ASKARÝSE BAÐLI ÝNCE BARSAK TIKANMALARI

1975-1995 yýllarý arasýndaki 20 sene içine de, Askaris ileusu nedeniyle toplam 17 hasta cerrahi olarak tedavi edildi. Bu hastalarýn 12'si çocuk, 5'i eriþkindi. En sýk görülen semptom ve fizik muayene bulgularý; karýn aðrýsý, distansiyon, bulantý, kusma ve konstipasyondu. On olguda enterotomi, 2 olguda barsak rezeksiyonu yapýldý. 5 olguda askaris yumaðý kolona geçirilebildi. En sýk görülen morbidite ve mortalite sebebi sepsis idi. Morbidite ve mortalite oranlarýmýz sýrasýyla %29 ve %17'dir. Askariasisin endemik olduðu bölgelerde özellikle okul öncesi ve okul çaðýnda karþýlaþýlan intestinal obstrüksiyonlarýn parazite baðlý olabileceði akla gelmelidir.

INTESTINAL OBSTRUCTION CAUSED BY ASCARIASIS

Over the past 20 years, between 1975-1995, a total of 17 patients with intestinal obstruction caused by Ascaris lumbricoides were operated in Dicle University Medical Faculty. Five of them were adult and 12 were children. The most frequently symptoms and physical findings were abdominal pain, distention, nausea, vomiting and constipation. We performed enterotomi in 10 patients and resection in 2 patients. We attempt to manually aperss and advance the parasitic bundle toward to colon in 5 patients. The most cause of morbidity and mortality was sepsis. Morbidity and mortality rates were delected 29% and 17% respectively. This study suggest that simple bowel obstruction is a rare but fatal complication of ascaris infestation, which is seen particularly pre-school and young school-age in unhgienic conditions.