Mustafa KAPLAN, Volkan GÖKBULUT, Orhan COŞKUN, Adem AKSOY, Erkin ÖZTAŞ, Ertuğrul KAYAÇETİN

Yetişkin hastalarda Schatzki halkası: 3. basamak merkezi deneyimi

Giriş ve Amaç: Shatzki halkası özofagus alt kısmında lümeni halka veya yüzük şeklinde daraltan yapılardır. Bu çalışmada Shatzki halkasının endoskopik bulgular ve diğer hastalıklar ile ilişkisini araştırmayı amaçladık. Gereç ve Yöntem: Bu çalışma Ocak 2014-Aralık 2015 tarihleri arasında endoskopi yapılan hastaların kayıtları incelenerek retrospektif olarak yapılmıştır. Toplamda 5.000 endoskopi kaydı incelenmiş ve Shatzki halkası tespit edilen 104 hasta çalışmaya dahil edilmiştir. Bulgular: Araştırma popülasyonu 46 kadın (%44,2) ve 58 erkek (%55,8) erkek hasta olmak üzere 104 kişiden oluştu. Hastaların ortalama yaşı 60,8±14,1 yıldı. Hastaların en sık başvuru endikasyonları disfaji (%26), dispepsi (%38,5) ve karın ağrısı (%28,8) idi. Endoskopi bulguları incelendiğinde hastaların %53,8’inde reflü özofajit, %50’sinde hiatal herni tespit edildi. Özofageal divertikül %4,8, başka web %1, özofageal ülser %5.7, özofageal polip %0,9, özofagus varisleri %1,9, özofagus motilite bozuklukluğu (hipertrofik alt özofagus sfinkteri) %1,9 ve Barrett özofagus %3,8 hastada tespit edildi. Hastaların %58’inde Helicobacter pylori, %19’unda demir eksikliği anemisi ve %5,7’sinde vitamin B12 eksikliği saptandı. Sonuç: Shatzki halkası aralıklı disfajinin önemli sebeplerinden biri olup reflü özofajit, hiatal herni ve demir eksikliği anemisi ile birliktelik göstermektedir.

Anahtar Kelimeler:

Özofageal web, reflü özofajit, hiatal herni, demir eksikliği anemisi, disfaji

Schatzki ring in adult patients: Experience of a tertiary-stage center

Background and aim: The Schatzki ring is a ring-shaped luminal constriction in the lower part of the esophagus. In this study, we aimed to investigate the relationship of the Schatzki ring with endoscopic findings and other diseases. Material and Methods: This study was retrospectively conducted by examining the records of patients who underwent endoscopy between January 2014 and December 2015. A total of 5.000 endoscopic recordings were examined, and 104 patients with Schatzki ring were included in the study. Results: The study population consisted of 104 patients, 46 (44.2%) female and 58 (55.8%) male. The mean patient age was 60.8±14.1 years. The most frequent admission indications were dysphagia (26%), dyspepsia (38.5%), and abdominal pain (28.8%). When endoscopic findings were examined, 53.8% of patients had reflux esophagitis and 50% had hiatal hernia. Esophageal diverticulum was present in 4.8%; other esophageal web, in 1%; esophageal ulcer, in 5.7%; esophageal polyp, in 0.9%; esophageal varices, in 1.9%; esophagus motility disorder (hypertrophic lower esophageal sphincter), in 1.9%; and Barret’s esophagus, in 3.8%. Helicobacter pylori was diagnosed in 58% of patients; iron deficiency anemia, in 19%; and B12 deficiency, in 5.7%. Conclusion: The Schatzki ring is one of the important causes of intermittent dysphagia and is associated with reflux esophagitis, hiatal hernia, and iron deficiency anemia.

Keywords:

Esophageal web, reflux esophagitis, hiatal hernia, iron deficiency anemia, dysphagia,

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