Ano Rektal Hastalıklar (3393 Proktosigmoidoskopik Muayene Sonucunun Analizi ve Türkiye'de Yayınlanan Diğer Serilerle Kıyaslanması)

Year 1975, Volume: 28 Issue: 3-4 , 618 - 630 , 30.09.1975

Ercüment Palabiyikoğlu

https://izlik.org/JA34LG85MW

Abstract

GATA Gastroenteroloji Kiniğinde yapılan 3393 proktosigmoidoskopik muayene değişik yönleri ile incelenmiş ve sonuçlar bu konuda yurdumuzda yayınlanmış ve bizim saptayabildiğimiz diğer serilerle kıyaslanarak değerlendirilmeye çalışılmıştır. Özetle :
I. Proktosigmoidoskopik muayene en çok 20 - 40 yaşları arasındaki hastalara yapılmış oyup, kadm erkek oranı 1/2'dir.
2, Muayeneye neden olan başlıca şikâyet rektal kanamadır.
3. 3515 proktosigmoidoskopik tanıda ik sıraları : normal vak'ala.r 48,0), hemoroidler (% 16,9), irritabl kolon sendromu [ % 7,0), nonspesifik rektit 5,9). polip - 5,6), rektum ve sigmoidde tümör 3,7) almaktadır.
4. Serimizle, Türkiye'de yayınlanan diğer seriler arasında çok önemli farklar bulunmamıştır.
5. Bizim ve Paykoç arkadaşlarının proktosigmoidoskopi serilerine göre, rektal kanamalı hastaların muayenelerinden çıkarılan sonuçlar şunlardır
a. Vak'arların en çok yarısında hemoroid saptanabilmiştir. O halde peşin hükümle kanamanın hemen hemoroide bağlanmaşı en az % 50 hata yapmak demektir.
b. 8 -fektal kanamalı hastadan I 'inde polip bulunmuştur. c, Rektal kanamalı 12 13 vak'adan 1'inde malignite bulunmuştur.
d. Rektal kanamalı 30 hastadan 1 'inde intestinal amebiagiz tanısı konmuştur.
e. Kolitis ülseroza yurdumuzda sanıldığından sık (amebiasize vakın sıklıkta) görülmektedir.
6. Kronik diyare ve kronik konstip•asyonlu hastaların büyük çoğunuğunda patoloji saptanamamıştır,
7. Çocuk proktosigmoidoskopileri başlıca rektal kanama nedeniyle 88,2) yapılmış ve yarıya yakın vak'ada 43,0) polip saptanmıştır.

Keywords

kolonal hastalıklar , rektum , proktosigmoidoskopik muayene

Ano Rectal Diseases (Analysis of 3393 Proctosigmoidoscopic Examination Results And Comparison With Other Series Published in Türkiye)

https://izlik.org/JA34LG85MW

Abstract

3393 proctosigmoidoscopic examiation performed in GAT Al Gastroenterology Clinic, were studied with their different aspects and compared with other series and series published Turkey, and reevaluated.
In Summary
Proctosigmoj.doscopic examination was performed in patients between a o:cs 20 -40, the ratio of females to males was 1 : 2.
2. The main coplaint for the examination was rectal ble L eding.
3. In 3515 proot0Bigmoidoscopic diagnosis frequently encountered cases were : normal cases (48 70), hemorroids (16,9 % ) , irritable colon (CO % ) } nonspeccific rectitis (5,9 % } , polyps
4. There was not any significant difference in our series and other series published in Turkey.
5.' In Paykoç and associates series and in our series, the conclusion reached after performing proctosigmoidoscopic examination on patients with rectal bleeding, were :
a) Only in half of the patients, hemorroids could be dta% nosed. Therefore, to conclude hastily that•rectal bleeding in due to hemorroids is tho crr 50 % .
b) Out of 8 patients with rectal bleeding one had polyp.
c) Out of 12 - 13 patients with rectal bleeding, one had malign process.
d) Out of 30 patients with rectal bleeding, one was diagnosed as having intestinal amebiasis.
e) Colitis Ulceros is more frequent in our country. than is thorght of (almost as frequent as amebiasis) .
6. In most of the patients with chronic diarrhea and chronic constipation, no pathology was found,
7. In pediatric age group, proctosigmoidoscopi was performed for the diagnossi of recta]. bleeding (88,2 and is half of the cases a polyp was found (43 0/0 ) .

Keywords

colon diseases , rectum , proctosigmoidoscopic examination

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