The place of abdominal ultrasonography in dyspeptic patients

Yıl 2012, Cilt: 11 Sayı: 1, 15 - 17, 01.04.2012

Elmas Kasap Elif Tuğba Tuncel Selim Serter Hakan Yüceyar

Öz

Background and Aims: Dyspepsia is an important health problem in all societies due to its high incidence. Gastroscopy and abdominal ultrasound are the most commonly investigative tools in dyspeptic patients. The aim of this study was to investigate the ultrasonography findings in dyspeptic patients retrospectively. Materials and Methods: One hundred and eighty patients with a diagnosis of dyspepsia and 176 control subjects were included in the study of the Department of Gastroenterology, Celal Bayar University Medical School, Manisa. Results: The abdominal ultrasonography was normal in 23% of patients with dyspepsia and in 51% of patients in the control group, and normal ultrasonography was significantly more prevalent in the control group than in dyspeptic patients (p

Anahtar Kelimeler

Dyspepsia, ultrasonography, gallstone

Dispeptik olgularda ultrasonografinin yeri

Öz

Giriş ve Amaç: Dispepsi, yüksek sıklıkta görülmesi nedeniyle toplumların
önemli bir sağlık sorunudur. Gastroskopi ve üst batın ultrasonografisi dispeptik
hastalarda en sık kullanılan tetkiklerdir. Çalışmamızın amacı, dispepsi
tanısı olan hastalarda üst batın ultrasonografi bulgularının retrospektif
olarak değerlendirilmesi ve ultrasonografinin dispeptik olgulardaki
yerinin araştırılmasıdır. Gereç ve Yöntem: Celal Bayar Üniversitesi Tıp
Fakültesi Gastroenteroloji Polikliniğinde dispepsi tanısı alan ve batın ultrasonografisi
yapılmış olan 180 olgu ve 176 kontrol grubu çalışmaya dahil
edildi. Bulgular: Dispepsi tanılı hastaların %23’ünde, kontrol grubunun
ise %51’inde batın ultrasonografisi normal olarak saptandı. Normal ultrasonografi
bulgularının kontrol grubunda dispeptik olgulara göre istatistiksel
anlamlı olduğu saptandı (p < 0.00004). Dispepsi tanılı hastaların
%36’sında, kontrol gurubunun ise %13’ünde batın ultrasonografisinde
safra kesesi taşı olduğu saptandı. Safra kesesi taşı görülme sıklığının dispeptik
olgularda, kontrol gurubuna göre istatistiksel anlamlı olduğu
görüldü (p < 0.0001). Sonuç: Ultrasonografi, dispeptik olgularda mutlaka
tanıda kullanılması gereken laboratuvar tetkiklerinden biri olmalıdır.

Anahtar Kelimeler

Dispepsi, ultrasonografi, safra kesesi taşı

Kaynakça

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