Wprowadzenie: Nowotwory jelita grubego należą do najczęściej spotykanych nowotworów. Ważną rolę we wczesnej diagnostyce i leczeniu tych schorzeń odgrywają badania kolonoskopowe. Cel: Celem niniejszego badania było zbadanie wpływu okresu pandemii COVİD-19 na zabiegi kolonoskopii wykonywane w naszym ośrodku. Materiał i metody: W niniejszym badaniu obserwacyjnym dokonano retrospektywnego przeglądu pacjentów poddanych badaniu kolonoskopowemu w jednostce endoskopii ogólnej tutejszego szpitala od 11 marca 2019 do 12 marca 2021 r. Z badania wyłączono pacjentów w wieku poniżej 18 lat. Pacjentów podzielono na dwie grupy. Grupa 1.: okres przed pandemią COVID-19, pacjenci badani od 11 marca 2019 do 11 marca 2020 r., grupa 2.: okres pandemii COVID-19, pacjenci badani między 12 marca 2020 a 12 marca 2021 r. Wyniki: Analizie poddano dane 8285 pacjentów. Do badania włączono 4889 pacjentów w grupie 1. i 3396 pacjentów w grupie 2. Stwierdzono różnicę w wykrywalności przedrakowych polipów, która była znacznie wyższa w grupie 1 (p < 0,05, 4,3% vs 2,1%). Również w grupie wiekowej powyżej 65. roku życia częstotliwość występowania polipów przedrakowych okazała się znacznie wyższa w grupie z okresu przedpandemicznego. W grupie 1. nie stwierdzono istotnych różnic w wynikach badań pacjentów z rozpoznaniem nowotworu w zależności od płci (p > 0,05) (K/M: 1,2% / 1,6%). W grupie 2. wskaźniki zachorowań na nowotwory były znacznie wyższe u mężczyzn. Wniosek: Pandemia COVİD-19 miała negatywny wpływ na wiele obszarów, w tym również na procedury kolonoskopowe, wykonywane w naszym ośrodku. Minimalizacja tych negatywnych konsekwencji jest przedmiotem prac ośrodków posiadających duże doświadczenie w przedmiotowym obszarze.
Introduction: Acute appendicitis is the most frequently encountered non-obstetric disease requiring surgical intervention during pregnancy. Early diagnosis reduces maternal and foetal morbidity/mortality rates. Aim: This study aims to investigate haemogram parameters in the diagnosis of acute appendicitis in pregnant women. Materials and methods: A retrospective case-controlled study was conducted in three groups. Thirty-nine pregnant patients with acute appendicitis (Group A), 39 fertile, non-pregnant patients with acute appendicitis (Group B) and 39 healthy pregnant women (Group C) were included in the study. The WBC, neutrophil and lymphocyte counts and NLR, PLR, MPV and RDW values were compared. Results: The mean NLR values in Groups A, B and C were 7.39 (1.58–46.6), 5.66 (1–20) and 4.23 (1.54–10.77), respectively, and there was a significant difference in NLR values between the groups (P = 0.002). The mean PLR values in Groups A, B and C were 159.09 (69.1–574), 134.28 (21.5–360) and 120 (68.7–334), respectively, and the difference was statistically significant (P = 0.019). The cutoff value for WBC count was 14 155 106/μL (51.3% sensitivity; 82.1% specificity), for neutrophil count it was 10 955 106/μL (53.8% sensitivity; 84.6% specificity), for NLR it was 9.23 (46.2% sensitivity; 92.3% specificity) and for PLR it was 157.6 (51.3% sensitivity; 82.1% specificity). NLR had the largest area under the curve, with 0.667 NLR. Conclusion: Neutrophil and WBC counts and PLR were found to be the most valuable inflammatory parameters. However, RDW, lymphocyte count and MPV levels were not found to be valuable markers in terms of sensitivity and specificity in the diagnosis of acute appendicitis in pregnant patients
Aim: Colorectal cancers are common cancers. Colonoscopy procedure, which is applied in the early diagnosis and treatment of this disease, has a very important role. In this study, we aimed to examine the effect of the COVİD-19 pandemic period on our colonoscopic procedures. Material and methods: In this observational study, the data of the patients who underwent colonoscopy in our General Surgery Endoscopy Unit, between March 11, 2019 and March 12, 2021 were scanned retrospectively. Patients under 18 years of age were excluded. The patients were divided into 2 groups. 1. Group patients between 11 March 2019–11 March 2020; patients in the pre-COVID-19 period, Group 2, on March 12, 2020–March 12, 2021; Grouped as the COVID-19 era. Results: Data of 8285 patients were analyzed. A total of 4889 patients in Group 1 and 3396 patients in Group 2 were included in the study. The detection of precancerous polyps between the groups was found to be significantly higher in group 1 (p < 0.05) (4.3% vs 2.1). Similarly, the presence of precancerous polyps over the age of 65 was found to be significantly higher in the pre-covid group. In group 1, no significant difference was found in the evaluation of cancer patients according to gender (p > 0.05) (F/M: 1.2%/1.6%). In group 2, cancer patients were found to be significantly higher in males. Conclusions: The COVİD-19 pandemic has had negative effects in many areas, as well as on our colonoscopic procedures. Experienced centers continue to work to minimize these negative effects.
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