Erzurum yöresinde üst gastrointestinal endoskopi (ÜGİE) sonuçları

Üst gastrointestinal endoskopi (ÜGİE) günümüzde birçok gastrointestinal sistem hastalıklarının tanı ve tedavisinde primer rol üstlenmiştir. Bu çalışmada Erzurum bölgesinde üst gastrointestinal hastalıkların dağılımı ve endoskopik özelliklerini ortaya koymak için ÜGİE sonuçları retrospektif olarak incelendi. Temmuz 1997 - Temmuz 1999 tarihleri arasında tanısal amaçlı ÜGİE yapılan 3396 hasta çalışmaya dahil edildi. Hastaların 1852'si (% 54,5) erkek, 1544'ü (% 45,5) kadın olup yaş ortalamaları 47,7 yıl ve 46 yıl idi. Endoskopik inceleme 204 hastada (% 6) normal idi. Mide en sık lezyon (% 32,6) görülen bölge idi. 595 hastada (% 17,5) özofagusta lezyon tesbit edildi ve en sık lezyon (% 65) özofajitti. Midede görülen en sık lezyon (% 58,5) gastrit, duodenumda ise peptik ülser (%84) idi. Özofagus ve midede ikinci sıklıkta kanser tesbit edildi. Duodenal / mide ülseri oranı 2,6 /1 idi. Sonuç olarak; midenin en sık lezyon görülen organ olduğu, gastritin en sık lezyon olduğu, bölgemizde mide ülseri, mide ve özofagus kanserinin sık görüldüğü tesbit edildi.

Upper gastrointestinal endoscopy results in Erzurum area

At the present time, upper gastrointestinal endoscopy (UGIE) play in the diagnosis and therapy of most of the gastrointestinal diseases. In this study, the results of UGIE were evalueted to understand the distribution and endoscopic features of upper gastrointestinal .diseases in Erzurum area. From July 1997 to July 1999, 3396 patients examined by diagnostic UGIE were included in this study. Of patients, 1852 (54,5 %) were men and 1544 (45,5 %) were women, with mean age of 47,7 and 46 years, respectively. Endoscopic examination was normal in 204 (6 %) patients. The most common lesions were found in stomach (32,6 %). In 595 (17,5 %) patients, among different lesions, eosophagitis was the most common lesion (65 %) found in eosophagus. The most common lesion was gastritis (58 %) in stomach and peptic ulcer (84 %) in duodenum. Cancer was found as the second common lesion in stomach and eosophagus. Duodenum / gastric ulcer rate was 2,6/1. In conclusion, it was found out that lesions were most commonly seen in stomach, gastritis was the most common lesion in stomach, gastric ulcer,and cancer of stomach and eosophagus were more common than those of other areas.

___

  • 1. Cotton PB, Williams CB. (eds). Diagnostic Upper Endoscopy. Practical Gastrointestinal Endoscopy. IV. Ed., Istanbul. Turgut Yayincilik. 1997: 51-57
  • 2. Tytgat GNJ. Upper gastrointestinal endoscopy. In Yamada T (ed).Textbook of Gastroenterology, Vol 2.,II. Ed., Philadelphia: Lippincott. 1995: 2544-2570
  • 3. Uzunismail H, Yilmaz A, Selek M, YOksel I. Erzurum ve gevresine ait Ost gastrointestinal endoskopi sonuglan. Ataturk Universitesi Tip Brilteni 1988; 20 :389-395
  • 4. Perez-Perez GI, Divorkin BM, Chodos JE, Blaser MJ. Campylobacter pylori antibodies in humans. Ann Intern Med 1988;109: 11-16
  • 5. Malaty HM, Evans DG, Evans DJ Jr, Graham DY. Helicobacter pylori in Hispanics: comparison with blacks and whites of similar age and socioeconomic class. Gastroenterology 1992; 103: 813-817
  • 6. Demir A, Bahgecio§lu IH, Qelebi S. Firat Univ. Tip FakUltesi Hastanesi'nde yapilan 12022 Ost gastrointestinal sistem endoskopisinin dOerlendirilmesi. Turkish J Gastroenterol 1999; 10: 86-94
  • 7. Graham DY, Malaty HM, Evans DG, et al. Epidemiology of Helicobacter pylon in an asymptomatic population in the United Stated. Gastroenterol 1991;100:1495-1501
  • 8. Ozden A. Helicobacter pylon epidemiyolojisi. In: Ozden A (ed). Iste Helicobacter pylori Gastrit, Peptik Olser. Ankara:Tark Gastroenteroloji Derney Yayini.1995: 18-26
  • 9. Simsek H, Telatar H, Karacada§ 5, Kayhan B, Batman F. Upper gastrointestinal endoscopy in Turkey: a review of 5000 cases. Gastrointest Endosc 1988; 34: 68-69
  • 10. Goenka MK, Kochhar R, Ghosh P, Mehta SK. Changing pattern of peptic ulcer in India : An endoscopic study of 1188 ulcer patients. J Clin Gastroenterol 1991; 13:575
  • 11. Watanabe Y, Kurata JH, Kawamoto K, Kawai K. Epidemiological study of peptic ulcer diasease among Japanese and Koreans in Japan. J Clin Gastroenterol 1992; 15: 68-83