Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?
Yıl: 2020 Cilt: 26 Sayı: 5 Sayfa Aralığı: 713 - 718 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.44902 İndeks Tarihi: 03-11-2020
Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?
Öz: BACKGROUND: Although Turkey hosts the largest number of Syrian immigrants, the interpretation of their health problems seemsto be inadequate and understudied. In this study, we aimed to investigate whether being a refugee is a prognostic factor or not forpeptic ulcer perforation (PUP).METHODS: A retrospective study was designed in Turkish Citizen patients and the refugees to compare the prognosis who underwentsurgery for PUP. After ethical committee approval, the data of 143 patients, constituting 130 males and 13 females, operated forPUP, were collected. Patients’ files, surgery notes and outpatient policlinic data were evaluated.RESULTS: In this study, 105 patients were Turkish Citizen, while the remaining 38 patients were refugees. Eight (7.6%) Turkish andone (2.6%) refugee patient died. There was no statistical significance between the two groups concerning mortality (p=0.445). Age,perforation diameter and localization, need of reoperation, nasogastric tube detention time, CRP, hematocrit, albumin, creatinine,BUN levels were found statistically significant for mortality.CONCLUSION: Although being a refugee has been identified as a risk in the etiopathogenesis of peptic ulcer disease, we found thatbeing a refugee in Turkey is not a negative prognostic factor for PUP.
Anahtar Kelime: Peptik ülser perforasyonunun cerrahi tedavisinde mülteci olmak prognozu etkiler mi? Geriye dönük klinik çalışma
Öz: AMAÇ: Türkiye çok sayıda Suriyeli göçmene ev sahipliği yapmasına rağmen, sağlık sorunlarının yorumlanması yetersiz ve anlaşılmamış gibi görünmektedir. Mülteci olmanın, peptik ülser perforasyonu (PUP) hastalığı için prognostik bir faktör olup olmadığını araştırmayı amaçladık. GEREÇ VE YÖNTEM: Türkiye Cumhuriyeti vatandaşı ve mülteci olan hastaların PUP açısından prognozlarını karşılaştırmak için retrospektif bir çalışma tasarlandı. PUP nedeniyle ameliyat edilen 130 erkek ve 13 kadından oluşan 143 hastanın 105’i Türk, geri kalan 38’i mülteci idi. Hastaların dosyaları, ameliyat notları ve poliklinik verileri değerlendirildi. BULGULAR: Sekiz (%7.6) Türk vatandaşı ve bir (%2.6) mülteci hastada mortalite saptandı ve iki grup arasında mortalite açısından istatistiksel bir anlamlılık saptanmadı (p=0.445). Yaş, perforasyon çapı ve lokalizasyonu, reoperasyon ihtiyacı, nazogastrik dekompresyon süresi, CRP, hematokrit, albümin, kreatinin, BUN düzeyleri mortalite açısından istatistiksel olarak anlamlı bulundu. TARTIŞMA: Bir mülteci olmak, peptik ülser hastalığının etiyopatogenezinde bir risk olarak tanımlanmış olmasına rağmen, Türkiye’de mülteci olmanın PUP için negatif bir prognostik faktör olmadığını tespit ettik.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Stern E, Sugumar K, Journey JD. Peptic Ulcer Perforated. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2020.
- 2. Søreide K, Thorsen K, Harrison EM, Bingener J, Møller MH, Ohene-Yeboah M, et al. Perforated peptic ulcer. Lancet 2015;386:1288−98.
- 3. Varcus F, Paun I, Duta C, Dobrescu A, Frandes M, Tarta C. Laparoscopic repair of perforated peptic ulcer. Minerva Chir 2018;73:188−93.
- 4. Ergönül Ö, Tülek N, Kayı I, Irmak H, Erdem O, Dara M. Profiling infectious diseases in Turkey after the influx of 3.5 million Syrian refugees. Clin Microbiol Infect 2020;26:307−12.
- 5. Kanno T, Iijima K, Koike T, Abe Y, Shimada N, Hoshi T, et al. Accommodation in a refugee shelter as a risk factor for peptic ulcer bleeding after the Great East Japan Earthquake: a case-control study of 329 patients. J Gastroenterol 2015;50:31−40.
- 6. Kanno T, Iijima K, Koike T, Shimosegawa T. Relationship between disaster stress and peptic ulcers. [Article in Japanese]. Nihon Rinsho 2015;73:1209−14.
- 7. Dovjak P. Duodenal ulcers, gastric ulcers and Helicobacter pylori. [Article in German]. Z Gerontol Geriatr 2017;50:159−69.
- 8. Carlsson J, Sonne C, Vindbjerg E, Mortensen EL. Stress management versus cognitive restructuring in trauma-affected refugees-A pragmatic randomised study. Psychiatry Res 2018;266:116−23.
- 9. Mohsina S, Shanmugam D, Sureshkumar S, Kundra P, Mahalakshmy T, Kate V. Adapted ERAS Pathway vs. Standard Care in Patients with Perforated Duodenal Ulcer-a Randomized Controlled Trial. J Gastrointest Surg 2018;22:107−16.
- 10. Wang Q, Ge B, Huang Q. A prospective randomized controlled trial of laparoscopic repair versus open repair for perforated peptic ulcers. [Article in Chinese]. Zhonghua Wei Chang Wai Ke Za Zhi 2017;20:300−3.
| APA | citlak g, Yurtteri M, Soytaş Y, YUKSEL S, dincer m, ferlengez e (2020). Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. , 713 - 718. 10.14744/tjtes.2020.44902 |
| Chicago | citlak gamze,Yurtteri Mustafa Ertugrul,Soytaş Yiğit,YUKSEL SERCAN,dincer mürşit,ferlengez ekrem Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. (2020): 713 - 718. 10.14744/tjtes.2020.44902 |
| MLA | citlak gamze,Yurtteri Mustafa Ertugrul,Soytaş Yiğit,YUKSEL SERCAN,dincer mürşit,ferlengez ekrem Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. , 2020, ss.713 - 718. 10.14744/tjtes.2020.44902 |
| AMA | citlak g,Yurtteri M,Soytaş Y,YUKSEL S,dincer m,ferlengez e Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. . 2020; 713 - 718. 10.14744/tjtes.2020.44902 |
| Vancouver | citlak g,Yurtteri M,Soytaş Y,YUKSEL S,dincer m,ferlengez e Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. . 2020; 713 - 718. 10.14744/tjtes.2020.44902 |
| IEEE | citlak g,Yurtteri M,Soytaş Y,YUKSEL S,dincer m,ferlengez e "Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?." , ss.713 - 718, 2020. 10.14744/tjtes.2020.44902 |
| ISNAD | citlak, gamze vd. "Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?". (2020), 713-718. https://doi.org/10.14744/tjtes.2020.44902 |
| APA | citlak g, Yurtteri M, Soytaş Y, YUKSEL S, dincer m, ferlengez e (2020). Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. Ulusal Travma ve Acil Cerrahi Dergisi, 26(5), 713 - 718. 10.14744/tjtes.2020.44902 |
| Chicago | citlak gamze,Yurtteri Mustafa Ertugrul,Soytaş Yiğit,YUKSEL SERCAN,dincer mürşit,ferlengez ekrem Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. Ulusal Travma ve Acil Cerrahi Dergisi 26, no.5 (2020): 713 - 718. 10.14744/tjtes.2020.44902 |
| MLA | citlak gamze,Yurtteri Mustafa Ertugrul,Soytaş Yiğit,YUKSEL SERCAN,dincer mürşit,ferlengez ekrem Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. Ulusal Travma ve Acil Cerrahi Dergisi, vol.26, no.5, 2020, ss.713 - 718. 10.14744/tjtes.2020.44902 |
| AMA | citlak g,Yurtteri M,Soytaş Y,YUKSEL S,dincer m,ferlengez e Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(5): 713 - 718. 10.14744/tjtes.2020.44902 |
| Vancouver | citlak g,Yurtteri M,Soytaş Y,YUKSEL S,dincer m,ferlengez e Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(5): 713 - 718. 10.14744/tjtes.2020.44902 |
| IEEE | citlak g,Yurtteri M,Soytaş Y,YUKSEL S,dincer m,ferlengez e "Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?." Ulusal Travma ve Acil Cerrahi Dergisi, 26, ss.713 - 718, 2020. 10.14744/tjtes.2020.44902 |
| ISNAD | citlak, gamze vd. "Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation?". Ulusal Travma ve Acil Cerrahi Dergisi 26/5 (2020), 713-718. https://doi.org/10.14744/tjtes.2020.44902 |
