Abdominal palpation and percussion maneuvers do not affect bowel sounds
Yıl: 2019 Cilt: 35 Sayı: 4 Sayfa Aralığı: 309 - 313 Metin Dili: İngilizce DOI: 10.5578/turkjsurg.4291 İndeks Tarihi: 10-06-2020
Abdominal palpation and percussion maneuvers do not affect bowel sounds
Öz: Objective: Medical textbooks suggest that the frequency of bowel sounds may be altered by performing auscultation after palpation or percussion.We hypothesize that the frequency of bowel sounds is not affected by the order of abdominal examination.Material and Methods: Both healthy volunteers (n= 80) and patients (n= 100) were enrolled in this crossover randomized study. Two different exami-nation orders, one as inspection, palpation, percussion, auscultation (IPPA) and the other order as inspection, auscultation, palpation, percussion (IAPP) were used by two observers, one of which was blinded to the order of the physical examination and only performed auscultation. Bowel motilities of 40 participants were analyzed with duplex Doppler USG by a radiologist. The effects of changing the order of abdominal examination and palpation-percussion maneuvers on the frequency of bowel sounds were evaluated.Results: Gender distribution was similar between the healthy patients and controls, and mean age of the entire study population was 47 (18-60) years. Differences between the mean bowel sound frequencies for abdominal examinations in order IPPA-IAPP versus IAPP-IPPA were evaluated for both healthy subjects and the patients. There were no differences between the first and second listening, nor were there differences between examinations performed in either order. Duplex Doppler Ultrasonographic (USG) assessments were performed on 20 healthy subjects and 20 patients before and after palpation and percussion; there were no statistically significant differences between the two listenings (p= 0.694).Conclusion: According to both abdominal examinations and Doppler USG, the order of auscultation, whether performed before or after palpation or percussion, did not change the frequency of bowel sounds in this subject population.
Anahtar Kelime: Abdominal palpasyon ve perküsyon manevraları bağırsak seslerini etkilemez
Öz: Giriş ve Amaç: Tıbbi ders kitapları, fizik muayenede oskültasyonun palpasyon veya perküsyondan sonra yapıldığında bağırsak seslerinin sıklı-ğının değişebileceğini öne sürmektedir. Bu çalışmanın amacı, abdominal muayene sırasının bağırsak seslerinin sıklığını etkileyip etkilemediğini belirlemektir.Gereç ve Yöntem: Bu randomize çalışmaya hem sağlıklı gönüllüler (n= 80) hem de hastalar (n= 100) dahil edildi. Biri inspeksiyon, palpasyon, perküsyon, oskültasyon (IPPA), diğeri inspeksiyon, oskültasyon, palpasyon, perküsyon (IAPP) olmak üzere iki farklı muayene sıralaması, biri fizik muayene sırasına göre kör olan ve sadece oskültasyon yapan iki gözlemci tarafından kullanıldı. Kırk katılımcının bağırsak hareketleri, bir radyolog tarafından dupleks Doppler ultrasonografi ile analiz edildi. Abdominal muayene sırasındaki değişiklik ve palpasyon perküsyon manevralarının bağırsak seslerinin sıklığı üzerindeki etkileri değerlendirildi.Bulgular: Her iki grupta cinsiyet dağılımı benzerdi ve tüm çalışma popülasyonunun yaş ortalaması 47 (18-60) idi. Ortalama bağırsak ses frekans-ları farklı karın muayene sıraları olan sağlıklı ve hasta bireylerde değerlendirildi. İlk ve ikinci dinleme arasında hiçbir fark yoktu. Dupleks Doppler USG değerlendirmeleri 20 sağlıklı bireyde ve 20 hasta üzerinde palpasyon ve perküsyon öncesi ve sonrası yapıldı; iki grup arasında istatistiksel olarak anlamlı fark yoktu (p= 0.694).Sonuç: Değerlendirilen gruplarda abdominal muayeneye ve Doppler USG’ye göre, oskültasyonun palpasyon ve perküsyondan önce veya sonra yapılmasının bağırsak seslerinin sıklığını değiştirmediği görüldü.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Çalış A, KAYA E, Mehmetaj L, YILMAZ B, DEMİR E, ÖZTUNA D, Üstüner E, AÇAR H, tokgöz s, akkoca m, KUZU M (2019). Abdominal palpation and percussion maneuvers do not affect bowel sounds. , 309 - 313. 10.5578/turkjsurg.4291 |
| Chicago | Çalış Ayşe Sena,KAYA ESRA,Mehmetaj Lijana,YILMAZ Buşra,DEMİR ELİF NURDAN,ÖZTUNA Derya,Üstüner Evren,AÇAR HALIL IBRAHIM,tokgöz serhat,akkoca muzaffer,KUZU MEHMET AYHAN Abdominal palpation and percussion maneuvers do not affect bowel sounds. (2019): 309 - 313. 10.5578/turkjsurg.4291 |
| MLA | Çalış Ayşe Sena,KAYA ESRA,Mehmetaj Lijana,YILMAZ Buşra,DEMİR ELİF NURDAN,ÖZTUNA Derya,Üstüner Evren,AÇAR HALIL IBRAHIM,tokgöz serhat,akkoca muzaffer,KUZU MEHMET AYHAN Abdominal palpation and percussion maneuvers do not affect bowel sounds. , 2019, ss.309 - 313. 10.5578/turkjsurg.4291 |
| AMA | Çalış A,KAYA E,Mehmetaj L,YILMAZ B,DEMİR E,ÖZTUNA D,Üstüner E,AÇAR H,tokgöz s,akkoca m,KUZU M Abdominal palpation and percussion maneuvers do not affect bowel sounds. . 2019; 309 - 313. 10.5578/turkjsurg.4291 |
| Vancouver | Çalış A,KAYA E,Mehmetaj L,YILMAZ B,DEMİR E,ÖZTUNA D,Üstüner E,AÇAR H,tokgöz s,akkoca m,KUZU M Abdominal palpation and percussion maneuvers do not affect bowel sounds. . 2019; 309 - 313. 10.5578/turkjsurg.4291 |
| IEEE | Çalış A,KAYA E,Mehmetaj L,YILMAZ B,DEMİR E,ÖZTUNA D,Üstüner E,AÇAR H,tokgöz s,akkoca m,KUZU M "Abdominal palpation and percussion maneuvers do not affect bowel sounds." , ss.309 - 313, 2019. 10.5578/turkjsurg.4291 |
| ISNAD | Çalış, Ayşe Sena vd. "Abdominal palpation and percussion maneuvers do not affect bowel sounds". (2019), 309-313. https://doi.org/10.5578/turkjsurg.4291 |
| APA | Çalış A, KAYA E, Mehmetaj L, YILMAZ B, DEMİR E, ÖZTUNA D, Üstüner E, AÇAR H, tokgöz s, akkoca m, KUZU M (2019). Abdominal palpation and percussion maneuvers do not affect bowel sounds. Turkish Journal of Surgery, 35(4), 309 - 313. 10.5578/turkjsurg.4291 |
| Chicago | Çalış Ayşe Sena,KAYA ESRA,Mehmetaj Lijana,YILMAZ Buşra,DEMİR ELİF NURDAN,ÖZTUNA Derya,Üstüner Evren,AÇAR HALIL IBRAHIM,tokgöz serhat,akkoca muzaffer,KUZU MEHMET AYHAN Abdominal palpation and percussion maneuvers do not affect bowel sounds. Turkish Journal of Surgery 35, no.4 (2019): 309 - 313. 10.5578/turkjsurg.4291 |
| MLA | Çalış Ayşe Sena,KAYA ESRA,Mehmetaj Lijana,YILMAZ Buşra,DEMİR ELİF NURDAN,ÖZTUNA Derya,Üstüner Evren,AÇAR HALIL IBRAHIM,tokgöz serhat,akkoca muzaffer,KUZU MEHMET AYHAN Abdominal palpation and percussion maneuvers do not affect bowel sounds. Turkish Journal of Surgery, vol.35, no.4, 2019, ss.309 - 313. 10.5578/turkjsurg.4291 |
| AMA | Çalış A,KAYA E,Mehmetaj L,YILMAZ B,DEMİR E,ÖZTUNA D,Üstüner E,AÇAR H,tokgöz s,akkoca m,KUZU M Abdominal palpation and percussion maneuvers do not affect bowel sounds. Turkish Journal of Surgery. 2019; 35(4): 309 - 313. 10.5578/turkjsurg.4291 |
| Vancouver | Çalış A,KAYA E,Mehmetaj L,YILMAZ B,DEMİR E,ÖZTUNA D,Üstüner E,AÇAR H,tokgöz s,akkoca m,KUZU M Abdominal palpation and percussion maneuvers do not affect bowel sounds. Turkish Journal of Surgery. 2019; 35(4): 309 - 313. 10.5578/turkjsurg.4291 |
| IEEE | Çalış A,KAYA E,Mehmetaj L,YILMAZ B,DEMİR E,ÖZTUNA D,Üstüner E,AÇAR H,tokgöz s,akkoca m,KUZU M "Abdominal palpation and percussion maneuvers do not affect bowel sounds." Turkish Journal of Surgery, 35, ss.309 - 313, 2019. 10.5578/turkjsurg.4291 |
| ISNAD | Çalış, Ayşe Sena vd. "Abdominal palpation and percussion maneuvers do not affect bowel sounds". Turkish Journal of Surgery 35/4 (2019), 309-313. https://doi.org/10.5578/turkjsurg.4291 |
