md-medicaldata

Authors

 

Nikola Aleksić¹ , Jelena Ilić Sabo^1,2 , Bojana Andrejić Višnjić¹ , Ivan Čapo¹ , Bosiljka Krajnović³ , Natali Rakočević<sup>1

1</sup>Univerzitet uNovom Sadu, Medicinski fakultet, Srbija
² Klinički centar Vojvodine, Novi Sad, Srbija
³ Institut za plućne bolesti Vojvodine, Sremska Kamenica, Srbija

 

UDK: 616.346.2-002(497.113)

The paper was received / Rad primljen: 09.09.2020.

Accepted / Rad prihvaćen: 08.10.2020.

 

Correspondence to:

doc. dr Jelena Ilić Sabo
Medicinski fakultet Univerziteta u Novom Sadu, Srbija
Hajduk Veljkova 3, 21000 Novi Sad, Srbija
telefon: +38163303585
e-mail: jelena.ilic-sabo@mf.uns.ac.rs

 

 

Sažetak

 

Uvod: Apendicitisipredstavljaju često hirurško oboljenje abdomena. U savremenoj medicini se rutinski leče operativnim uklanjanjem, ali su i dalje interesantan predmet istraživanja zbog nedovoljnog poznavanja etiologije i patogeneze. Cilj: Utvrđivanje učestalosti pojedinih histoloških tipova apendicitisa, distribucije po starosti i polu, učestalostiperiapendicitisa, učestalost najčešćih apendicitisu pridruženihpatoloških stanja, kao i prisustvo perforacije apendiksa kod pacijenata. Materijal i metode: Analiza je izvršena na osnovu dokumentacije Centra za patologiju i histologiju Kliničkog centra Vojvodine. Patohistološki preparati su mikroskopski analizirani i fotografisani. Rezultati su obrađeni u programu Microsoft office Excel i prikazani tabelarno i grafički. Rezultati: Obrađeno je ukupno 626 slučajeva apendicitisa operativno odstranjenih u toku jedne kalendarske godine.Od apendicitisa oboljevaju pacijenti svih uzrasta sa pikom javljanja u mlađem životnom dobu (58,79% su pacijenti starosti 11-40 godina) . Podjednako oboljevaju muškarci i žene. Akutni oblici apendicitisa se pojavljuju daleko češće (60,01%) od hroničnih oblika. Perforacija je prisutna kod svega 2,72% pacijenata. Pridružena oboljenja se javljaju u 17,41% slučajeva. Najčešća pridružena oboljenja su ileitis chronica (10,19%), enteritis chronica (13,38%) i colitis chronica (17,83%). Periapendicitis se javlja kod 48,88% pacijenata. Zaključak: Apendicitis je oboljenje pretežno mlađe populacije.Najčešći oblik apendicitisa je akutni flegmonozopurulentni apendicitis. Hronični apendicitis se češće javlja u starijem životnom dobu. Perforacija apendiksa je prisutna u veoma malom broju slučajeva. Ključne reči: apendicitis; pol; starost; perforacija; patohistološki tipovi.

 

 

 

Ključne reči:

apendicitis; pol; starost; perforacija; patohistološki tipovi.

 

 

Abstract

 

Introduction: Appendicitis is one of the most common surgical emmergencies of abdominal surgery. Its treatment is routine procedure and includes removal of the appendix. However, appendicitis is still interesting subject for research because its etiology and pathogenesis remain unknown. Goal: The goal was to determine incidence of the most common types of appendicitis, distribution by age and gender and to determine incidence of periappendicitis as appendicitis associated pathology, to find out what other pathologies are associated with appendicitis and to determine perforation rate of the appendix. Materials and methods: The analysis is carried out using documents from the  Center for pathology and histology of Clinical center Vojvodina. Pathohistological samples were analysed with microscope and photographed with camera. The results were processed in Microsoft office Excel and displayed in tabular and graphical form. Results: A total of 626 cases of appendicitis surgically removed during one year. Appendicitis affects patients from all age groups but more often occurs at a young age (58,88% patients aged 11-40 years). It affects equally men and women. Acute forms of appendicitis occur far more frequently than chronic (60,01% of accute forms). Associated diseases are found in 17,41% cases. Most common associated diseases are chronic ileitis (10,19%), chronic enteritis (13,38%) and chronic colitis (17,83%). Perforation is present only in 2.72% of patients. Periappendicitis is found in 48,88% cases. Conclusion: Appendicitis is predominantly a disease of young population. The most common form of appendicitis is acute phlegmonose appendicitis. Chronic appendicitis is more common in elderly people. Perforation of the appendix is present in a very small number of cases.

 

 

Key words:

Appendicitis; sex; age; perforation; pathohistological type.

 

 

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PDF Aleksić N. et al • MD-Medical Data 2020;12(3): 155-159