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Akut Karın

Year 1990, Volume: 43 Issue: 1, 56 - 106, 31.03.1990

Ragıp Çam

Abstract

Akut karın genellikle karın ağrısı, iştahsızlık, bulantı, kusma ve ateş gibi belirtilerle karakterize olan ve sıklıkla karşılaştığımız bir tablodur. Akut karın tablosuyla karşılaşan doktorun sorunu erken tanı ve hemen uygulanacak tedavinin planlanmasıdır. Tedavinin başlangıcı konusunda doktorun yeterli bilgisi olması gerekmektedir. Bazı hastalarda örneğin; intraabdominal kanaması olanlarda tedavinin başarılı olması için dakikaların önemi vardır. Bazen de örneğin; ince barsak obstriksiyonu olan ve bu nedenle sıvı ve elektrolit dengesi bozulmuş hastalarda ameliyat kaçınılmaz olsa bile başlangıçta bir süre bu dengesizliğin düzeltilmesi gerekecektir.

Keywords

Akut karın obstriksiyonu Tedavi

References

  • 1, Ahdu RA, Zakhour BJ, Dallis DJ : Mesenteric venou$ ihrombosis. Surgery 101: 383, 1987.
  • 2. Andersson R, Parson H, Isaksson B : Acute intestinal ischemia Acta Chir Scand. 150 ; 217, 1984.
  • 3. Auguste L, Borrero E, Wise L ; Surgical management of perforated colonic diverticulitis. Arch Surg 120 : 450, 1985.
  • 4. Bailey RW, Hamilton SR, Morris JB : Pathogenesis of nonocclusive ischemic colitis. Ann Surg 203 ; 590, 1986. i
  • 5. Bak MP, Boley SJ ; Sigmoid volvulus in elderiy patients. Am J Surg 151 271, 1986.
  • 6. Ballantyne GH, Bradner MD, Beart AW : Volvulus of the çolon : incidence and mortality. Ann Surg 202 ; 83, 1985.
  • 7. Bizer LS, Liebling RW. Delaney HM : Small bowel obstruction. Surgery 88 : 407, 1981.
  • 8, Boey J, Lee NW, Wong J : Perloration in acute duodenal ulcers. Surg Gynecol Obstet 155 : 193, 1982.
  • 12 Ceneviva R, de Castro E Silva JO, Castelfranchi PL : Simple suture with or; without proximal gastric vagotomy for perforated duodenal ulcer. Br J Surg . 73:427, 1988.
  • 13Collier DSJ; Pain JA : Nonsteroid anti-inflomatory drugs and peptic ulcer perforation, Gut 26 : 359, 1985. a
  • 14 DeBakey ME, Crawford ES, Cooley DA : Aneurysm of the abdominal aorta. Ann Surg 160 : 622, 1964.
  • 15 “Donovan AJ, Vinson TL, Maulsby GO : Selective treatment of duodenal ulcer: with perforation. Ann Surg 189 : 627, 1979.
  • 16“ Finch WT, Sawyers JL, Schenker S : A prospective study to determine the effi-: cacy of antibiotics in acute pancreatitis. Ann Surg 183 : 667, 1976.
  • 17 Gagic N, Fry CF : The results of cholecystostomy for the treatment of acute: cholecytitis. Surg Gynecol Obstet 140 : 255, 1975.
  • 18 Gingrich RA, Awe WC, Boyden AM : Cholecstostomy in acute cholecystitis ;. factors influencing morbidity and mortalitiy, Am J Surg 116 ; 310, 1968,
  • 19Grawford ES, Palamara AW, Salek SA : Aortic aneurysm : current status of surgical treatment. Surg Clin North Am 59 : 597, 1979.
  • 20 Greco RS, Cahow CE : Alternatives in the management of acute perforated duodenal ulcers. Am J Surg 127 : 109, 1974.
  • 21 Howard RJ : Acute açalculous cholecystitis. Am J Surg 141 : 194, 1981.
  • 22Jones PF, Munro A : Reccurrent adhesive small bowel obstruction, World J Surg 9 : 868, 1985.
  • 23 Killingback M : Management of perforative diverticulitis. Surg Clin North Am. 63 : 97, 1983,
  • 24 Kovalcık PJ, Sustarsic DI. : Cecal diverticulitis. Am Surgeon 47 : 72, 1981
  • 25 Laws HL, Aldrete J5 ; Small bowel obstruction : a review of acute presentati- “ons and management, Am J Sure 143 : 579, 1982.
  • 26 Mallory A, Fern F Jr : Drug-induced puncreatitis : a critical review. Gastroenterology 78 : 813, 1980.
  • 27 Mannick JA, Brooks JW, Boshner LH : Ruptured aneurysms of the abdominal aorta. N Eng J Med 271 : 915, 1984,
  • 28 McCready RA, Hollier LH, Pairolero PC ; Superior mesenteric artery emboluş, South Med J 77 : 789, 1984. il
  • 29 Morson BC : Pathology of diverticular disease of the colon. Clin Gastroenterol. 4:37, 1975,
  • 30 Negre J :; Perforated ulcer in elderiy people. Lancet 2 : 1118, 1985,
  • 31 Nemanich GJ, Nicoloff DM : Perforated duodenal ulcer : long term follow up. Surgery 67 : 727, 1970.
  • 32 Northup WEF-J1I, Simmons AL :. Pancreatic trauma. Surgery 71 : 27, 1972. -Osteen. RT, Guyton 5, Steele G Jr : Malignant intestinal obstruction, Surgery 87:611, 1980,
  • 33-Ottiriger LW ; Ruptured arteriosclerotic aneurysms of the abdominal aorta, JAMA 233 ; 147, 1975.
  • 34:Ottinger.LW : The surgical management of acute occlusion of the superior mesenteric artery. Ann Surg 1883 : 721, 1978, i
  • 35 Painter NS, Burkitt DP : Diverticular disease of the colon. Clin Gastroenterol 35 4: 3, 1975.
  • 36 .uParks TG ; Natural history ol diver ticular disease of the colon. Clin Gastroenterol4 : 53, 1975...
  • 37 Peetz OJ, Gamelli AL, Pilehen DB : İntestinal intubation in acute mechanical smali bowel obstruction, Arch Surg.117 : 334, 1982,
  • 38 -Ralls-PW, Colletti PM, Lapin SA : Real-time ultirasonograplıy in suspected acute chelecystitis. Radiology 155 : 767, 1985,
  • 39 şRanson, JHC, Turner JW, Roses DE : Respiratory complication in acute pancreatitis. Ann Surg 179 ; 557, 1974.
  • 40 Rodkej GV, Welch CE: Changing pi in the surgical entriöni of diver- © ticular diksaBe, Ann Surg 200 : 466, 1984.
  • 41 Sabiston. DC K : Texbook of Surgery. “ Phjladalphda w.B. Bamderi Company 1988. o
  • 42 Sbergel KH : Medical treatment of acute' pancreatitis : What is the evidence?, Gastroenterology 74 : 620, 1978.
  • 43 Tâylot H: The non-surgical treatment of perforated ulcer. Gastroenterology 33 :353, 1957.
  • 44 Türner DM; Groom RD : :-Acute adesive obstruction of the small intestine, Am - Surgeon 49 : 126, 1983.
  • 45, Wengensteen SL, Wray RC, Golden CT; Ginilsaşpi duodenal ulcer. xi J Sürü , 123 : 538, 1972.
  • 46.“ Way-LW “Current Sürgical Diiğnesis and Treatment. 7ih ed. vee Altos Caki- Warshaw AL : Inflomatory masses following acute. pancreatitis : phlegmon, pseudocyst and abscess. Surg Clin North Am 54: 621, 1974.
  • 47 Warshaw AL, Lesser PB, Rie M: The pathogenesis of pulmonary edema in ee pancreatitis. Ann Surg 182 : 505, 1975.
  • 48 “Watkins:RM, Döhnison AR, Cöllin J : What has happened to perforated peptid ulcer. Br J Surg 71 : 774, 1984. fornia Lange Medical Publications 1985

AKUT KARIN

Year 1990, Volume: 43 Issue: 1, 56 - 106, 31.03.1990

Ragıp Çam

Abstract

Akut karın genellikle karın ağrısı, iştahsızlık, bulantı, kusma ve ateş gibi belirtilerle karakterize olan ve sıklıkla karşılaştığımız bir tablodur. Akut karın tablosuyla karşılaşan doktorun sorunu erken tanı ve hemen uygulanacak tedavinin planlanmasıdır. Tedavinin başlangıcı konusunda doktorun yeterli bilgisi olması gerekmektedir. Bazı hastalarda örneğin; intraabdominal kanaması olanlarda tedavinin başarılı olması için dakikaların önemi vardır. Bazen de örneğin; ince barsak obstriksiyonu olan ve bu nedenle sıvı ve elektrolit dengesi bozulmuş hastalarda ameliyat kaçınılmaz olsa bile başlangıçta bir süre bu dengesizliğin düzeltilmesi gerekecektir.

Keywords

Akut karın obstriksiyonu Tedavi

References

  • 1, Ahdu RA, Zakhour BJ, Dallis DJ : Mesenteric venou$ ihrombosis. Surgery 101: 383, 1987.
  • 2. Andersson R, Parson H, Isaksson B : Acute intestinal ischemia Acta Chir Scand. 150 ; 217, 1984.
  • 3. Auguste L, Borrero E, Wise L ; Surgical management of perforated colonic diverticulitis. Arch Surg 120 : 450, 1985.
  • 4. Bailey RW, Hamilton SR, Morris JB : Pathogenesis of nonocclusive ischemic colitis. Ann Surg 203 ; 590, 1986. i
  • 5. Bak MP, Boley SJ ; Sigmoid volvulus in elderiy patients. Am J Surg 151 271, 1986.
  • 6. Ballantyne GH, Bradner MD, Beart AW : Volvulus of the çolon : incidence and mortality. Ann Surg 202 ; 83, 1985.
  • 7. Bizer LS, Liebling RW. Delaney HM : Small bowel obstruction. Surgery 88 : 407, 1981.
  • 8, Boey J, Lee NW, Wong J : Perloration in acute duodenal ulcers. Surg Gynecol Obstet 155 : 193, 1982.
  • 12 Ceneviva R, de Castro E Silva JO, Castelfranchi PL : Simple suture with or; without proximal gastric vagotomy for perforated duodenal ulcer. Br J Surg . 73:427, 1988.
  • 13Collier DSJ; Pain JA : Nonsteroid anti-inflomatory drugs and peptic ulcer perforation, Gut 26 : 359, 1985. a
  • 14 DeBakey ME, Crawford ES, Cooley DA : Aneurysm of the abdominal aorta. Ann Surg 160 : 622, 1964.
  • 15 “Donovan AJ, Vinson TL, Maulsby GO : Selective treatment of duodenal ulcer: with perforation. Ann Surg 189 : 627, 1979.
  • 16“ Finch WT, Sawyers JL, Schenker S : A prospective study to determine the effi-: cacy of antibiotics in acute pancreatitis. Ann Surg 183 : 667, 1976.
  • 17 Gagic N, Fry CF : The results of cholecystostomy for the treatment of acute: cholecytitis. Surg Gynecol Obstet 140 : 255, 1975.
  • 18 Gingrich RA, Awe WC, Boyden AM : Cholecstostomy in acute cholecystitis ;. factors influencing morbidity and mortalitiy, Am J Surg 116 ; 310, 1968,
  • 19Grawford ES, Palamara AW, Salek SA : Aortic aneurysm : current status of surgical treatment. Surg Clin North Am 59 : 597, 1979.
  • 20 Greco RS, Cahow CE : Alternatives in the management of acute perforated duodenal ulcers. Am J Surg 127 : 109, 1974.
  • 21 Howard RJ : Acute açalculous cholecystitis. Am J Surg 141 : 194, 1981.
  • 22Jones PF, Munro A : Reccurrent adhesive small bowel obstruction, World J Surg 9 : 868, 1985.
  • 23 Killingback M : Management of perforative diverticulitis. Surg Clin North Am. 63 : 97, 1983,
  • 24 Kovalcık PJ, Sustarsic DI. : Cecal diverticulitis. Am Surgeon 47 : 72, 1981
  • 25 Laws HL, Aldrete J5 ; Small bowel obstruction : a review of acute presentati- “ons and management, Am J Sure 143 : 579, 1982.
  • 26 Mallory A, Fern F Jr : Drug-induced puncreatitis : a critical review. Gastroenterology 78 : 813, 1980.
  • 27 Mannick JA, Brooks JW, Boshner LH : Ruptured aneurysms of the abdominal aorta. N Eng J Med 271 : 915, 1984,
  • 28 McCready RA, Hollier LH, Pairolero PC ; Superior mesenteric artery emboluş, South Med J 77 : 789, 1984. il
  • 29 Morson BC : Pathology of diverticular disease of the colon. Clin Gastroenterol. 4:37, 1975,
  • 30 Negre J :; Perforated ulcer in elderiy people. Lancet 2 : 1118, 1985,
  • 31 Nemanich GJ, Nicoloff DM : Perforated duodenal ulcer : long term follow up. Surgery 67 : 727, 1970.
  • 32 Northup WEF-J1I, Simmons AL :. Pancreatic trauma. Surgery 71 : 27, 1972. -Osteen. RT, Guyton 5, Steele G Jr : Malignant intestinal obstruction, Surgery 87:611, 1980,
  • 33-Ottiriger LW ; Ruptured arteriosclerotic aneurysms of the abdominal aorta, JAMA 233 ; 147, 1975.
  • 34:Ottinger.LW : The surgical management of acute occlusion of the superior mesenteric artery. Ann Surg 1883 : 721, 1978, i
  • 35 Painter NS, Burkitt DP : Diverticular disease of the colon. Clin Gastroenterol 35 4: 3, 1975.
  • 36 .uParks TG ; Natural history ol diver ticular disease of the colon. Clin Gastroenterol4 : 53, 1975...
  • 37 Peetz OJ, Gamelli AL, Pilehen DB : İntestinal intubation in acute mechanical smali bowel obstruction, Arch Surg.117 : 334, 1982,
  • 38 -Ralls-PW, Colletti PM, Lapin SA : Real-time ultirasonograplıy in suspected acute chelecystitis. Radiology 155 : 767, 1985,
  • 39 şRanson, JHC, Turner JW, Roses DE : Respiratory complication in acute pancreatitis. Ann Surg 179 ; 557, 1974.
  • 40 Rodkej GV, Welch CE: Changing pi in the surgical entriöni of diver- © ticular diksaBe, Ann Surg 200 : 466, 1984.
  • 41 Sabiston. DC K : Texbook of Surgery. “ Phjladalphda w.B. Bamderi Company 1988. o
  • 42 Sbergel KH : Medical treatment of acute' pancreatitis : What is the evidence?, Gastroenterology 74 : 620, 1978.
  • 43 Tâylot H: The non-surgical treatment of perforated ulcer. Gastroenterology 33 :353, 1957.
  • 44 Türner DM; Groom RD : :-Acute adesive obstruction of the small intestine, Am - Surgeon 49 : 126, 1983.
  • 45, Wengensteen SL, Wray RC, Golden CT; Ginilsaşpi duodenal ulcer. xi J Sürü , 123 : 538, 1972.
  • 46.“ Way-LW “Current Sürgical Diiğnesis and Treatment. 7ih ed. vee Altos Caki- Warshaw AL : Inflomatory masses following acute. pancreatitis : phlegmon, pseudocyst and abscess. Surg Clin North Am 54: 621, 1974.
  • 47 Warshaw AL, Lesser PB, Rie M: The pathogenesis of pulmonary edema in ee pancreatitis. Ann Surg 182 : 505, 1975.
  • 48 “Watkins:RM, Döhnison AR, Cöllin J : What has happened to perforated peptid ulcer. Br J Surg 71 : 774, 1984. fornia Lange Medical Publications 1985
There are 45 citations in total.

Details

Primary Language Turkish
Subjects Infectious Diseases
Journal Section Articles
Authors

Ragıp Çam

Publication Date March 31, 1990
Published in Issue Year 1990 Volume: 43 Issue: 1

Cite

APA Çam, R. (1990). Akut Karın. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 43(1), 56-106.
AMA Çam R. Akut Karın. Ankara Üniversitesi Tıp Fakültesi Mecmuası. March 1990;43(1):56-106.
Chicago Çam, Ragıp. “Akut Karın”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 43, no. 1 (March 1990): 56-106.
EndNote Çam R (March 1, 1990) Akut Karın. Ankara Üniversitesi Tıp Fakültesi Mecmuası 43 1 56–106.
IEEE R. Çam, “Akut Karın”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 43, no. 1, pp. 56–106, 1990.
ISNAD Çam, Ragıp. “Akut Karın”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 43/1 (March 1990), 56-106.
JAMA Çam R. Akut Karın. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1990;43:56–106.
MLA Çam, Ragıp. “Akut Karın”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 43, no. 1, 1990, pp. 56-106.
Vancouver Çam R. Akut Karın. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1990;43(1):56-106.
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