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Народна библиотека Србије, Београд
61
MD : Medical Data : medicinska revija = medical review / glavni i odgovorni urednik Dušan Lalošević. - Vol. 1, no. 1 (2009)- . - Zemun : Udruženje za kulturu povezivanja Most Art Jugoslavija ; Novi Sad : Pasterovo društvo, 2009- (Beograd : Scripta Internacional). - 30 cm

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ISSN 1821-1585 = MD. Medical Data
COBISS.SR-ID 158558988


DEMOGRAFSKE KARAKTERISTIKE, HISTOLOŠKI TIPOVI I KOMPLIKACIJE APENDICITISA OPERISANIH U KLINIČKOM CENTRU VOJVODINE U TOKU JEDNE KALENDARSKE GODINE /

DEMOGRAPHIC CHARACTERISTICS, HISTOLOGICAL TYPES AND COMPLICATIONS OF APPENDICITIS OPERATED IN CLINICAL CENTER OF VOJVODINA DURING ONE CALENDAR YEAR

Authors

 

Nikola Aleksić1 , Jelena Ilić Sabo1,2 , Bojana Andrejić Višnjić1 , Ivan Čapo1 , Bosiljka Krajnović3 , Natali Rakočević1

1Univerzitet 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.

 

 

References:

  1. D'Souza N, Nugent K. Appendicitis. Am Fam Physician. 2016;93(2):142-3.
  2. Brochhausen C, Turial S, Kirkpatrick JC. Acute appendicitis: a continuing challenge for both clinicians and pathologists. Afr J Paediatr Surg. 2011;8(2):145-6.
  3. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management [published correction appears in Lancet. 2017 Oct 14;390(10104):1736]. Lancet. 2015;386(10000):1278-87.
  4. Tayfur M, Balci MG. Pathological changes in appendectomy specimens including the role of parasites: A retrospective study of 2400 cases of acute appendicitis. Niger J Clin Pract. 2019;22(2):270-5.
  5. Zdichavsky M, Gögel H, Gregor B, Kraulich M, Meile T, Feilitzsch M et al. Histological   characterization of appendectomy specimens with intraoperative appearance of vascular injection. Surg Endosc. 2013; 27:849–53.
  6. Coward S, Kareemi H, Clement F, et al. Incidence of Appendicitis over Time: A Comparative Analysis of an Administrative Healthcare Database and a Pathology-Proven Appendicitis Registry. PLoS One. 2016;11(11):e0165161.
  7. Unver N, Coban G, Arıcı DS, et al. Unusual Histopathological Findings in Appendectomy Specimens: A Retrospective Analysis of 2047 Cases. Int J Surg Pathol. 2019;27(2):142-6.
  8. Charfi S, Sellami A, Affes A, Yaïch K, Mzali R, Boudawara TS. Histopathological findings in appendectomy specimens: a study of 24,697 cases. Int J Colorectal Dis. 2014;29(8):1009-12.
  9. Strong S, Blencowe N, Bhangu A; National Surgical Research Collaborative. How good are surgeons at identifying appendicitis? Results from a multi-centre cohort study. Int J Surg. 2015;15:107-12.
  10. Dincel O, Goksu M, Turk BA, Pehlivanoglu B, Isler S. Unexpected findings in the routine histopathological examinations of appendectomy specimens A retrospective analysis of 1,970 patients. Ann Ital Chir. 2017;88:519-25

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

 

 

 

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