Endoskopi uygulanan hastalarda anksiyete düzeyinin helicobacter pylori, gastrik metaplazi ve diğer gastrik bulgularla ilişkisi

Öz

Amaç: Bu çalışmayla anksiyete seviyesi ile helicobacter pylori (H.pylori), gastrik metaplazi ve diğer gastrik lezyonlar arasındaki ilişki göstererek anksiyetenin mide prekanseröz lezyonlara olan etkisini araştırmak.
Gereç ve yöntem: Genel cerrahi kliniğinde mide şikayeti nedeniyle endoskopi yapılan ve eş zamanlı olarak Beck Anksiyete Ölçeği ile anksiyete seviyesine bakılan hastalar çalışmaya alındı. Katılımcıların anksiyete seviyeleri normal, hafif, orta ve şiddetli olarak sınıflandırıldı. Endoskopik olarak peptik ulkus (PU), gastro özofagial sfikter (GÖS), gastrit, mide ülseri, midede kitle, polip, reflü ve hiatal herninin olup olmamasına bakıldı. Patolojik örneklerde de lezyonda helikobakter pylori (H.pylori), gastrik metaplazi (G. metaplazi), gastrik displazi (G.displazi), gastrit, gastrik atrofi, lenfoid agregat ve malignite olup olmasına bakıldı. Anksiyete seviyesi ile endoskopik ve patolojik tanılar arasındaki ilişki değerlendirildi.
Bulgular: Çalışmaya endoskopi işlemi yapılan ve Beck Anksiyeti ölçeği uygulanan 120 hasta alındı. Çalışmaya alınan hastaların yaş ortalaması 49,09 ve %56,7’si kadındı. Anksiyete seviyesi ile antral gastrit (AG), gastrik ülser (GÜ), pangastrit, reflü özefajit (RÖ), hiatal herni (HH), gastrik polip (GP), alkali gastrit (AG) ile istatiksel olarak anlamlı bir ilişki saptanamazken; anksiyete seviyesiyle GÖS gevşek (r:0,252, p:0,004), P.ulkus (r:-0,177, p:0,047), H.pylori (r:-0,141, p:0,034), intestinal metaplazi (r:-0,120, p:0,048) ve malignite (r:0,199, p:0,025) arasında anlamlı bir ilişki olduğu gözlendi.
Sonuç: Çalışmada anksiyete seviyesinin yüksek olmasının başta gastrik metaplazi ve gastrik malign lezyonlar olmak üzere GÖS gevşek ve H. pylori oluşmasına sebep olduğu tespit edildi.

Anahtar Kelimeler

• Anksiyete
• helicobacter pylori
• metaplazi
• endoskopi

The relationship of anxiety level with helicobacter pylori, gastric metaplasia and other gastric findings in patients undergoing endoscopy

Öz

Purpose: This study aims to examine the effect of anxiety on gastric precancerous lesions by revealing the relationship of anxiety level with helicobacter pylori (H. pylori), gastric metaplasia and other gastric lesions.
Materials and methods: Patients, who underwent endoscopy due to stomach complaints in the general surgery clinic and whose anxiety levels were measured simultaneously with the Beck Anxiety Inventory, were included in the study. Anxiety levels of the participants were categorized as normal, mild, moderate and severe. Endoscopically, whether there were peptic ulcus (PU), loose gastroesophageal sphincter (GES), gastritis, gastric ulcer, stomach mass, polyp, reflux and hiatal hernia were investigated. In pathological samples, the existence of H. pylori, gastric metaplasia (G. metaplasia), gastric dysplasia (G. dysplasia), gastritis, gastric atrophy, lymphoid aggregate and malignancy were examined. The relationship of anxiety level with endoscopic and pathological diagnoses was evaluated.
Results: The study included 120 patients undergoing endoscopy and completing the Beck Anxiety Scale. The mean age of the patients was 49.09 years, while 56.7% of them were female. While no statistically significant relationship was found between anxiety level and antral gastritis (AG), gastric ulcer (GU), pangastritis, reflux esophagitis (RE), hiatal hernia (HH), gastric polyp (GP), alkaline gastritis (AG), a significant relationship was observed between anxiety level and loose GES (r:0.252, p:0.004), P. ulcus (r:-0.177, p:0.047), H. pylori (r:-0.141, p:0.034), intestinal metaplasia (r:-0.120, p:0.048) and malignancy (r:0.199, p:0.025).
Conclusion: This study revealed that high anxiety level may cause P. ulcus, GES looseness and H. pylori positivity in addition to gastric metaplasia and gastric malign lesions.

Anahtar Kelimeler

• Anxiety
• helicobacter pylori
• metaplasia
• endoscopy

Kaynakça

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