Helicobacter Pylori Pozitifliği Ve Üst Gis Endoskopisi Sonuçları: Klinik Uygulamalara Yansımalar

Yıl 2024, Cilt: 2 Sayı: 1, 1 - 7, 04.05.2024

Hamdi Burak Piyade , Ersan Gürsoy

Öz

Amaç: Çalışmamızda kliniğimizde son bir yılda yapılan üst GIS (Gastrointestinal Sistem) endoskopisi ve patoloji sonuçları ve hastaların tedaviden fayda görme durumlarını sunmak amaçlanmıştır.
Materyal ve metot: Bu retrospektif çalışma, bir hastanenin genel cerrahi polikliniğine Ocak-Aralık 2022 tarihleri arasında başvuran ve üst GİS endoskopisi yapılan hastaların kayıtlarını incelemiştir. Standartizasyon açısından aynı cerrah tarafından üst GİS endoskopisi yapılan 212 kişi dahil edilmiştir. Hastaların yaş, cinsiyet, mevcut şikayet, mevcut aldığı tedavi, barret ösafagus varlığı, ösafagus displazisi, mide displazisi, sfinkter kusurları, Helicobacter pylori varlığı, patoloji sonuçları, endoskopi sonrası başlanan tedaviler ve tedaviden fayda görülüp görülmediği gibi değişkenler incelenmiştir.
Bulgular: Katılımcıların ortalama yaşları 50,83±15,5 idi. %63,2’si (n=134) kadındı. Katılımcılarda en sık görülen endoskopi bulgusu %67,9 (n=144) ile kronik gastrit idi. %65,6’sında (n=139) Helicobacter pylori pozitif idi. Helicobacter pylori saptanmayıp tedaviden fayda görenlerin %62,7’si (n=42) kombine tedavi, %37,3’ü ise (n=25) PPİ+
antiasit almaktaydı.
Sonuç: Üst GİS endoskopisi genel cerrahi pratiğinde önemli bir yer tutan değerli bir işlemdir. Hem tanısal hem de tedavi edici özellikleri nedeniyle her cerrah bu konuda kendini geliştirmelidir. Ayrıca bu konuda kendini yetkin hisseden bir cerrah sadece patoloji sonuçlarına veya kan tetkiklerine bağlı kalmaksızın tanı ve tedavi süreçlerine kendi klinik bilgi ve öngörüsünü de katmalıdır

Anahtar Kelimeler

Cerrahi endoskopi, Üst gastrointestinal sistem, Helicobacter enfeksiyonları

Etik Beyan

Yok

Destekleyen Kurum

Yok

Teşekkür

Yok

Helicobacter Pylori Positivity And Upper GIS Endoscopy Results: Implications For Clinical Practice

Öz

Objective: Our study aimed to present the results of upper GIS (Gastrointestinal System) endoscopy and pathology performed in our clinic last year and the patients’ benefit from the treatment.
Materials and methods: This retrospective study analyzed the records of patients who presented to a hospital’s general surgery outpatient clinic between January and December 2022 and underwent upper GIS endoscopy. Two hundred and twelve individuals who underwent upper GIS endoscopy by the same surgeon were included for standardization purposes. Variables include age, gender, current complaint, current treatment, presence of barret oesophagus, oesophagal dysplasia, gastric dysplasia, sphincter defects, presence of Helicobacter Pylori, pathology results, treatments started after endoscopy, and whether the treatment benefited were examined.
Results: The mean age of the participants was 50.83± 15.5. 63.2% (n=134) were women. The most common endoscopy finding in the participants was chronic gastritis, with 67.9% (n=144). Helicobacter pylori was positive in 65.6% (n=139). Of those not found to have Helicobacter pylori and benefited from the treatment, 62.7% (n=42) were taking combined therapy, and 37.3% (n=25) were taking PPI+antacids.
Conclusion: Upper GIS endoscopy is a valuable procedure that has an essential place in general surgery practice. Because of both its diagnostic and therapeutic properties, every surgeon should improve himself in this regard. In addition, a competent surgeon should add his clinical knowledge and foresight to the diagnosis and treatment processes, regardless of pathology results or blood tests

Anahtar Kelimeler

Surgical endoscopy, Upper gastrointestinal tract, Helicobacter infections

Etik Beyan

None

Destekleyen Kurum

None

Teşekkür

None

Kaynakça

• Puttaraju S, RM SS. Study of upper gastrointestinal endoscopy in patients with gastrointestinal symptoms. International Surgery Journal 2019;6(10):3595-9.
• Yıldız İ, Koca YS. Endoskopik Uygulamalarında Sonuçlarımız ve Endoskopide Genel Cerrahi Uzmanının Rolü/Our Endoscopic Results and The Role Of The General Surgeon İn This Subject. SDÜ Tıp Fakültesi Dergisi 25(1):1-6.
• Chen R, Liu Y, Song G, Li B, Zhao D, Hua Z, et al. Effectiveness of one-time endoscopic screening programme in preventing upper gastrointestinal cancer in China: a multicentre population-based cohort study. Gut 2021;70(2):251-60.
• Hahm GK, Niemann TH, Lucas JG, Frankel WL. The value of second opinion in gastrointestinal and liver pathology. Archives of Pathology Laboratory Medicine 2001;125(6):736-9.
• Januszewicz W, Kaminski MF. Quality indicators in diagnostic upper gastrointestinal endoscopy. Therapeutic Advances in Gastroenterology 2020;13.
• Nordrum I, Johansen M, Amin A, Isaksen V, Ludvigsen JA. Diagnostic accuracy of second-opinion diagnoses based on still images. Human pathology 2004;35(1):129-35.
• Kamran M, Fawwad A, Haider SI, Hussain T, Ahmed J. Upper gastrointestinal endoscopy; A study from a rural population of Sindh, Pakistan. Pakistan Journal of Medical Sciences 2021;37(1):9.
• Hirachand S, Sthapit R, Gurung P, Pradhanang S, Thapa R, Sedhai M, et al. Histopathological spectrum of upper gastrointestinal endoscopic biopsies. ournal of BP Koirala Institute of Health Sciences 2018;1(1):67-74.
• Leiman G, Tim, L., Segal I. Diagnosis of upper gastrointestinal lesions by endoscopy cytology and biopsy. South African Medical Journal 1979;55(16):619-23.
• Moulla Y, Lyros O, Mehdorn M, Lange U, Hamade H, Thieme R, et al. Preoperative upper-GI endoscopy prior to bariatric surgery: essential or optional? Obesity Surgery 2020;30:2076-84.
• Surawan D, Widhidewi N, Suryanditha P, Masyeni S, editors. Upper and lower gastrointestinal endoscopic findings among patients visiting BRSUD Tabanan with various gastrointestinal symptoms: a three year retrospective study. IOP Conference Series: Materials Science and Engineering; 2018: IOP Publishing. Supsamutchai C, Wilasrusmee C, Hiranyatheb P, Jirasiritham J, Rakchob T, Choikrua P. A cohort study of prognostic factors associated with recurrence or metastasis of gastrointestinal stromal tumor (GIST) of stomach. Annals of Medicine Surgery 2018;35:1-5.
• Gullo I, Grillo F, Mastracci L, Vanoli A, Carneiro F, Saragoni L, et al. Precancerous lesions of the stomach, gastric cancer and hereditary gastric cancer syndromes. Pathologica 2020;112(3):166.
• Wang S, Wang Q, Xu L, Yu P, Li Q, Li X, et al. Beware pathological findings of the stomach in patients undergoing bariatric surgery: a systematic review and meta-analysis. Obesity Surgery 2021;31:337-42.
• Saleem N, Howden CW. Update on the Management of Helicobacter pylori Infection. Current treatment options in gastroenterology 2020;18:476-87.
• Srigley JR, McGowan T, MacLean A, Raby M, Ross J, Kramer S, et al. Standardized synoptic cancer pathology reporting: A population‐based approach. Journal of Surgical Oncology 2009;99(8):517-24.