Ramazan Ayının ve Mevsimlerin Peptik Ülser Perforasyonları Üzerine Olan Etkilerinin Değerlendirilmesi

Amaç: Peptik ülser perforasyonu en önemli cerrahi acillerden birisidir. Bu çalışmada ramazan ayının ve mevsimlerin peptik ülser perforasyonları üzerine olan muhtemel etkilerinin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Kliniğimizde peptik ülser perforasyonu nedeniyle opere edilen hastalar retrospektif olarak değerlendirildi. Hastalara ait demografik ve klinik veriler, operasyon tarihi, uygulanan ameliyat tekniği ve post-operatif takip verileri kaydedildi. Ayrıca, vakaların ramazan ayında görülme sıklığı ve kliniği de kaydedildi. Elde edilen veriler ile vakaların mevsimsel ve aylık karşılaştırması yapıldı.Bulgular: Çalışmaya toplam 72 hasta dahil edildi. Hastaların 14 (%19)’ü kadın, 58 (%81)’ i erkek idi. Kadın hastaların yaş ortalaması 64±23, erkek hastaların ise 44±17 idi ( p <0,001). Hastaların 8 (%11)’nin ramazan ayında, 64 (%89)’ünün ramazan ayı dışında opere olduğu saptandı. Ramazan ayı ile diğer aylar arasında ameliyat sayısı açısından anlamlı bir farklılık saptanmadı (p >0,05). Olguların kış, ilkbahar, yaz ve sonbahar mevsiminde görülme sıklıkları sırası ile 12 (%16,7), 21 (%29,2), 23 (%31,9) ve 16 (%22,2) idi. Mevsimlere göre vaka sıklığı açısından anlamlı bir farklılık yoktu (p >0,05).Sonuç: Ramazan ayının ve mevsimsel farklılıkların peptik ülser perforasyonlarının sıklığı ve klinik prognozu üzerine olumsuz bir risk faktörü teşkil etmediği saptanmıştır.

Anahtar Kelimeler:

Peptik Ülser, Peptik Ülser Perforasyonu, Mevsim, Ramazan

Evaluation of the Effects of the Ramadan and the Seasons on Peptic Ulcer Perforations

Objective: Peptic ulcer perforation is one of the most important surgical emergencies. In this study, it was aimed to evaluate the possible effects of Ramadan and the seasons on peptic ulcer perforations.Materials and Methods: The patients operated for peptic ulcer perforation in our clinic were evaluated retrospectively. Demographic and clinical data of the patients, date of operation, surgical technique performed and post-operative follow-up data were recorded. In addition, the incidence and clinic of the cases during the Ramadan were recorded. The seasonal and monthly comparisons of the cases were made with the obtained data.Results: A total of 72 patients were included in the study. Of the patients, 14 (19%) were female and 58 (81%) were male. The mean age of female patients was 64±23 years, and the mean age of male patients was 44±17 years (p <0,001). It was determined that 8 (11%) of the patients were operated during the Ramadan and 64 (89%) of them were operated outside of the Ramadan. No significant difference was found between the Ramadan and the other months in terms of the number of operations (p>0,05). The frequencies of the cases in winter, spring, autumn and winter seasons were 12 (16.7%), 21 (29.2%), 23 (31.9%), and 16 (22.2%), respectively. There was no significant difference in the case frequency according to the seasons (p >0,05). The incidence of the cases in winter, spring, summer and autumn seasons, respectively; were 12 (16.7%), 21 (29.2%), 23 (31.9%) and 16 (22.2%).Conclusion: It was determined that the Ramadan and seasonal differences do not constitute a negative risk factor on the frequency and clinical prognosis of the peptic ulcer perforations.

Keywords:

Peptic Ulcer, Peptic Ulcer Perforation, Season, Ramadan,

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