Araştırma Makalesi
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Does the frequency of acute pancreatitis decrease in Ramadan?

Yıl 2021, Cilt: 14 Sayı: 1, 141 - 153, 04.01.2021
https://doi.org/10.31362/patd.776938

Öz

Purpose: Acute pancreatitis (AP) is one of the most common gastrointestinal diseases requiring acute hospitalization worldwide. During fasting, individuals are not supposed to eat and drink. In Islamic societies, even those with chronic alcohol consumption are known to have stopped this consumption within the month of Ramadan. Our study ultimately intends to reveal the variation of AP in two different time periods.
Material and Methods: The patients over 18 years who were diagnosed with AP between January 2012 and December 2018 in the emergency department (ED) and subsequently hospitalized in the general surgery service of XXXXX University were included in the study retrospectively. The patients were compared, based on their demographic characteristics, admittance times, white blood cell count, hemoglobin values, amylase, lipase, blood urea nitrogen (BUN), C reactive protein (CRP), alanina aminotransferase, aspartate aminotransferase, and triglyceride values.
Results: The total number of patients was 68, 66 (97.1%) of whom stayed in the general surgery service in non-Ramadan months, while 2 (2.9%) did so in the within-Ramadan group. Both patients in the within-Ramadan group were diagnosed with edamatous pancreatitis and were classified as mild. The CRP mean was 11.98 mg/dL (±13.24) in the non-Ramadan group and 0.95 mg/dL (±0.80) in-Ramadan group (normal reference value <0.5 mg/dL).
Conclusion: A clinically significant difference exists between 66 patients in the non-Ramadan group and 2 patients in the within-Ramadan group, even though the two groups could not be compared statistically. The scarcity of patients who admitted to the emergency department in Ramadan for 7 years is remarkable.

Kaynakça

  • 1. Otsuki M, Takeda K, Matsuno S, Kihara Y, Koizumi M, Hirota M. et al. Criteria for the diagnosis and severity of acute pancreatitis. World J Gastroenterol, 2013; 19: 5798–805. doi: 10.3748/wjg.v19.i35.5798
  • 2. Slawinski C, O'Reilly DA. Management of acute pancreatitis: a practical guide. Br J Hosp Med (Lond), 2017; 78: C171–5. doi:10.12968/hmed.2017.78.11.C171
  • 3. Besselink M, van Santvoort H, Freeman M, et al. (Working Group IAP/APA Acute Pancreatitis Guidelines). IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology, 2013; 13: e1–e15. doi:10.1016/j.pan.2013.07.063
  • 4. Abbas SM, Basalamah AH. Effects of Ramadhan fast on male fertility. Arch Androl, 1986; 16: 161–6. doi:10.3109/01485018608986937
  • 5. Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol, 2013; 108: 1400-15; 1416. doi:10.1038/ajg.2013.218
  • 6. Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, et al. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut, 2013; 62: 102–11. doi:10.1136/gutjnl-2012-302779
  • 7. Fagenholz PJ, Castillo CF, Harris NS, Pelletier AJ, Camargo CA Jr. Increasing United States hospital admissions for acute pancreatitis, 1988–2003. Ann Epidemiol, 2007; 17: 491–7. doi:10.1016/j.annepidem.2007.02.002
  • 8. Arif A, Jaleel F, Rashid K. Accuracy of BISAP score in prediction of severe acute pancreatitis. Pak J Med Sci, 2019; 35: 1008–12. doi: 10.12669/pjms.35.4.1286
  • 9. Talukdar R, Vege SS. Recent developments in acute pancreatitis. Clin Gastroenterol Hepatol, 2009; 7: S3–9. doi:10.1016/j.cgh.2009.07.037
  • 10. Lecesne R, Taourel P, Bret PM, Atri M, Reinhold C. Acute pancreatitis: interobserver agreement and correlation of CT and MR cholangiopancreatography with outcome. Radiology, 1999; 211: 727–35. doi:10.1148/radiology.211.3.r99jn08727

Ramazan ayında akut pankreatit sıklığı azalıyor mu?

Yıl 2021, Cilt: 14 Sayı: 1, 141 - 153, 04.01.2021
https://doi.org/10.31362/patd.776938

Öz

Amaç: Akut pankreatit dünya çapında akut hastaneye yatış gerektiren en sık görülen gastrointestinal hastalıklardan biridir. Ramazan ayında tutulan oruçta müslümanlar şafak doğumundan gün batımına kadarki süre içerisinde yemek yemekten ve içmekten kaçınılarak yerine getirilen bir ibadettir. Müslüman toplumlarda özellikle ramazan ayında kronik alkol tüketenlerin bile alkol tüketimine ara verdikleri bilinmektedir. Çalışmanın amacı akut pankreatit tanısı alan hastaların ramazan ve ramazan ayı dışındaki zamanda farkını ortaya koymaktı.

Gereç ve Yöntemler: Ocak 2012 ile Aralık 2018 tarihleri arasında acil serviste Akut pankreatit tanısı konulan ve daha sonra XXXXX Üniversitesi genel cerrahi servisine yatırılan 18 yaş üstü hastalar retrospektif olarak çalışmaya dahil edildi. Hastalar demografik özellikleri, başvuru süreleri, beyaz kan hücresi sayısı, hemoglobin değerleri, amilaz, lipaz, kan üre azotu, C reaktif protein, alanina aminotransferaz, aspartat aminotransferaz ve trigliserit değerlerine göre karşılaştırıldı.

Bulgular: Acil serviste pankreatit tanısı alarak genel cerrahi servisine yatan hasta sayısı 68’ti. Hastaların 66’sı (%97.1) ramazan ayı dışında; 2’si (% 2.9) ramazan ayı içerisinde başvurarak genel cerrahi servisine yatırıldı. Ramazan ayı içindeki her 2 hastaya da ödamatöz pankreatit tanısı konuldu ve hafif olarak sınıflandırıldı. CRP ortalaması Ramazan dışı grupta 11.98 mg / dL (± 13.24) ve Ramazan grubunda 0.95 mg / dL (± 0.80) idi (normal referans değeri <0.5 mg / dL).

Sonuç: İki grup istatistiksel olarak karşılaştırılamasa da, Ramazan ayı dışındaki gruptaki 66 hasta ile Ramazan ayı içerisindeki gruptaki 2 hasta arasında klinik olarak anlamlı bir fark vardır. Ramazan ayında 7 yıl acil servise başvuran hastaların azlığı dikkat çekicidir.

Kaynakça

  • 1. Otsuki M, Takeda K, Matsuno S, Kihara Y, Koizumi M, Hirota M. et al. Criteria for the diagnosis and severity of acute pancreatitis. World J Gastroenterol, 2013; 19: 5798–805. doi: 10.3748/wjg.v19.i35.5798
  • 2. Slawinski C, O'Reilly DA. Management of acute pancreatitis: a practical guide. Br J Hosp Med (Lond), 2017; 78: C171–5. doi:10.12968/hmed.2017.78.11.C171
  • 3. Besselink M, van Santvoort H, Freeman M, et al. (Working Group IAP/APA Acute Pancreatitis Guidelines). IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology, 2013; 13: e1–e15. doi:10.1016/j.pan.2013.07.063
  • 4. Abbas SM, Basalamah AH. Effects of Ramadhan fast on male fertility. Arch Androl, 1986; 16: 161–6. doi:10.3109/01485018608986937
  • 5. Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol, 2013; 108: 1400-15; 1416. doi:10.1038/ajg.2013.218
  • 6. Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, et al. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut, 2013; 62: 102–11. doi:10.1136/gutjnl-2012-302779
  • 7. Fagenholz PJ, Castillo CF, Harris NS, Pelletier AJ, Camargo CA Jr. Increasing United States hospital admissions for acute pancreatitis, 1988–2003. Ann Epidemiol, 2007; 17: 491–7. doi:10.1016/j.annepidem.2007.02.002
  • 8. Arif A, Jaleel F, Rashid K. Accuracy of BISAP score in prediction of severe acute pancreatitis. Pak J Med Sci, 2019; 35: 1008–12. doi: 10.12669/pjms.35.4.1286
  • 9. Talukdar R, Vege SS. Recent developments in acute pancreatitis. Clin Gastroenterol Hepatol, 2009; 7: S3–9. doi:10.1016/j.cgh.2009.07.037
  • 10. Lecesne R, Taourel P, Bret PM, Atri M, Reinhold C. Acute pancreatitis: interobserver agreement and correlation of CT and MR cholangiopancreatography with outcome. Radiology, 1999; 211: 727–35. doi:10.1148/radiology.211.3.r99jn08727
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Araştırma Makalesi
Yazarlar

Murat Seyit 0000-0002-8324-9471

Atakan Yılmaz 0000-0002-9773-5681

Muhammed Raşid Aykota 0000-0003-1862-6186

Mert Özen 0000-0001-6653-3756

Yayımlanma Tarihi 4 Ocak 2021
Gönderilme Tarihi 4 Ağustos 2020
Kabul Tarihi 29 Ekim 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 14 Sayı: 1

Kaynak Göster

APA Seyit, M., Yılmaz, A., Aykota, M. R., Özen, M. (2021). Does the frequency of acute pancreatitis decrease in Ramadan?. Pamukkale Medical Journal, 14(1), 141-153. https://doi.org/10.31362/patd.776938
AMA Seyit M, Yılmaz A, Aykota MR, Özen M. Does the frequency of acute pancreatitis decrease in Ramadan?. Pam Tıp Derg. Ocak 2021;14(1):141-153. doi:10.31362/patd.776938
Chicago Seyit, Murat, Atakan Yılmaz, Muhammed Raşid Aykota, ve Mert Özen. “Does the Frequency of Acute Pancreatitis Decrease in Ramadan?”. Pamukkale Medical Journal 14, sy. 1 (Ocak 2021): 141-53. https://doi.org/10.31362/patd.776938.
EndNote Seyit M, Yılmaz A, Aykota MR, Özen M (01 Ocak 2021) Does the frequency of acute pancreatitis decrease in Ramadan?. Pamukkale Medical Journal 14 1 141–153.
IEEE M. Seyit, A. Yılmaz, M. R. Aykota, ve M. Özen, “Does the frequency of acute pancreatitis decrease in Ramadan?”, Pam Tıp Derg, c. 14, sy. 1, ss. 141–153, 2021, doi: 10.31362/patd.776938.
ISNAD Seyit, Murat vd. “Does the Frequency of Acute Pancreatitis Decrease in Ramadan?”. Pamukkale Medical Journal 14/1 (Ocak 2021), 141-153. https://doi.org/10.31362/patd.776938.
JAMA Seyit M, Yılmaz A, Aykota MR, Özen M. Does the frequency of acute pancreatitis decrease in Ramadan?. Pam Tıp Derg. 2021;14:141–153.
MLA Seyit, Murat vd. “Does the Frequency of Acute Pancreatitis Decrease in Ramadan?”. Pamukkale Medical Journal, c. 14, sy. 1, 2021, ss. 141-53, doi:10.31362/patd.776938.
Vancouver Seyit M, Yılmaz A, Aykota MR, Özen M. Does the frequency of acute pancreatitis decrease in Ramadan?. Pam Tıp Derg. 2021;14(1):141-53.
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