Yıl: 2021 Cilt: 31 Sayı: 1 Sayfa Aralığı: 43 - 48 Metin Dili: İngilizce DOI: 10.4274/tjcd.galenos.2020.2020-5-8 İndeks Tarihi: 21-05-2022

Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia

Öz:
Aim: In the present study, we aimed to investigate the seasonal characteristics of presentations to the hospital due to diverticular disease. Method: The patients who were admitted to the hospital between January 1st, 2015 and January 1st, 2020 due to diverticular disease were included in the study. The study was designed retrospectively. The patients were divided into groups according to the treatment method, namely Group 1: patients who received surgical treatment, and Group 2: patients who received medical treatment. Age, sex and seasonal periods were compared. Also, the patients were separated into three groups according to age: those between 18 and 40 years of age, those between 40 and 60 of age and those over 60 years of age. The sex and the treatment methods of the patients were also examined in the season groups Results: One hundred fifty seven patients participated in our study. Group 1 consisted of 39 patients and Group2 consisted of 118 patients. Presentations to the hospital with acute diverticulitis occurred most frequently in the winter (39.5%). The average age was higher in Group 1 (60.61 vs 54.42, p=0.030). The sex distribution was similar in the groups (p=0.152). Winter was dominant in treatment groups (30.8% vs 42.4% p=0.060). In winter, the average age of the patients who received surgical treatment was higher than those who received medical treatment (68 vs 50 p=0.001). In winter, all patients who received surgical treatment were over 60 years of age. In summer, the ratio of patients who received medical treatment was highest for the group over 60 years of age (p=0.040). Conclusion: In our study, we displayed the seasonal change in hospital admissions due to diverticular disease. We detected an increased rate of presentations to the hospital in winter. Selection of the treatment method did not display a seasonal variation. However, when we made an additional evaluation according to the age groups, it was seen that greater number of patients who were older than 60 years received surgical treatment in winter whereas the greater number of them received medical treatment in summer. Pathophysiological mechanism of this change could not be fully revealed.
Anahtar Kelime:

Orta Anadolu’da Divertiküler Hastalık Başvurularının Mevsimsel Paterni

Öz:
Amaç: Bu çalışmada divertiküler hastalık sebebiyle hastaneye başvurunun mevsimsel eğilimlerini araştırmayı amaçladık. Yöntem: 1 Ocak 2015 ile 1 Ocak 2020 yılları arasında divertiküler hastalık nedeniyle hastaneye yatırılan hastalar çalışmaya dahil edildi. Çalışma retrospektif olarak dizayn edildi. Hastalar tedavi yöntemine göre Grup 1: cerrahi ve Grup 2: medikal olmak üzere iki gruba ayrıldı. Yaş, cinsiyet ve mevsimsel dönem karşılaştırıldı. Ayrıca hastalar yaşa göre 18-40, 40-60, 60 üstü olmak üzere üç gruba ayrıldı. Hastaların cinsiyeti ve tedavi yöntemi de mevsim gruplarında incelendi. Bulgular: Çalışmamıza 157 hasta katıldı. Grup 1 cerrahi: 39, Grup 2 medikal: 119 hastadan oluşuyordu. Akut divertikülit nedeniyle başvuru en sık kış mevsiminde olmuştu (%39,5). Grup 1’de yaş ortalaması daha yüksekti (60,61 vs 54,42 p=0,030). Gruplarda cinsiyet dağılımı benzerdi (p=0,152). Her iki grupta da kış mevsimi ağırlıktaydı (%30,8 vs %42,4 p=0,060). Kış mevsiminde cerrahi tedavi uygulanan hastaların yaş ortalaması medikal tedavi alanlardan fazlaydı (68 vs 50 p=0,001). Kış mevsiminde cerrahi tedavi uygulanan hastaların hepsi 60 yaşın üstündeydi. Yaz mevsiminde ise medikal tedavi uygulanan hasta oranı 60 yaş üstü grupta en fazlaydı (p=0,040). Sonuç: Çalışmamızda divertiküler hastalık sebebiyle hastaneye yatışın mevsimsel değişimini gösterdik. Kış mevsiminde artmış bir başvuru oranı saptadık. Tedavi yöntemi seçimi mevsimsel varyasyon göstermiyordu. Fakat yaş gruplarına göre ayrıca değerlendirdiğimizde kış aylarında 60 yaş üstü daha çok cerrahi tedavi alırken yaz aylarında 60 yaş üstü daha çok medikal tedavi almıştı. Bu değişimin patofizyolojik mekanizması tam olarak ortaya koyulamamıştır
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Munie ST, Nalamati SP. Epidemiology and pathophysiology of diverticular disease. Clin Colon Rectal Surg 2018;31:209-213.
  • 2. Tursi A. Diverticulosis today: unfashionable and still under-researched. Therap Adv Gastroenterol 2016;9:213-228.
  • 3. Gök M, Topal U, Öz AB, Akyüz M, Dal F, İslam DG, Deniz K, Sözüer EM. Seasonal Pattern of Acute Appendicitis in Central Anatolia. Erciyes Med J 2020;42: 207-212.
  • 4. Manfredini R, Boari B, Anania G, Cavallesco G, Gallerani M. Seasonal and weekly patterns of hospital admissions for acute diverticulitis. Eur Rev Med Pharmacol Sci 2015;19:54-63.
  • 5. Zangbar B, Rhee P, Pandit V, Hsu CH, Khalil M, Okeefe T, Neumayer L, Joseph B. Seasonal variation in emergency general surgery. Ann Surg 2016;263:76-81.
  • 6. Maguire LH, Song M, Strate LL, Giovannucci EL, Chan AT. Association of geographic and seasona lvariation with diverticulitis admissions. JAMA Surg 2015;150:74-77.
  • 7. Ricciardi R, Roberts PL, Read TE, Marcello PW, Hall JF, Schoetz DJ, Foley EF. Cyclical increase in diverticulitis during the summer months. Arch Surg 2011;146:319-323.
  • 8. Adler JT, Chang DC, Chan AT, Faiz O, Maguire LH. Seasonal variation in diverticulitis: evidence from both hemispheres. Dis Colon Rectum 2016;59:870-877.
  • 9. Biondo S, Golda T, Kreisler E, Espin E, Vallribera F, Oteiza F, CodinaCazador A, Pujadas M, Flor B. Out patient versus hospitalization management for uncomplicated diverticulitis: a prospective, multicenter randomized clinical trial (DIVER Trial). Ann Surg 2014;259:38-44.
  • 10. Etzioni DA, Mack TM, Beart RW Jr, Kaiser AM. Diverticulitis in the United States: 1998-2005: changing patterns of disease and treatment. Ann Surg 2009;249:210-217.
  • 11. Nguyen GC, Sam J, Anand N. Epidemiological trends and geographic variation in hospital admissions for diverticulitis in the United States. World J Gastroenterol 2011;28:1600-1605.
  • 12. Maguire LH, Song M, Strate LE, Giovannucci EL, Chan AT. Higher serum levels of vitamin D are associated with reduced risk of diverticulitis. Clin Gastroenterol Hepatol 2013;11:1631-1635.
  • 13. Hupfeld L, Pommergaard HC, Burcharth J, Rosenberg J. Emergency admissions for complicated colonic diverticulitis are increasing: a nationwide register-based cohort study. Int J Colorectal Dis 2018;33:879- 886.
  • 14. Warner E, Crighton EJ, Moineddin R, Mamdani M, Upshur R. Fourteenyear study of hospital admissions for diverticular disease in Ontario. Can J Gastroenterol Hepatol 2007;21:97-99
APA DAL F, topal u, Sözüer E, Akyuz M, Talih T, BÜYÜKMUMCU İ (2021). Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. , 43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
Chicago DAL Fatih,topal uğur,Sözüer Erdoğan Mütevelli,Akyuz Muhammet,Talih Tutkun,BÜYÜKMUMCU İlker Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. (2021): 43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
MLA DAL Fatih,topal uğur,Sözüer Erdoğan Mütevelli,Akyuz Muhammet,Talih Tutkun,BÜYÜKMUMCU İlker Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. , 2021, ss.43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
AMA DAL F,topal u,Sözüer E,Akyuz M,Talih T,BÜYÜKMUMCU İ Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. . 2021; 43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
Vancouver DAL F,topal u,Sözüer E,Akyuz M,Talih T,BÜYÜKMUMCU İ Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. . 2021; 43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
IEEE DAL F,topal u,Sözüer E,Akyuz M,Talih T,BÜYÜKMUMCU İ "Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia." , ss.43 - 48, 2021. 10.4274/tjcd.galenos.2020.2020-5-8
ISNAD DAL, Fatih vd. "Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia". (2021), 43-48. https://doi.org/10.4274/tjcd.galenos.2020.2020-5-8
APA DAL F, topal u, Sözüer E, Akyuz M, Talih T, BÜYÜKMUMCU İ (2021). Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. Türk Kolon ve Rektum Hastalıkları Dergisi, 31(1), 43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
Chicago DAL Fatih,topal uğur,Sözüer Erdoğan Mütevelli,Akyuz Muhammet,Talih Tutkun,BÜYÜKMUMCU İlker Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. Türk Kolon ve Rektum Hastalıkları Dergisi 31, no.1 (2021): 43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
MLA DAL Fatih,topal uğur,Sözüer Erdoğan Mütevelli,Akyuz Muhammet,Talih Tutkun,BÜYÜKMUMCU İlker Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. Türk Kolon ve Rektum Hastalıkları Dergisi, vol.31, no.1, 2021, ss.43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
AMA DAL F,topal u,Sözüer E,Akyuz M,Talih T,BÜYÜKMUMCU İ Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. Türk Kolon ve Rektum Hastalıkları Dergisi. 2021; 31(1): 43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
Vancouver DAL F,topal u,Sözüer E,Akyuz M,Talih T,BÜYÜKMUMCU İ Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia. Türk Kolon ve Rektum Hastalıkları Dergisi. 2021; 31(1): 43 - 48. 10.4274/tjcd.galenos.2020.2020-5-8
IEEE DAL F,topal u,Sözüer E,Akyuz M,Talih T,BÜYÜKMUMCU İ "Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia." Türk Kolon ve Rektum Hastalıkları Dergisi, 31, ss.43 - 48, 2021. 10.4274/tjcd.galenos.2020.2020-5-8
ISNAD DAL, Fatih vd. "Seasonal Pattern of Diverticular Disease Admissions in Central Anatolia". Türk Kolon ve Rektum Hastalıkları Dergisi 31/1 (2021), 43-48. https://doi.org/10.4274/tjcd.galenos.2020.2020-5-8