Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?

BAĞBANCI, MUHAMMET ŞAHİN; Sener, Nevzat Can; dede, onur; BAŞ, Okan; DEDE, Gülay

Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?

Onur DEDE, (Dicle Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Diyarbakır, Türkiye)

Nevzat Can ŞENER, (Ankara Numune Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara, Türkiye)

Okan BAŞ, (Dr. Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Üroloji Bölümü, Ankara, Türkiye)

Gülay DEDE, (Diyarbakır Gazi Yaşargil Eğitim ve Araştırma Hastanesi, Klinik Mikrobiyoloji ve Enfeksiyon Hastalıkları Kliniği, Diyarbakır Türkiye)

Muhammet Şahin BAĞBANCI (Ahi Evran Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, Kırşehir, Türkiye)

Turkish Journal of Urology

3 0

Yıl: 2015 Cilt: 41 Sayı: 1 Sayfa Aralığı: 20 - 23 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?

Öz:

Amaç: Bu çalışmada obezitenin vücut dışından şok dalga tedavisi (ESWL) sonuçları üzerindeki etkisiniaraştırmayı amaçladık.Gereç ve yöntemler: Retrospektif olarak yapılan bu çalışmada Haziran 2011 ve Mayıs 2014 yılları arasındaESWL yapılmış 134 hasta değerlendirildi. ESWL yapılan hastalar iki gruba ayrıldı. İki grupda üreter üst uçtaşına sahipdi. Grup 1 94 normal kiloya sahip, grup 2 ise 40 morbid obez hastadan oluşmaktaydı. Bulgular: Grup 1 ve 2 için ortalama yaşları sırasıyla 45,6±12,1 ve 45,3±15,5di (p=0,98). Gruplar arasındademografik veriler açısından istatistiksel fark saptanmadı. Taş boyutu ve vücut kitle indeksi (VKİ) grup 1ve grup 2 için sırasıyla 81,7±25,7 mm² ve 86,3±22,4 mm² (p=0,51), 27,4±2,9 ve 42,9±2,1 (p<0,01) olarakbulundu. Ortalama hastalara uygulanan ESWL seansı sayısı 2,4±0,6 ve 2,4±0,7 (p=0,97) ve takip süresi7,1±3,4 ve 6,6±2,8 haftaydı (p=0,67). Tam taşsızlık oranları grup 1 ve 2 için %82 ve %67 olarak bulundu veistatistiksel olarak anlamlıydı (p=0,01).Sonuç: Morbid obez hastaların eşlik eden birçok komorbidite sebebiyle anesteziye bağlı komplikasyonlaradaha fazla yatkın oldukları bilinmektedir. Bu çalışmada biz ESWLnin morbid obez hastalar için güvenli vekabul edilebilir bir seçenek olduğunu bulduk.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel

Morbid obezite üreter üst uç taşlarına uygulanan ESWL'nin başarı ve komplikasyon oranlarını etkiler mi?

Öz:

Objective: The aim of the current study was to investigate whether obesity influences the outcome of extra- corporeal shockwave lithotripsy (ESWL) treatment for upper ureteral stones. Material and methods: This is a retrospective study of 134 patients who underwent ESWL between June2011 and May 2014. Patients were divided into 2 groups. Group 1 comprised 94 patients of normal weight,and group 2 comprised 40 morbidly obese patients. Patients in both groups had upper ureteral stones. Results: The mean age of groups 1 and 2 was 45.6±12.1 and 45.3±15.5 years, respectively (p=0.98). Therewas no significant difference in demographic variables between the groups. The mean stone size in Groups1 and 2 was 81.7±25.7 mm² and 86.3±22.4 mm², respectively (p=0.51), the mean body mass index (BMI) was27.4±2.9 and 42.9±2.1, respectively (p<0.01), the mean number of ESWL sessions was 2.4±0.6 and 2.4±0.7,respectively (p=0.97), and the mean follow-up time was 7.1±3.4 and 6.6±2.8 weeks, respectively (p=0.67).The overall stone-free rate was 82% in group 1 and 67% in group 2 (p=0.01). Conclusion: It is well-known that morbidly obese patients have higher rates of anesthesia-related problemsdue to the comorbidities commonly observed in this population. In the current study, we found that ESWL isa safe and acceptable treatment option for morbidly obese patients with upper ureteral stones.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	dede o, Sener N, BAŞ O, DEDE G, BAĞBANCI M (2015). Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. , 20 - 23.
Chicago	dede onur,Sener Nevzat Can,BAŞ Okan,DEDE Gülay,BAĞBANCI MUHAMMET ŞAHİN Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. (2015): 20 - 23.
MLA	dede onur,Sener Nevzat Can,BAŞ Okan,DEDE Gülay,BAĞBANCI MUHAMMET ŞAHİN Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. , 2015, ss.20 - 23.
AMA	dede o,Sener N,BAŞ O,DEDE G,BAĞBANCI M Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. . 2015; 20 - 23.
Vancouver	dede o,Sener N,BAŞ O,DEDE G,BAĞBANCI M Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. . 2015; 20 - 23.
IEEE	dede o,Sener N,BAŞ O,DEDE G,BAĞBANCI M "Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?." , ss.20 - 23, 2015.
ISNAD	dede, onur vd. "Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?". (2015), 20-23.

APA	dede o, Sener N, BAŞ O, DEDE G, BAĞBANCI M (2015). Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. Turkish Journal of Urology, 41(1), 20 - 23.
Chicago	dede onur,Sener Nevzat Can,BAŞ Okan,DEDE Gülay,BAĞBANCI MUHAMMET ŞAHİN Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. Turkish Journal of Urology 41, no.1 (2015): 20 - 23.
MLA	dede onur,Sener Nevzat Can,BAŞ Okan,DEDE Gülay,BAĞBANCI MUHAMMET ŞAHİN Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. Turkish Journal of Urology, vol.41, no.1, 2015, ss.20 - 23.
AMA	dede o,Sener N,BAŞ O,DEDE G,BAĞBANCI M Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. Turkish Journal of Urology. 2015; 41(1): 20 - 23.
Vancouver	dede o,Sener N,BAŞ O,DEDE G,BAĞBANCI M Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?. Turkish Journal of Urology. 2015; 41(1): 20 - 23.
IEEE	dede o,Sener N,BAŞ O,DEDE G,BAĞBANCI M "Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?." Turkish Journal of Urology, 41, ss.20 - 23, 2015.
ISNAD	dede, onur vd. "Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones?". Turkish Journal of Urology 41/1 (2015), 20-23.