Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line
Yıl: 2014 Cilt: 5 Sayı: 4 Sayfa Aralığı: 276 - 279 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line
Öz: Amaç: Mide ameliyatı geçirmiş hastaların anastomoz hattından alınan bi- yopsilerin histopatolojik inceleme sonuçlarını malignite açısından değerlen- dirmeyi amaçladık. Gereç ve Yöntem: Ocak 2009 ile Aralık 2011 tarihleri ara- sında Konya Eğitim ve Araştırma Hastanesi Genel Cerrahi Endoskopi Ünite- sinde üst gastrointestinal sistem (GİS) endoskopisi yapılan hastalardan mideameliyatı geçirmiş 23 hastanın endoskopik bulguları ve anastomoz hattındanalınan biyopsi kayıtları, Helicobacter pylori varlığı, intestinal metaplazi (İM),displazi ve kanser açısından geriye dönük olarak incelendi. Bulgular: Hastaların yaş ortalaması 63 (30-82) olup 17si (%74) erkek, 6sı (%26) kadındı. Bunların 15i (%65) malign nedenle, 8i (%35) benign nedenle mide ameliyatı geçirmişti. Ameliyattan sonra geçen süre ortalama 46 (12-144) ay idi. Ameliyatların 17si (%74) Billroth II, 3ü (%13) rezeksiyonsuz gastroenterestomi,2si (%9) total gastrektomi, 1i (%4) Billroth I idi. Endoskopik değerlendirmede 14 (%61) hastada alkalen reflü gastrit, 6 (%26) hastada anastomoz ülseri, 2 (%9) hastada polip, 1 (%4) hastada kanser tanımlandı. Biyopsi sonuçlarının histopatolojik incelenmesinde 5 (%22) reaktif hiperplazik değişiklikler,5 (%22) kronik aktif gastrit, 5 (%22) displazi, 3 (%13) İM, 2 (%9) kanser tespit edildi. Tartışma: Mide ameliyatlı hastalarda, ameliyattan sonra geçen süreyle paralel olarak anastomoz hattında İM ve ardından displazi görülmektedir. Endoskopi ile takip, displazi evresinde teşhisi ve uygun tedaviyi mümkün kılacaktır.
Anahtar Kelime: Konular:
Mide Ameliyatlı Hastaların Anostomoz Hattının Malignite Açısından Değerlendirilmesi
Öz: Aim: We aimed at evaluating the Histopathological examination resultsof biopsies obtained from the anastomosis line of patients with previousgastrectomy in terms of malignancy. Material and Method: The endoscopicfindings and the biopsy records obtained from the anastomosis line of 23patients with gastrectomy history for whom upper gastrointestinal system(GIS) endoscopy was performed at the General Surgery Clinic, EndoscopyUnit of Training & Research Hospital in Konya between Jan. 2009 and Dec.2011 were retrospectively examined for the existence of Helicobacter pylori,intestinal metaplasia (IM), dysplasia and cancer. Results: The average age ofpatients was 63 (range 30-82), with 17 males (74%) and 6 females (26%).15 (65%) of these patients had undergone a gastrectomy for a malignity,and 8 (35%) for a benign reason. The time elapsed after the surgical operation was 46 (range 12-144) months in average. 17 (74%) of these surgicaloperations were Billroth II, 3 (13%) gastroenterostomy without resection, 2(9%) total gastrectomy, and 1 (4%) Billroth I. Upper GIS endoscopy revealedalkaline reflux gastritis at 14 (61%) patients, anastomosis ulcer at 6 (26%)patients, polyp at 2 (9%) patients, and cancer at 1 (4%) patient. Histopathological examination of the biopsy results displayed 5 (22%) reactive hyperplasic changes, 5 (22%) chronic active gastritis, 5 (22%) dysplasia, 3 (13%)IM, and 2 (9%) cancer. Discussion: Patients with gastrectomy history developIM in the anastomosis line in parallel with the time elapsed after surgical operation, and subsequently develop dysplasia. Monitoring with endoscopy willmake diagnosis and appropriate treatment possible in the stage of dysplasia.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | Eryılmaz M, AY A, AKSOY N, OKUŞ A, Sevinç B, DEMİRGÜL R, Karahan Ö (2014). Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. , 276 - 279. |
Chicago | Eryılmaz Mehmet Ali,AY ABDÜLHALİM SERDEN,AKSOY Nergiz,OKUŞ Ahmet,Sevinç Barış,DEMİRGÜL Recep,Karahan Ömer Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. (2014): 276 - 279. |
MLA | Eryılmaz Mehmet Ali,AY ABDÜLHALİM SERDEN,AKSOY Nergiz,OKUŞ Ahmet,Sevinç Barış,DEMİRGÜL Recep,Karahan Ömer Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. , 2014, ss.276 - 279. |
AMA | Eryılmaz M,AY A,AKSOY N,OKUŞ A,Sevinç B,DEMİRGÜL R,Karahan Ö Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. . 2014; 276 - 279. |
Vancouver | Eryılmaz M,AY A,AKSOY N,OKUŞ A,Sevinç B,DEMİRGÜL R,Karahan Ö Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. . 2014; 276 - 279. |
IEEE | Eryılmaz M,AY A,AKSOY N,OKUŞ A,Sevinç B,DEMİRGÜL R,Karahan Ö "Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line." , ss.276 - 279, 2014. |
ISNAD | Eryılmaz, Mehmet Ali vd. "Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line". (2014), 276-279. |
APA | Eryılmaz M, AY A, AKSOY N, OKUŞ A, Sevinç B, DEMİRGÜL R, Karahan Ö (2014). Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. Journal of Clinical and Analytical Medicine, 5(4), 276 - 279. |
Chicago | Eryılmaz Mehmet Ali,AY ABDÜLHALİM SERDEN,AKSOY Nergiz,OKUŞ Ahmet,Sevinç Barış,DEMİRGÜL Recep,Karahan Ömer Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. Journal of Clinical and Analytical Medicine 5, no.4 (2014): 276 - 279. |
MLA | Eryılmaz Mehmet Ali,AY ABDÜLHALİM SERDEN,AKSOY Nergiz,OKUŞ Ahmet,Sevinç Barış,DEMİRGÜL Recep,Karahan Ömer Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. Journal of Clinical and Analytical Medicine, vol.5, no.4, 2014, ss.276 - 279. |
AMA | Eryılmaz M,AY A,AKSOY N,OKUŞ A,Sevinç B,DEMİRGÜL R,Karahan Ö Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. Journal of Clinical and Analytical Medicine. 2014; 5(4): 276 - 279. |
Vancouver | Eryılmaz M,AY A,AKSOY N,OKUŞ A,Sevinç B,DEMİRGÜL R,Karahan Ö Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line. Journal of Clinical and Analytical Medicine. 2014; 5(4): 276 - 279. |
IEEE | Eryılmaz M,AY A,AKSOY N,OKUŞ A,Sevinç B,DEMİRGÜL R,Karahan Ö "Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line." Journal of Clinical and Analytical Medicine, 5, ss.276 - 279, 2014. |
ISNAD | Eryılmaz, Mehmet Ali vd. "Evaluation of Patients with Gastrectomy for Malignity of Anastomosis Line". Journal of Clinical and Analytical Medicine 5/4 (2014), 276-279. |