Sulu Barlas, Gunerhan Yusuf, Ozturk Baris, Arslan Hasan
Department of General Surgery, Faculty of Medicine, Kafkas University Kars, Pasacayiri 36100, Kars, Turkey.
Saudi Med J. 2010 Jan;31(1):59-63.
To investigate whether long-term hunger and the changes in nutritional routines during Ramadan constitute risk factors in acute appendicitis on the model of Ramadan fasting in this study.
This retrospective study was carried out in 2 different hospitals (Istanbul Haydarpasa Numune Training and Research Hospital and Kars State Hospital, Kars, Turkey) between January 2004 and December 2007. The data obtained from the patients were classified according to age, gender, age group, and pathological characteristics of the appendix. The data obtained during the Ramadan fasting period was compared with the periods before and after.
Nine hundred and ninety-two of the 4288 patients who received a diagnosis of acute appendicitis during the 4 years received their diagnosis during the 3 periods. Three hundred sixty-eight (37.1%) patients underwent surgery before Ramadan, 318 (32.1%) during, and 306 (30.8%) after. No significant difference was observed in terms of perforated and non-perforated AA frequency, age, age group, and gender (p>0.05).
There are changes in the nutritional routines during the Ramadan fasting period due to long-term hunger; and limitations were seen in the fluid and food intake. We detected that these changes did not constitute risk factors for acute appendicitis formation as a result of our study.
在本研究中，以斋月禁食为模型，探讨长期饥饿及斋月期间营养习惯的变化是否构成急性阑尾炎的危险因素。
这项回顾性研究于2004年1月至2007年12月在两家不同的医院（土耳其伊斯坦布尔海达尔帕萨努穆内培训与研究医院和卡尔斯州立医院）开展。从患者处获得的数据根据年龄、性别、年龄组以及阑尾的病理特征进行分类。将斋月禁食期间获得的数据与之前和之后的时间段进行比较。
在这4年中被诊断为急性阑尾炎的4288例患者中，有992例在这三个时间段内被确诊。368例（37.1%）患者在斋月前接受手术，318例（32.1%）在斋月期间接受手术，306例（30.8%）在斋月后接受手术。在穿孔性和非穿孔性急性阑尾炎的发生率、年龄、年龄组及性别方面未观察到显著差异（p>0.05）。
由于长期饥饿，斋月禁食期间营养习惯会发生变化；并且在液体和食物摄入方面存在限制。我们的研究结果表明，这些变化并未构成急性阑尾炎形成的危险因素。
