MAS�F ALT GASTRO�NTEST�NAL S�STEM KANAMALARI

Gazio�lu, Ertu�rul; �i�ek, Yusuf; �ubuk�u, An�l; Ert�rk, S�phan; Hansel, Hasan; Bab�r, Tuncer

30/4Gelecek Say� Ar�iv Kapaklar Pop�ler Makaleler

ICMJE COI Form

H�zl� Arama

MAS�F ALT GASTRO�NTEST�NAL S�STEM KANAMALARI [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 1997; 3(4): 270-274

MAS�F ALT GASTRO�NTEST�NAL S�STEM KANAMALARI

Ertu�rul Gazio�lu¹, Yusuf �i�ek¹, An�l �ubuk�u¹, S�phan Ert�rk¹, Hasan Hansel¹, Tuncer Bab�r¹
�st. �. Cerrahpa�a T�p Fak�ltesi, Genel Cerrahi Ad

Alt gastrointestinal sistemdeki lezyonlardan kaynaklanan ve hastay� hemorajik �oka s�r�kleyen abondan kanamalar, geli�mi� tan� ve tedavi y�ntemlerine ra�men, Acil Cerrahi birimleri i�in klinik �nemlerini korumaya devam etmektedir. Masif alt G�S kanamalara cerrahi yakla��m tarz�yla birlikte tan� ve tedavi y�ntemlerinin do�ru se�imi mortalite ve morbiditeyi do�rudan etkilemektedir. Son d�rt y�l i�inde klini�imizde tan� ve tedavisi yap�lan 34 hasta geriye d�n�k olarak incelenmi�tir. Hastalar�n 13'�nde (%38) acil cerrahi giri�im gerekli olmu�tur. Hastalar�n 19'unda (%56), ameliyat edilenlerin ise 11'inde (%84,6) ameliyat �ncesi tan� konmu�tur. Bunlarda en s�k kanama nedeni divertik�ler hastal�kt�r (%26,3). Otuzd�rt hastan�n 3'� postoperatif d�nemde kaybedilmi�tir. Toplam mortalite ve cerrahi mortalite s�ras�yla %8 (3/34 hastada) ve %23't�r (3/13 hasta). Kendili�inden veya medikal tedaviyle durmayan masif alt G�S kanamalarda acil ameliyat karar�n�n geciktirilmesi �zellikle ya�l� hastalarda mortaliteyi artt�rmaktad�r. Ameliyat �ncesi veya s�ras�yla kanama yerinin belirlenemedi�i olgularda k�rleme s�n�rl� rezeksiyonlar yerine total kolektomi tercih edilmelidir.

Anahtar Kelimeler: KANAMA, REKTAL KANAMA, HEMATOSEZ�, MAS�F REKTAL KANAMA

MASSIVE LOWER GASTROINTESTINAL BLEEDINGS

Ertu�rul Gazio�lu¹, Yusuf �i�ek¹, An�l �ubuk�u¹, S�phan Ert�rk¹, Hasan Hansel¹, Tuncer Bab�r¹
�st. �. Cerrahpa�a T�p Fak�ltesi, Genel Cerrahi Ad

Massive bleedings originating from lesions of lower gastrointestinal system, still have their clinical importance for Surgical Emergency Units, despite contemporary diagnostic and therapeutic modalities. Mode of surgical approach, correct choices for diagnosis and treatment directly influence mortality and morbidity. In this study, 34 patient who were diagnosed and treated in our department are retrospectively investigated. Emergency surgical intervention has been necessary in 13 cases (38%). Preoperatif diagnosis was possible in 19 of 34 patient (56%) and in 11 of 13 surgically treated patients (84,6) in which most frequent cause of bleeding was diverticular disease (26,3%). Three of 34 patients died in postoperative period. Overall and operative mortality were 8% (3/34 patient) and 23% (3/13 patient) respectively. Delayed surgical treatment in massive lower gastrointestinal bleeding that doesn't stop spontaneously or with medical measures taken, increases the mortality, particularly in elderly patients. Instead of blind limited resections, total abdominal colectomy should be preferred if pre or per-operative diagnosis is not succeeded.

Keywords: BLEEDING, HEMORRHAGE, MASSIVE BLEEDING, RECTAL BLEEDING, HAEMATOCHEZIA

Ertu�rul Gazio�lu, Yusuf �i�ek, An�l �ubuk�u, S�phan Ert�rk, Hasan Hansel, Tuncer Bab�r. MASSIVE LOWER GASTROINTESTINAL BLEEDINGS. Ulus Travma Acil Cerrahi Derg. 1997; 3(4): 270-274

ARA�LAR Tam Metin PDF Yazd�r Al�nt�y� �ndir RIS EndNote BibTex Medlars Procite Reference Manager E-Postala Payla� Benzer makaleler PubMed Google Scholar