Surg 1989;76:215-8
  11. Martin RF. Surgical management of ulcer disease. Surg Clin North Am 2005;85:907-29, vi
  12. Rajesh V, Chandra SS, Smile SR. Risk factors predicting operative mortality in perforated peptic ulcer disease. Trop Gastroenterol 2003;24:148-50
  13. Gisbert JP, Pajares JM. Helicobacter pylori infection and per- forated peptic ulcer prevalence of the infection and role of antimicrobial treatment. Helicobacter 2003;8:159-67
  14. Chou NH, Mok KT, Chang HT, Liu SI, Tsai CC, Wang BW, et al. Risk factors of mortality in perforated peptic ulcer. Eur J Surg 2000;166:149-53
  15. Zittel TT, Jehle EC, Becker HD. Surgical management of peptic ulcer disease today-indication, technique and out- come. Langenbecks Arch Surg 2000;385:84-96
  16. Chalya PL, Mabula JB, Koy M, McHembe MD, Jaka HM, Kabangila R, et al. Clinical profile and outcome of surgic