Kolonun Divertiküler Hastalığında İnflamatuar Parametrelerin Tanısal ve Prognostik Önemi

Year 2023, Volume: 7 Issue: 1, 36 - 42, 30.04.2023

Ahmet Tarık Harmantepe , Enis Dikicier , Emre Gönüllü , Recayi Capoglu , Atik Yıldırım , Ulviyya Guliyeva

https://doi.org/10.34084/bshr.1221588

Abstract

Amaç
Bu çalışmanın amacı, inflamatuar parametreleri kullanarak asemptomatik divertiküler hastalıkta inflamasyon varlığını belirlemek ve semptomatik divertiküler hastalıklarda inflamatuar parametreler ile komplikasyon derecesi arasındaki ilişkiyi değerlendirmektir.
Gereç ve Yöntem
Akut divertikülitli hastalar, divertikülozlu hastalar ve sağlıklı kontrol grubunun klinik ve dermografik bulguları karşılaştırıldı.Bulgular
31 kişilik sağlıklı kontrol grubu, 40 divertikülozisli hasta, 32 akut divertikülitli hasta çalışmaya dahil edildi. Hastaların 31’i (%43.11) kadın, 41’i (%56.9) erkekti. Asemptomatik divertikülozisli hastalarda RDW ve MLR, kontrol grubuna göre anlamlı derecede yüksekti (sırayla p=0.02, p=0.00). Hinchey grupları arasında NLR ve SII anlamlı derecede farklıydı (sırasıyla p<0.01, p<0.01).
Sonuç
Asemptomatik divertiküloz hastalarında ılımlı bir inflamasyon olabileceği, NLR ve SII’ ın akut divertikülitin derecesi hakkında bilgi verebileceği sonucuna vardık.

Keywords

divertikülozis, inflamasyon, akut divertikülit, diverticulosis, inflammation, acute diverticulitis

Dİagnostİc and Prognostic Significance of Inflammatory Parameters in Diverticular Disease of the Colon

Abstract

Aim
The aim of this study was to determine the presence of inflammation in asymptomatic diverticular disease using inflammatory parameters and to evaluate the relationship between inflammatory parameters and the degree of complication in symptomatic diverticular diseases.
Material and Method
Clinical and dermographic findings of patients with acute diverticulitis, patients with diverticulosis and healthy volunteers were compared.
Results
A healthy control group of 31 people, 40 patients with diverticulosis and 32 patients with acute diverticulitis were included in the study. Thirty-one (43.11%) patients were female and 41 (56.9%) male. RDW and MLR were significantly higher in patients with asymptomatic diverticulosis compared to the control group (p=0.02, p=0.00, respectively). NLR and SII were significantly different among Hinchey groups (p<0.01, p<0.01, respectively).Conclusion
We concluded that there may be a mild inflammation in asymptomatic diverticulosis patients, and NLR and SII can provide information about the degree of acute diverticulitis.
Keywords diverticulosis, inflammation, acute diverticulitis

Keywords

diverticulosis, inflammation, acute diverticulitis

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