Ceyhun VARIM, Tezcan KAYA, İbrahim Vedat BAYOĞLU, Cengiz KARACAER, Ahmet NALBANT, Mustafa ALTINBAŞ, Ali TAMER

Akciğer Kanseri Tanılı Hastalarda İrritable Barsak Sendromu Sıklığı

Amaç: İrritable barsak sendromu IBS barsağın fonksiyonel bir hastalığıdır. Akciğer kanseri en sık görülen kanser türlerinden biridir. IBS sigara içiciliği arasındaki ilişki tartışmalıdır. Siagra içiciliği akciğer kanserlerinin %90’ından sorumludur. Biz bu çalışmamızda yeni tanı konmuş akciğer kanseri hastalarında IBS görülme sıklığını, sigara içimi ve patolojik alt tipleri ilişkili olup olmadığını ortaya koymayı amaçladık.Yöntem ve Gereçler: Sakarya Üniversitesi İç Hastalıkları Anabilim Dalı Tıbbi Onkoloji Kliniğine 1 Ocak-31 Aralık 2014 tarihleri arasında Akciğer kanseri tanısı ile ilk kez başvuran 111 hasta çalışmaya alındı. Hastalar Gastroenteroloji polikliniğine yönlendirildi. Burada İç Hastalıkları uzmanı tarafından hastalar değerlendirildi. Tüm hastalara Roma 3 tanı kriterlerine göre IBS anketi yapıldı. 8 Hastaya IBS tanısı kondu. Bulgular: 111 yeni tanı akciğer kanserli hastada yapılan değerlendirme sonucunda 8 hastada IBS tespit edildi %7,2 . IBS tespit edilen hastaların tamamı erkekti. Hastaların birinde diyare dominant, ikisinde mixt tip ve beşinde konstipasyon dominant tip IBS tespit edildi. IBS tanısı konan 6 hasta yassı hücreli, 1 hasta küçük hücreli, 1 hasta adeno kanserdi. IBS ile Diabetes Mellitus DM , Hipertansiyon HT , Koroner Arter Hastalığı KAH , Kronik Obstrüktif Akciğer Hastalığı KOAH ve alkol kullanımı arasında ilişki saptanmadı p>0,05 . IBS ile yalnızca sigara kullanımı arasında ilişki saptandı p: 0,02 .Sonuç:.Akciğer kanseri IBS için bir risk faktörü kabul edilebilir bunun altındaki temel nedende sigara içiciliğidir

Anahtar Kelimeler:

IBS, Akciğer kanseri, sigara içiciliği

Prevalence of Irritable Bowel Syndrome in The Patients With Lung Cancer

Aim:Irritable bowel syndrome IBS is a functional disorder of bowel. Lung cancer is one of the most common types of cancer. The relationship between IBS and smoking is controversial. Smoking is responsible for about 90% of all lung cancer. In this study, we aimed to determine the prevalence of IBS in newly diagnosed lung cancer patients and the association IBS with pathologic subtypes and smoking. Methods: A total of 111 patients with newly diagnosed lung cancer that refered to medical Oncology Clinic of Sakarya University for first time were included the study. Patients were referred to the gastroenterology clinic. The patients were assessed by an internal medicine specialist here. IBS questionnaire based on Roma III criterias were made to all patients and 8 patients diagnosed with IBS.Results: 8 patients diagnosed with IBS 7,2% . after evaluation of 111 patients with newly diagnosed lung cancer. All patients with IBS were men. One of the patients were diagnosed as diarrhea dominant IBS; two of the patients were diagnosed as mixed type IBS and five of the patients were diagnosed as constipation dominant IBS. 6 patients were squamos cell ca, 1 patient was adeno ca and 1 patient was small cell ca. All patients diagnosed as IBS were smoking but the mean smoking duration is lower than the overall group. The relationship was not find between IBS and diabetes mellitus DM , hypertension HT , Coronary Artery Disease CAD , Chronic Obstructive Pulmonary Disease COPD p>0,05 . IBS was associated only with the use of smoking p = 0.02 .Conclusion:. Lung cancer can be considered a risk factor for IBS. Smokins is the main reason under this

Keywords:

IBS, Lung cancer, smoking,

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